Health Equity

Wellcare By Fidelis Care

Wellcare Fidelis Dual Plus (HMO D-SNP) – Plan 003

Effective January 1, 2026, the plan name will change from Wellcare Fidelis Dual Plus (HMO D-SNP) to Wellcare Fidelis Dual Align (HMO D-SNP).

Wellcare Fidelis Dual Access (HMO D-SNP) Plan 001

Effective January 1, 2026, Fidelis Care members currently enrolled in this plan will be enrolled in Wellcare Fidelis Dual Liberty Sync (HMO D-SNP).

There are two segments for this plan. The service area for Plan 013-001 will be Albany, Allegany, Broome, Cattaraugus, Cayuga, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Monroe, Montgomery, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Rensselaer, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, St. Lawrence, Steuben, Sullivan, Tioga, Ulster, Warren, Washington, Wayne, Wyoming, Yates.

The service area for Plan 013-002 will be Bronx, Kings, Nassau, New York, Queens, Richmond, Rockland, Suffolk, Westchester.

Wellcare Fidelis Patriot Simple (HMO-POS) Plan 010

Effective January 1, 2026 Fidelis Care will offer a new Medicare Advantage product named Wellcare Fidelis Patriot Simple (HMO-POS).

The service area for this plan will be Albany, Allegany, Bronx, Broome, Cattaraugus, Cayuga, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Kings, Lewis, Livingston, Madison, Monroe, Montgomery, Nassau, New York, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Queens, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, St. Lawrence, Steuben, Suffolk, Sullivan, Tioga, Ulster, Warren, Washington, Wayne, Westchester, Wyoming, Yates.

Ambetter From Fidelis Care (Metal-Level Products)

Wellness Rewards

Effective January 1, 2026, members can participate in the Wellness Rewards program where they can earn up to $325 by completing eligible activities and screenings. Eligible activities are worth $25 each and include an Adult Well Visit, Adult Immunization Flu Shot, Breast Cancer Screening, Cervical Cancer Screening, Childhood & Adolescent Immunizations, Chlamydia Screening, Controlling High Blood Pressure/Blood Pressure Screening, Colorectal Cancer Screening, Diabetes – HbA1c Control, Diabetes – Eye Exam, Follow-up After Acute Care Visit for Asthma, Kidney Health Evaluation, Follow-up Visit After Hospitalization.

Ambetter from Fidelis Care Silver Enhanced

Effective January 1, 2026, the plan name will change from Ambetter from Fidelis Care Silver Enhanced to Ambetter from Fidelis Care Silver+.

Essential Plans

Wellness Rewards

As EP members renew into 2026 coverage, they will become eligible for the Wellness Rewards program where they can earn up to $275 by completing eligible activities and screenings. Eligible activities are worth $25 each and include an Adult Well Visit, Adult Immunization Flu Shot, Breast Cancer Screening, Cervical Cancer Screening, Chlamydia Screening, Controlling High Blood Pressure/Blood Pressure Screening, Colorectal Cancer Screening, Diabetes – Eye Exam, Follow-up After Acute Care Visit for Asthma, Kidney Health Evaluation, Follow-up Visit After Hospitalization.