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HomeMemberManage Your PlanChild Health Plus

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Child Health Plus Members

Welcome! Fidelis Care is proud to be your child's healthcare partner.

Get Started

Take charge of your child's health! Get the care and services they need to stay as healthy as possible.
Step 1: Sign Up for Our Member Portal

The Member Portal is the easiest way to get information about your child's plan. You will have 24/7 access to your child's account. You can:

  • View and print new ID cards
  • Check your child's claims
  • Access your child's plan documents
  • Make a premium payment

    • Do you need to pay a monthly premium? Set up AutoPay. Click here for more information.

    If you need help creating your child's Member Portal account, watch this video.

    Step 2: Fill Out Your Child's Health Risk Assessment

    The Health Risk Assessment is a brief survey. It helps us understand your child's healthcare needs and gets them connected to services. Complete the survey that came in your child's welcome materials. Then mail it to us in the postage-paid envelope.

    Step 3: Get to Know Your Child's Benefits

    Fidelis Care's Child Health Plus plan offers a wide range of services. They include:

  • No-cost annual checkups
  • Immunizations
  • Preventive care
  • Routine screenings
  • Hospital and emergency care
  • Eye exams
  • Dental care


    • You can learn more about your child's benefits by reading their Subscriber Contract. To request a paper copy, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547); TTY: 711.

    Step 4: Choose a Primary Care Provider

    Fidelis Care wants to make sure your child gets the best care. A primary care provider (PCP) helps keep your child healthy. If your child already has a PCP who is in the Fidelis Care network, then that provider should have been automatically assigned as their PCP. You can view or change your child's PCP from their Member Portal account.

    Find PCPs near you by using our Find a Doctor tool. Once you find a PCP, please call Member Services at 1-888-FIDELIS (1-888-343-3547); TTY: 711, and a Representative will update your child's account.

    Your child's PCP helps them stay healthy by providing, helping to arrange, and supporting authorization for medical services.

      Step 5: Schedule Your Child's Annual Checkup

      It’s important your child gets a checkup at least every year to see if there are any changes to their health. Your child's PCP can help them stay healthy and keep down your child's medical costs. Call today to make an appointment. There is no copay for your child's annual checkup.

      Here are some questions you might ask your child's PCP:

    • Does my child need any vaccinations?
    • Does my child need any health screenings or blood tests?
    • Does my child need any changes to their prescriptions?
    • What lifestyle changes can we make to improve my child's health?
    • When should I schedule my child's next visit?


      • Follow your child's PCP’s advice. Listen to your child's PCP and ask questions if you don't understand. Be sure to keep all follow-up visits. Also, make sure your child takes medications as prescribed.

      Member Portal

      Log in or register to pay your child's premium, view and print ID cards, check your child's claims history, and much more.

      Log In

      Member Resources

      Click below to view reference documents. Remember, you can always log in to the Member Portal to view your child's benefits.

      Plan Basics

      There are no copays for covered services, including preventive services. Always check with your child's primary care provider to find out if a referral is required for any additional health services they might need.

      Your child's coverage also helps:

    • Get high quality care. Access to high quality in-network care for little to no out of pocket costs.
    • Stay healthy. Health insurance helps your child get preventive care that keeps them healthy and in touch with a doctor.
    • Prepare for the unexpected. If your child has an emergency or becomes seriously ill, health insurance helps give you peace of mind knowing your child's healthcare needs will be met.


      • You can also review common health insurance terms to help you better understand your child's plan.

      Monthly Premiums

      If your child has a monthly premium payment, you will receive an invoice in the mail. You may also receive an email to pay your child's bill. Please make your payment by the due date indicated on your child's invoice to avoid possible loss of coverage. Refer to these Frequently Asked Questions (FAQs) for more information.

      Prescription Drug Information
      Express Scripts

      Your child's pharmacy benefits are covered by Express Scripts (by clicking on this link, you will leave the Fidelis Care website).
      Log in to your child's       Member Portal account to easily access their pharmacy benefits.

      Formularies 

      For additional resources, visit our pharmacy webpage.

      Subscriber Contract and Notices
      Subscriber Contract and Additional Information

      Subscriber Contract

      Subscriber Contract Rider

      Additional Information for Child Health Plus Members

      Member Notices

      Home and Community Based Services (Effective January 1, 2025)

      Is Your Child Turning 18 Years Old Soon?
      When your child turns 18, they become a legal adult and their role will change regarding their health. 

      Click here to learn more.

      Renew Your Child's Coverage

      Your child's health insurance needs to be renewed every year. We can help answer all your questions so your child stays covered. 

      Get Help


      Connecting with a Primary Care Provider (PCP)

      Having a PCP can improve your child's healthcare and overall well-being.Our videos can guide you through:
      • Finding a PCP near you
      • Changing your child's PCP through the member portal 

      Schedule your child's annual checkup.
      Click here to learn why an annual checkup matters.

      Need help? Call Fidelis Care at 1-888-FIDELIS (1-888-343-3547).


      Dental-Icon

      Visit a Dentist

      Child Health Plus members receive dental coverage as part of their plan. Your child's benefits are covered through DentaQuest. Visit our DentaQuest Resource Page for more information on getting started, and preventive dental care best practices for your child.

      Glasses-Icon

      Schedule an Eye Exam

      Vision coverage is included as part of Child Health Plus. Your child's 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 Fidelis Care's best practice guidelines for healthy vision, click HERE

      Shot-Icon

      Get Your Immunizations

      Fidelis Care encourages you to get your child the flu vaccine every year and any other recommended vaccines. These vaccines are free as part of your child's Child Health Plus coverage. Learn more about other important immunizations and talk to your child's primary care provider about the vaccines that are right for them. 


      Childhood Development Stages

      Each child develops at their own pace. It is important to make sure your child sees a pediatrician on a regular basis and gets the vaccines needed to stay healthy.
      Learn more

      Every Child Healthy

      Fidelis Care is working to support healthier families. Explore the videos and resources for information on healthy eating, fitness, wellness tips and more!
      Click here

      Sports Physicals vs. Annual Well Visits

      Students who play sports often need to have a sports physical, which are sometimes provided through the school. A sports physical does not replace an annual checkup with a child's doctor. During an annual checkup, or well visit, the child has a complete physical exam. The doctor also makes sure the child has the right immunizations and answers questions. Annual well visits are a covered benefit, and children should have one each year.

      We're here to help!

      Contact Fidelis Care with any questions you may have.


      Find a Doctor

      Search for a medical professional, service, or facility in the Fidelis Care Network.
      Search

      Member Newsletter

      Read our latest member newsletter (HealthyNOW) and browse the archives.

      Read

      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 Services. By 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

      As a Fidelis Care member, you have a right to participate with practitioners in making decisions about your healthcare. You also have the right to be treated with respect and with recognition of your dignity and your right to privacy.

      General Statement of Member Rights and Responsibilities (PDF)

      Language Assistance Services (PDF)

      Notice of Non-Discrimination (PDF)

      Patient Bill of Rights (PDF)

      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.