Log in, register for an account, pay your bill, print ID cards, and more.
Log into your account, view patient information, and more.
The Member Portal is the easiest way to get information about your plan. You will have 24/7 access to your account. You can:
If you need help creating your Member Portal account, watch this video.
Fidelis Care's Essential Plan offers a wide range of services. They include:
You can learn more about your benefits by reading your subscriber contract. To request a paper copy, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547); TTY: 711.
Fidelis Care offers Care Management services to help members who need extra health support with scheduling healthcare appointments or arranging transportation to your doctor's visit. To see if you are eligible for Care Management Services or to enroll in our texting program, call 1-800-247-1441 (TTY: 711) from 8:30 AM to 5 PM Monday through Friday.
Here are some additional benefits to support your health.
Fidelis Care wants to make sure you get the best care. A primary care provider (PCP) helps keep you healthy. 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 view, confirm or change your PCP from your Member Portal account. If you need help changing your PCP through the member portal, watch this video.
Find PCPs near you by using our Find a Doctor tool. Watch this video if you need help with the Find a Doctor tool.
Here are some questions you might ask your PCP:
Follow your PCP’s advice. Listen to your PCP and ask questions if you don't understand. Be sure to keep all follow-up visits. Also, take medications as prescribed.
Log in or register to view and print ID cards, check your claims history, change your primary care provider, and much more.
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:
You can also review common health insurance terms to help you better understand your plan.
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.
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.
Your pharmacy benefits are covered 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.
For additional resources, visit our pharmacy webpage.
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.
You need to renew your health insurance every year. We can help answer all your questions so you stay covered.
Need help? Call Fidelis Care at 1-888-FIDELIS (1-888-343-3547).
Vision coverage is included as part of the Essential Plan. 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 Fidelis Care's best practice guidelines for healthy vision, click HERE
Contact Fidelis Care with any questions you may have.
Getting exercise helps keep you healthy. Learn how we support your fitness.
Read the latest HealthyNow newsletter for seasonal health tips – now in an easy-to-read flipbook!
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)
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)