Member Resources

Click a plan below to view reference documents. If you’re a member, log in to the Member Portal to view your contract and benefits.
Effective January 1, 2024, members enrolled in Child Health Plus, Essential Plan, Wellcare By Fidelis Care Medicare and Dual Advantage, and Ambetter from Fidelis Care Qualified Health Plans will have their pharmacy benefit managed by Express Scripts. Members will receive new ID cards with updated pharmacy information. Learn more.


Effective April 1, 2023, members enrolled in Fidelis Care Medicaid Managed Care and HealthierLife (HARP) plans will receive their pharmacy benefits through NYRx, the Medicaid Fee-for-Service (FFS) Pharmacy Program. For more information regarding the pharmacy benefit transition, please visit NYRx, the Medicaid Pharmacy Program. Please note, members will continue to receive their medical benefits through Fidelis Care.

Medicaid Managed Care
Ambetter from Fidelis Care | Qualified Health Plans (QHP)
Wellcare By Fidelis Care | Medicare and Dual Advantage

 

Get Ready to Renew

Automatic renewals will end soon, and you will need to take action to renew your health insurance. Stay connected and update your information today.

Connecting Your Healthcare

The Interoperability and Patient Access rule (CMS-9115-F) puts patients first by giving you control and easy access to your health information when you need it most. 

Member How To Videos

Get the most from your Fidelis Care plan and our Member Portal by watching our videos, including how to change your PCP, requesting new ID cards, and more.

 

 

View and download document plans


 

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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. 

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

General Statement of Member Rights and Responsibilities (PDF)

Notice of Privacy Practices

Fidelis Care Notice of Privacy Practices


Find a Doctor

Search for a Doctor in your area. 

Customized filters enable members to sort by medical specialty, plan type, and location to display all applicable, in-network providers.