The Fidelis Care Blog 


Changes to Fidelis Care Essential Plan Coverage
5/28/2021 • Posted by Fidelis Care in Health and Wellness, Member News

Starting June 1, 2021, there will be no monthly premium for Essential Plan coverage and all Essential Plan members will have dental and vision benefits with no premium or cost sharing for covered services. This is due to a recent change in New York State law.

Here’s what these changes mean for Essential Plan members.

  • All Essential Plan premiums will be eliminated as of June 1, 2021. Starting June 1, 2021, there is no longer a monthly premium for Essential Plan coverage.
  • Essential Plan members with dental and vision coverage through Fidelis Care will no longer need to pay a monthly premium for dental and vision coverage starting June 1, 2021. Also, Essential Plan members will no longer have to make any copayments or coinsurance when they receive a covered dental or vision care service from a network provider. This will happen automatically. Essential Plan members do not need to take any action.
  • Essential Plan members who currently do not have dental and vision coverage through Fidelis Care will automatically receive dental and vision coverage starting June 1, 2021 at no cost to you. Also, Essential Plan members will not have any copayments or coinsurance when they get a covered dental or vision care service from a network provider.

The covered dental and vision benefits can be viewed at fideliscare.org/member-resources.

Our plan’s network of dental and vision providers is available at fideliscare.org/find-a-doctor. Essential Plan members will use their existing card for dental and vision benefits.

If you have any questions, please call Member Services at 1-888-FIDELIS (1-888-343-3547); TTY: 711.  We are here to help.