Member Resources

Click your plan to view and download the plan materials you need. 
Fidelis Care at Home (Managed Long Term Care)
Formularies

2020 Drug Formulary (PDF)

2020 Formulary Quick Reference Guide (PDF)


Member Handbook Materials

Member Handbook (PDF)


Subscriber and Renewal Documents

Annual Disenrollment Notice (PDF)

Appeals and Fair Hearing Rights (PDF)

Find a Doctor

Search for a Doctor in your area.

Pharmacy Benefits

Your pharmacy benefits are covered through CVS Caremark.  Navigate to CVS Caremark for more information or to register today.

Medication not Covered?

Click HERE to request coverage for a medication that is not on your plan’s drug list or restricted in some way.  Completion of this form provides information for the plan to decide whether to waive the restriction for you.  Approval is not guaranteed.  

Resources for Medicare Advantage 
and Dual Advantage Members

  

View and download plan materials.

Medicare Resources

Exhausted Benefits

Fidelis Care offers case management services to members by phone. Our Case Managers can provide support and assistance in identifying alternatives and resources when benefits have been exhausted. Case Managers are health professionals available to assist you in managing your health, learning more about your health or conditions, coordinating care with providers and receiving necessary services. To receive more information, please call Fidelis Care Clinical Services at 1-800-247-1441.


Language Assistance

Free language assistance services are available to you, such as:

  • Qualified interpreters
  • Information written in other languages

If you need these services, call Fidelis Care at 1-888-343-3547. For TTY/TDD services, call 711.

Language Assistance Services (PDF)

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. 

The HIPAA Security Rule protects health information in electronic form and requires providers and others covered under HIPAA to ensure that electronic protected health information is secure. 

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 Disclose Personal Health Information Form (PDF)