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Welcome, Fidelis Care at Home 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.

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 view and print new ID cards, check your claims, and access your plan documents. To create a secure online member account, visit members.fideliscare.org and click “Register.”
Step 2: Get to Know Your Benefits

Fidelis Care at Home offers a wide range of services as needed. Services include Care Management,  Durable Medical Equipment, Home Health Care, and more. You can learn more about your benefits by reading your Member Handbook. It covers important information for you to know, such as how to access services including urgent and emergency care.  

Step 3: Schedule Your Annual Checkup
It’s important to see your primary care provider (PCP) every year for a checkup to see if there are any changes to your health. Seeing your PCP every year can help you stay healthy and keep down your medical costs. Call your PCP to make an appointment. There is no copay for your annual checkup.
Step 4: Work with Your Care Manager
When you join Fidelis Care at Home, you will be assigned a Care Manager and Service Coordinator. They will help you access the services that you need to remain  independent and healthy.  Your Care Manager will work with you and your providers to create a care plan for you. The plan is called a Person Centered Service Plan (PCSP).

Member Portal

Log in or register to view and print ID cards, check your claims history, and much more.

Contact Us

If you have questions about your benefits or care, please call 1-800-688-7422 and ask to talk to your Care Manager. We are here to help. For medical emergencies, call 911.

Member Handbook

Member Handbook

Member Handbook Insert - Dental Services

Member Handbook Insert – Non-Emergency Medical Transportation

Members can also log in to their Member Portal account to view the Member Handbook and check their benefits. 

Health Care Proxy

To learn about appointing a health care agent in New York State, download the Health Care Proxy Form (PDF) from the New York State Department of Health. 
(By clicking this link, you will leave the Fidelis Care website.) 

Member Benefits

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Dental Benefits

You receive dental coverage as part of your plan. Your benefits are covered through DentaQuest. Visit our DentaQuest Resource Page for more information on getting started, and preventive dental care best practices.

 

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Vision Benefits

Vision coverage is included as part of your 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

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Hearing Benefits

If you need a hearing aid, please have your provider complete this form and fax it to 1-716-803-8727.

For more information about the importance of getting your hearing exam, please read this issue of the Member Newsletter.

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Immunizations Coverage

Fidelis Care encourages you to get flu, COVID-19 and pneumonia vaccines every year. The vaccines are free as part of your coverage. Learn more about other important immunizations, such as the shingles vaccine, and talk to your PCP about the vaccines that are right for you. 

Additional Resources:
Get Your Flu and COVID-19 Vaccines Today

Pneumonia Vaccine Offers Protection to Older Adults

Healthy Living Tips

Fall Prevention

Falls can be prevented. These are some steps you can take to make your home safer:

  • Remove things you could trip over, like rugs, toys, shoes, and cords.
  • Add grab bars if you have trouble getting in and out of the shower, or on and of the toilet.
  • Put railings on your staircases inside and outside of your home.
  • Make sure your home has lots of light. Add more light bulbs, or brighter ones.

Source: www.cdc.gov/falls/facts.html

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Where is the Right Place to Go for Health Care?

Whether you feel sick, need ongoing treatment, or want a checkup, it is important to know where to go for health care.

  • Provider's Office: Go to your provider's office for regular checkups and preventive care.
  • Urgent Care: Visit an urgent care facility if your situation is not too serious and it cannot wait. Ailments may include sprained ankles, small cuts, or mild breathing troubles.
  • Emergency Room (ER): The ER at a hospital is for serious or life-threatening problems, like severe chest pain, difficulty breathing, sudden weakness in an arm or leg, or slurred speech.

To read the entire article, click here. Another helpful article is Importance of Visiting Your Primary Care Provider.


Incontinence

Urinary incontinence means a person leaks urine by accident. Bladder control issues can be embarrassing and cause people to stop normal activities. But incontinence can often be stopped or controlled.

Incontinence can happen for many reasons, including urinary tract infections, vaginal infection or irritation, or  constipation. Some medications can cause bladder control problems that last a short time. When incontinence lasts longer, it may be due to:

  • Weak bladder or pelvic floor muscles
  • Overactive bladder muscles
  • Damage to nerves that control the bladder from diseases
  • Pelvic organ prolapse
  • Prostatitis-inflamed or infected prostate  

Source: https://www.nia.nih.gov/health/bladder-health-and-incontinence/urinary-incontinence-older-adults


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Shortness of Breath

Click on the links for helpful information on:

Asthma

COPD

Smoking

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Behavioral Health

Fidelis Care's Behavioral Health web page includes useful information for managing your health concerns. This article, The Overlap of Mental Health and Physical Health, addresses the importance of physical and mental health.

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Pain Management

Fidelis Care's Pain Management web page includes ways to manage pain and where you can get help.


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 ServicesBy 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 health care. 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)

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. 


Find a Doctor

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

Member Newsletter

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

Understand Your Benefits

Learn how health insurance helps manage expenses, and prepare for the unexpected.

Health Resources

Information to help you and your provider better manage your health.