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Welcome, 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:

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

You can complete this brief survey on the Member Portal. 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. Visit fideliscare.org/costcalculator to find a treatment cost calculator, providing you with estimates that cover other conditions and services. 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.

Pharmacy Benefits

For members with pharmacy coverage, your benefits are covered through CVS Caremark. Visit the CVS Caremark website (by clicking on this link, you will leave the Fidelis Care website) for more information or to register.

Dental Benefits

For members with dental coverage, your benefits are covered through DentaQuest. Visit our DentaQuest Resource Page 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 for information on getting started. 

To review Fidelis Care's best practice guidelines for healthy vision, click HERE

 

LATEST NEWS


Update to Radiology Services Authorizations
9/27/2021 • Posted by Fidelis Care
On October 1, 2021, NIA Magellan, a partner of Fidelis Care, will begin managing authorizations requests for radiology services for our members.
Read More
Narrative Summary of Requested Rate Changes for Qualified Health Plans Effective January 1, 2022
6/10/2021 • Posted by Fidelis Care
This Narrative Summary is designed to provide a plain-language summary of the reasons for the proposed rate adjustment. This Summary will remain posted on our website, for a minimum of 30 calendar days from the date of our letter.
Read More
Changes to Fidelis Care Essential Plan Coverage
5/28/2021 • Posted by Fidelis Care
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.
Read More
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Important Information on Coverage Decisions

Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on many health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

Fidelis Care does not reward providers or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff based on decisions that promote underutilization of services. 

Fidelis Care is committed to ensuring that members have the care and services they need. 

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