Member Resources

Click your plan to view and download the plan materials you need. 
Essential Plan

Treatment Cost Calculator


Essential Plan 1 

Benefit Summary (PDF)

Drug Formulary (PDF)

Subscriber Contract (PDF)


Essential Plan 2 

Benefit Summary (PDF)

Drug Formulary (PDF)

Subscriber Contract (PDF)


Essential Plan 3 

Benefit Summary (PDF)

Drug Formulary (PDF)

Subscriber Contract (PDF)


Essential Plan 4 

Benefit Summary (PDF)

Drug Formulary (PDF)

Subscriber Contract (PDF)

Metal-Level Products (Qualified Health Plans and Off-Exchange)
HealthierLife Health and Recovery Plan (HARP)
Fidelis Care at Home (Managed Long Term Care)

Pharmacy Benefits

Your pharmacy benefits are covered through CVS Caremark. Visit the CVS Caremark website (by clicking on this link, you will leave the Fidelis Care website) for more information or to register. 

Fidelis Care also provides an online form for your convenience:

 

Resources for Medicare Advantage 
and Dual Advantage Members

View and download plan materials.

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.

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)


Member Portal

Log in or register to make make payments, print ID cards, choose or change a PCP, and much more.

Find a Doctor

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

Visit Us!

Questions about health coverage? Find a Fidelis Care Community Office near you.