Welcome, Ambetter from Fidelis Care Members!

We are proud to be your healthcare partner and want to help you access essential health benefits and services to keep you as healthy as possible. Here’s how to get started:

Ambetter-from-Fidelis-Care-logo

Activate Coverage

Make your first payment to access your benefits.

Step 1: Sign Up for Our Member Portal

The Member Portal is the easiest and most secure way to access information about your plan. With 24/7 access to your Fidelis Care account, you can pay your monthly premium, request and print new ID cards, and access your plan documents. To create a secure online member account, visit members.fideliscare.org and click “Register.”

Step 2: Fill Out Your Health Risk Assessment

Return this brief survey to us in the postage-paid envelope provided with your welcome materials. The answers you provide will help us serve you better and get you connected to whatever services you may need.

Step 3: Review Your Plan Documents

You can access your Summary of Benefits and Coverage, Subscriber Contract, Formulary, and other important plan documents by logging into the Member Portal. The Summary of Benefits and Coverage outlines some of your plan’s key benefits, and explains how much they could cost. The cost examples are estimates only, and serve as a guide for how your particular plan might cover different conditions; not the exact dollar amount you will pay. Your Subscriber Contract provides a full description of the services included in your benefit package, as well as cost information for those services. 

Step 4: Choose a Primary Care Provider
Fidelis Care is committed to ensuring you have access to the preventive care and screenings you need to stay healthy. To ensure that access, we recommend you select a Primary Care Provider (PCP), even if your plan does not require one. If you already have a PCP who is in the Fidelis Care network, then that provider should have been automatically assigned as your PCP. You can review, select, or change your PCP from your Member Portal account. Your PCP will work with you to make sure you get the care you need.

To find PCPs near you, use our Find a Doctor tool. If you need help finding a doctor or choosing your PCP, call Member Services at 1-888-FIDELIS (1-888-343-3547); TTY: 711.

Member Resources

Click a plan below to view reference documents. If you’re a member, log in to the Member Portal to view your contract and benefits

Prescription Drug Information
Subscriber Contracts & Schedule of Benefits

2024

Bronze:


Catastrophic:


Gold:


Platinum:


Silver:


Pharmacy Benefits

For Ambetter from Fidelis Care members with pharmacy coverage, your benefits are covered in 2024 by Express Scripts. (by clicking on this link, you will leave the Fidelis Care website) Log in to your Member Portal account to easily access your pharmacy benefits.

Dental Benefits

For members with dental coverage, your benefits are covered through DentaQuest. Visit our DentaQuest Resource Page (by clicking on this link, you will leave the Fidelis Care website) for more information on getting started, and preventive dental care best practices.

Vision Benefits

For members with vision coverage, your benefits are covered through Davis Vision. Visit our Davis Vision Resource Page (by clicking on this link, you will leave the Fidelis Care website) for information on getting started. 

To review guidelines for healthy vision, click HERE

 

Find a Doctor

Search for a Doctor in your area.

Understand Your Benefits

Learn how health insurance helps manage expenses, and prepare for the unexpected.

Your Health Information is Protected

The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule provides national standards to protect individuals’ medical records and other personal health information. The Privacy Rule applies to all forms of your protected health information, whether electronic, written, or oral. 

To learn more about HIPAA and your privacy rights, visit the U.S. Department of Health and Human ServicesBy clicking this link, you will leave the Fidelis Care website.

Authorization to Use and Disclose Health Information (PDF)

Revocation of Authorization to Use and/or Disclose Health Information (PDF)


Member Rights and Responsibilities

General Statement of Member Rights and Responsibilities (PDF)