There are no copays for covered services, including preventive services. Always check with your primary care provider to find out if a referral is required for any additional health services you might need.
Your 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 you get preventive care that keeps you healthy and in touch with a doctor.Prepare for the unexpected. If you have an emergency or become seriously ill, health insurance helps give you peace of mind knowing your healthcare needs will be met.
You can also review common health insurance terms to help you better understand your plan.
How Cost-Sharing Works
Fidelis Care Essential Plans do not have deductibles. Depending on your plan, you may be required to pay a copayment or coinsurance. For example, you may have a copay of up to $35 for medical services and prescription drugs.
In-Network Coverage
Fidelis Care Essential Plans have in-network only benefits, meaning that services from providers not in the Fidelis Care Network might not be covered. You should always check to make sure your provider participates in our network before receiving services -- even if you were referred by a participating provider.
Emergency services are always covered. However, it's still important to avoid surprise bills in these situations. Learn more about Surprise Bills.