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Find information and resources to help you understand and use your Wellcare By Fidelis Care Medicare benefits. Access plan documents, provider and pharmacy information, health and wellness resources, telehealth services, and other helpful member tools.

New Provider Search Tool for Medicare Members

Wellcare By Fidelis Care members can now use a new tool to search for doctors, specialists, hospitals, pharmacies, and other healthcare services.
Learn About the New Find a Provider Tool

2027 Plan Documents

Wellcare Fidelis Assist (HMO-POS) Plan 002

Formulary

2027 Formulary

List of Drugs Change Notice (Available February 1, 2027)

 

Annual Notice of Change

Annual Notice of Change: Wellcare Fidelis Assist (HMO-POS) H5599-002 to Wellcare Fidelis Assist (HMO-POS) H5599-002 – English (PDF)

Annual Notice of Change: Wellcare Fidelis Assist (HMO-POS) H5599-002 to Wellcare Fidelis Assist (HMO-POS) H5599-002 – Spanish (PDF)

Annual Notice of Change: Wellcare Assist (HMO-POS) H4868-016 to Wellcare Fidelis Assist (HMO-POS) H5599-002 – English (PDF)

Annual Notice of Change: Wellcare Assist (HMO-POS) H4868-016 to Wellcare Fidelis Assist (HMO-POS) H5599-002 – Spanish (PDF)

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2027. It explains how to get coverage for the health care services and prescription drugs you need.

2027 Evidence of Coverage

2027 Evidence of Coverage (Spanish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

2027 Summary of Benefits

2027 Summary of Benefits (Spanish)

 

Prescription Drug Coverage Documents

2027 Alternative Covered Drugs

2027 Alternative Covered Drugs (Spanish)

2027 Covered Diabetes Meters and Testing Supplies

2027 Covered Diabetes Meters and Testing Supplies (Spanish)

Looking for more prescription drug information? Access plan-specific prior authorization and step therapy criteria, pharmacy and mail order information, coverage determination resources, and more.

View Prescription Drug Information and Resources

 

Medicare Handbook

2027 Medicare & You Handbook (English) (by clicking this link, you will leave the Fidelis Care website)

2027 Medicare & You Handbook (Spanish) (by clicking this link, you will leave the Fidelis Care website)

 

Additional Benefits

Over-the-Counter Benefits

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Dual Align Unity (HMO D-SNP) Plan 003

Formulary

2027 Formulary

2027 Formulary (Spanish) (Available October 15, 2026)

2027 Formulary (Russian) (Available October 15, 2026)

2027 Formulary (Chinese) (Available October 15, 2026)

List of Drugs Change Notice (Available February 1, 2027)

 

Annual Notice of Change

Annual Notice of Change: Wellcare Fidelis Dual Align Unity (HMO D-SNP) H5599-003 to Wellcare Fidelis Dual Align Unity (HMO D-SNP) H5599-003 – English (PDF)

Annual Notice of Change: Wellcare Fidelis Dual Align Unity (HMO D-SNP) H5599-003 to Wellcare Fidelis Dual Align Unity (HMO D-SNP) H5599-003 – Spanish (PDF)

View Additional Languages ▼

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2027. It explains how to get coverage for the health care services and prescription drugs you need.

2027 Evidence of Coverage

2027 Evidence of Coverage (Spanish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

2027 Summary of Benefits

2027 Summary of Benefits (Spanish)

View Additional Languages ▼

 

Dental Benefit Details

Review dental coverage information for your 2027 Wellcare By Fidelis Care plan, including covered dental services and benefit details.

2027 Dental Benefit Details (English)

2027 Dental Benefit Details (Spanish)

View Additional Languages ▼

 

Prescription Drug Coverage Documents

2027 Alternative Covered Drugs

2027 Alternative Covered Drugs (Spanish)

2027 Covered Diabetes Meters and Testing Supplies

2027 Covered Diabetes Meters and Testing Supplies (Spanish)

Looking for more prescription drug information? Access plan-specific prior authorization and step therapy criteria, pharmacy and mail order information, coverage determination resources, and more.

View Prescription Drug Information and Resources

 

Medicare Handbook

2027 Medicare & You Handbook (English) (by clicking this link, you will leave the Fidelis Care website)

2027 Medicare & You Handbook (Spanish) (by clicking this link, you will leave the Fidelis Care website)

 

Additional Benefits

Healthmap Kidney Health Management

Over-the-Counter Benefits

Wellcare Spendables® Card

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Simple (HMO-POS) Plan 004

Formulary

2027 Formulary

List of Drugs Change Notice (Available February 1, 2027)

 

Annual Notice of Change

Annual Notice of Change: Wellcare Fidelis Simple (HMO-POS) H5599-004 to Wellcare Fidelis Simple (HMO-POS) H5599-004 – English (PDF)

Annual Notice of Change: Wellcare Fidelis Simple (HMO-POS) H5599-004 to Wellcare Fidelis Simple (HMO-POS) H5599-004 – Spanish (PDF)

Annual Notice of Change: Wellcare Simple (HMO-POS) H4868-019 to Wellcare Fidelis Simple (HMO-POS) H5599-004 – English (PDF)

Annual Notice of Change: Wellcare Simple (HMO-POS) H4868-019 to Wellcare Fidelis Simple (HMO-POS) H5599-004 – Spanish (PDF)

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2027. It explains how to get coverage for the health care services and prescription drugs you need.

2027 Evidence of Coverage

2027 Evidence of Coverage (Spanish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

2027 Summary of Benefits

2027 Summary of Benefits (Spanish)

 

Prescription Drug Coverage Documents

2027 Alternative Covered Drugs

2027 Alternative Covered Drugs (Spanish)

2027 Covered Diabetes Meters and Testing Supplies

2027 Covered Diabetes Meters and Testing Supplies (Spanish)

Looking for more prescription drug information? Access plan-specific prior authorization and step therapy criteria, pharmacy and mail order information, coverage determination resources, and more.

View Prescription Drug Information and Resources

 

Medicare Handbook

2027 Medicare & You Handbook (English) (by clicking this link, you will leave the Fidelis Care website)

2027 Medicare & You Handbook (Spanish) (by clicking this link, you will leave the Fidelis Care website)

 

Additional Benefits

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Patriot Simple (HMO-POS) Plan 010

Annual Notice of Change

Annual Notice of Change: Wellcare Fidelis Patriot Simple (HMO-POS) H5599-010 to Wellcare Fidelis Patriot Simple (HMO-POS) H5599-010 – English (PDF)

Annual Notice of Change: Wellcare Fidelis Patriot Simple (HMO-POS) H5599-010 to Wellcare Fidelis Patriot Simple (HMO-POS) H5599-010 – Spanish (PDF)

Annual Notice of Change: Wellcare Patriot Simple (HMO-POS) H4868-003 to Wellcare Fidelis Patriot Simple (HMO-POS) H5599-010 – English (PDF)

Annual Notice of Change: Wellcare Patriot Simple (HMO-POS) H4868-003 to Wellcare Fidelis Patriot Simple (HMO-POS) H5599-010 – Spanish (PDF)

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and coverage from January 1 – December 31, 2027. It explains how to get coverage for the health care services you need.

2027 Evidence of Coverage

2027 Evidence of Coverage (Spanish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

2027 Summary of Benefits

2027 Summary of Benefits (Spanish)

 

Prescription Drug Coverage Documents

2027 Alternative Covered Drugs

2027 Alternative Covered Drugs (Spanish)

2027 Covered Diabetes Meters and Testing Supplies

2027 Covered Diabetes Meters and Testing Supplies (Spanish)

Looking for more prescription drug information? Access plan-specific prior authorization and step therapy criteria, pharmacy and mail order information, coverage determination resources, and more.

View Prescription Drug Information and Resources

 

Medicare Handbook

2027 Medicare & You Handbook (English) (by clicking this link, you will leave the Fidelis Care website)

2027 Medicare & You Handbook (Spanish) (by clicking this link, you will leave the Fidelis Care website)

 

Additional Benefits

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) Plan 014

Formulary

2027 Formulary

2027 Formulary (Spanish) (Available October 15, 2026)

2027 Formulary (Russian) (Available October 15, 2026)

2027 Formulary (Chinese) (Available October 15, 2026)

List of Drugs Change Notice (Available February 1, 2027)

 

Annual Notice of Change

Annual Notice of Change: Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013-001 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-014 – English (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-004 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-014 – English (PDF)

Annual Notice of Change: Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013-001 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-014 – Spanish (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-004 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-014 – Spanish (PDF)

View Additional Languages ▼

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2027. It explains how to get coverage for the health care services and prescription drugs you need.

2027 Evidence of Coverage

2027 Evidence of Coverage (Spanish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

2027 Summary of Benefits

2027 Summary of Benefits (Spanish)

View Additional Languages ▼

 

Dental Benefit Details

Review dental coverage information for your 2027 Wellcare By Fidelis Care plan, including covered dental services and benefit details.

2027 Dental Benefit Details (English)

2027 Dental Benefit Details (Spanish)

View Additional Languages ▼

 

Prescription Drug Coverage Documents

2027 Alternative Covered Drugs

2027 Alternative Covered Drugs (Spanish)

2027 Covered Diabetes Meters and Testing Supplies

2027 Covered Diabetes Meters and Testing Supplies (Spanish)

Looking for more prescription drug information? Access plan-specific prior authorization and step therapy criteria, pharmacy and mail order information, coverage determination resources, and more.

View Prescription Drug Information and Resources

 

Medicare Handbook

2027 Medicare & You Handbook (English) (by clicking this link, you will leave the Fidelis Care website)

2027 Medicare & You Handbook (Spanish) (by clicking this link, you will leave the Fidelis Care website)

 

Additional Benefits

Healthmap Kidney Health Management

Over-the-Counter Benefits

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) Plan 015

Formulary

2027 Formulary

2027 Formulary (Spanish) (Available October 15, 2026)

2027 Formulary (Russian) (Available October 15, 2026)

2027 Formulary (Chinese) (Available October 15, 2026)

List of Drugs Change Notice (Available February 1, 2027)

 

Annual Notice of Change

Annual Notice of Change: Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013-002 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-015 – English (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-004 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-015 – English (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-014 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-015 – English (PDF)

Annual Notice of Change: Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013-002 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-015 – Spanish (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-004 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-015 – Spanish (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-014 to Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-015 – Spanish (PDF)

View Additional Languages ▼

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2027. It explains how to get coverage for the health care services and prescription drugs you need.

2027 Evidence of Coverage

2027 Evidence of Coverage (Spanish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

2027 Summary of Benefits

2027 Summary of Benefits (Spanish)

View Additional Languages ▼

 

Dental Benefit Details

Review dental coverage information for your 2027 Wellcare By Fidelis Care plan, including covered dental services and benefit details.

2027 Dental Benefit Details (English)

2027 Dental Benefit Details (Spanish)

View Additional Languages ▼

 

Prescription Drug Coverage Documents

2027 Alternative Covered Drugs

2027 Alternative Covered Drugs (Spanish)

2027 Covered Diabetes Meters and Testing Supplies

2027 Covered Diabetes Meters and Testing Supplies (Spanish)

Looking for more prescription drug information? Access plan-specific prior authorization and step therapy criteria, pharmacy and mail order information, coverage determination resources, and more.

View Prescription Drug Information and Resources

 

Medicare Handbook

2027 Medicare & You Handbook (English) (by clicking this link, you will leave the Fidelis Care website)

2027 Medicare & You Handbook (Spanish) (by clicking this link, you will leave the Fidelis Care website)

 

Additional Benefits

Healthmap Kidney Health Management

Over-the-Counter Benefits

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Dual Access (HMO D-SNP) Plan 016

Formulary

2027 Formulary

2027 Formulary (Spanish) (Available October 15, 2026)

2027 Formulary (Russian) (Available October 15, 2026)

2027 Formulary (Chinese) (Available October 15, 2026)

List of Drugs Change Notice (Available February 1, 2027)

 

Annual Notice of Change

Annual Notice of Change: Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013-001 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-016 – English (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-004 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-016 – English (PDF)

Annual Notice of Change: Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013-001 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-016 – Spanish (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-004 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-016 – Spanish (PDF)

View Additional Languages ▼

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2027. It explains how to get coverage for the health care services and prescription drugs you need.

2027 Evidence of Coverage

2027 Evidence of Coverage (Spanish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

2027 Summary of Benefits

2027 Summary of Benefits (Spanish)

View Additional Languages ▼

 

Dental Benefit Details

Review dental coverage information for your 2027 Wellcare By Fidelis Care plan, including covered dental services and benefit details.

2027 Dental Benefit Details (English)

2027 Dental Benefit Details (Spanish)

View Additional Languages ▼

 

Prescription Drug Coverage Documents

2027 Alternative Covered Drugs

2027 Alternative Covered Drugs (Spanish)

2027 Covered Diabetes Meters and Testing Supplies

2027 Covered Diabetes Meters and Testing Supplies (Spanish)

Looking for more prescription drug information? Access plan-specific prior authorization and step therapy criteria, pharmacy and mail order information, coverage determination resources, and more.

View Prescription Drug Information and Resources

 

Medicare Handbook

2027 Medicare & You Handbook (English) (by clicking this link, you will leave the Fidelis Care website)

2027 Medicare & You Handbook (Spanish) (by clicking this link, you will leave the Fidelis Care website)

 

Additional Benefits

Healthmap Kidney Health Management

Over-the-Counter Benefits

Wellcare Spendables® Card

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Dual Access (HMO D-SNP) Plan 017

Formulary

2027 Formulary

2027 Formulary (Spanish) (Available October 15, 2026)

2027 Formulary (Russian) (Available October 15, 2026)

2027 Formulary (Chinese) (Available October 15, 2026)

List of Drugs Change Notice (Available February 1, 2027)

 

Annual Notice of Change

Annual Notice of Change: Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013-002 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-017 – English (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-004 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-017 – English (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-014 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-017 – English (PDF)

Annual Notice of Change: Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) H5599-013-002 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-017 – Spanish (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-004 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-017 – Spanish (PDF)

Annual Notice of Change: Wellcare Dual Access (HMO D-SNP) H4868-014 to Wellcare Fidelis Dual Access (HMO D-SNP) H5599-017 – Spanish (PDF)

View Additional Languages ▼

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2027. It explains how to get coverage for the health care services and prescription drugs you need.

2027 Evidence of Coverage

2027 Evidence of Coverage (Spanish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

2027 Summary of Benefits

2027 Summary of Benefits (Spanish)

View Additional Languages ▼

 

Dental Benefit Details

Review dental coverage information for your 2027 Wellcare By Fidelis Care plan, including covered dental services and benefit details.

2027 Dental Benefit Details (English)

2027 Dental Benefit Details (Spanish)

View Additional Languages ▼

 

Prescription Drug Coverage Documents

2027 Alternative Covered Drugs

2027 Alternative Covered Drugs (Spanish)

2027 Covered Diabetes Meters and Testing Supplies

2027 Covered Diabetes Meters and Testing Supplies (Spanish)

Looking for more prescription drug information? Access plan-specific prior authorization and step therapy criteria, pharmacy and mail order information, coverage determination resources, and more.

View Prescription Drug Information and Resources

 

Medicare Handbook

2027 Medicare & You Handbook (English) (by clicking this link, you will leave the Fidelis Care website)

2027 Medicare & You Handbook (Spanish) (by clicking this link, you will leave the Fidelis Care website)

 

Additional Benefits

Healthmap Kidney Health Management

Over-the-Counter Benefits

Wellcare Spendables® Card

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Provider and Pharmacy Directories

2027 Provider and Pharmacy Directories (Available October 15, 2026)


2026 Provider and Pharmacy Directories

Important: Remember your plan name will start with Wellcare Fidelis. (This link will leave fideliscare.org and open up in a new window)

 

 2026 Plan Documents 

Wellcare Fidelis Assist (HMO-POS) Plan 002

Formulary

2026 Formulary

List of Drugs Change Notice (Available February 2026)

Formulario 2026

 

Annual Notice of Change

Annual Notice of Change

Aviso Anual de Cambio

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2026. It explains how to get coverage for the health care services and prescription drugs you need.

Evidence of Coverage

Evidencia de Cobertura

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

Summary of Benefits

Resumen de Beneficios

 

Additional Benefits

2026 Alternative Covered Drugs

2026 Covered Diabetes Meters and Testing Supplies

2026 National Medicare Handbook

Over-the-Counter Benefits

My Wellcare Rewards

 

Out of Network Coverage Rules

The following services are not covered out-of-network and you will be responsible for all of the costs if you obtain these services: 

• Inpatient Acute Care 
• Inpatient Mental Health Care 
• Skilled Nursing Facility Care 
• Primary Care Physicians 
• Home Health 
• X-rays 
• Part B Prescription Drugs 
• Durable Medicare Equipment & Prosthetic Devices 
• Dialysis 
• Outpatient Services including Surgery, X-rays, Outpatient Diagnostic Radiology (e.g. CT scans, PET scans, MRI's, nuclear medicine) and Therapeutic Radiology (e.g. radiation therapy, chemotherapy) 
• Diabetic Supplies 

If you need medical care that Medicare requires our plan to cover and the providers in our network cannot provide this care, you can get this care from an out-of-network provider. You will need to obtain “prior authorization” from us to get this care. In this situation, you will pay the same as you would pay if you got the care from a network provider. 

The plan covers emergency care or urgently needed care that you get from an out-of-network provider. For more information about this, and to see what emergency or urgently needed care means, see Section 3 of your Evidence of Coverage.

Wellcare Fidelis Dual Align (HMO D-SNP) Plan 003

Formulary

2026 Formulary

2026 Formulary (Spanish)

2026 Formulary (Russian)

2026 Formulary (Chinese)

List of Drugs Change Notice

 

Annual Notice of Change

Annual Notice of Change for Plan 003

Annual Notice of Change for Plan 003 (Albanian)

Annual Notice of Change for Plan 003 (Arabic)

Annual Notice of Change for Plan 003 (Bengali)

Annual Notice of Change for Plan 003 (Chinese)

Annual Notice of Change for Plan 003 (French)

Annual Notice of Change for Plan 003 (Greek)

Annual Notice of Change for Plan 003 (Haitian Creole)

Annual Notice of Change for Plan 003 (Italian)

Annual Notice of Change for Plan 003 (Korean)

Annual Notice of Change for Plan 003 (Polish)

Annual Notice of Change for Plan 003 (Russian)

Annual Notice of Change for Plan 003 (Spanish)

Annual Notice of Change for Plan 003 (Tagalog)

Annual Notice of Change for Plan 003 (Urdu)

Annual Notice of Change for Plan 003 (Yiddish)

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2026. It explains how to get coverage for the health care services and prescription drugs you need.

Evidence of Coverage

Evidence of Coverage (Albanian)

Evidence of Coverage (Arabic)

Evidence of Coverage (Bengali)

Evidence of Coverage (Chinese)

Evidence of Coverage (French)

Evidence of Coverage (Greek)

Evidence of Coverage (Haitian Creole)

Evidence of Coverage (Italian)

Evidence of Coverage (Korean)

Evidence of Coverage (Polish)

Evidence of Coverage (Russian)

Evidence of Coverage (Spanish)

Evidence of Coverage (Tagalog)

Evidence of Coverage (Urdu)

Evidence of Coverage (Yiddish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

Summary of Benefits

Summary of Benefits (Albanian)

Summary of Benefits (Arabic)

Summary of Benefits (Bengali)

Summary of Benefits (Chinese)

Summary of Benefits (French)

Summary of Benefits (Greek)

Summary of Benefits (Haitian Creole)

Summary of Benefits (Italian)

Summary of Benefits (Korean)

Summary of Benefits (Polish)

Summary of Benefits (Russian)

Summary of Benefits (Spanish)

Summary of Benefits (Tagalog)

Summary of Benefits (Urdu)

Summary of Benefits (Yiddish)

 

Member Handbook

MAP Member Handbook

MAP Member Handbook (Chinese)

MAP Member Handbook (Russian)

MAP Member Handbook (Spanish)

 

Member Handbook Inserts

Integrated Benefits for Dually Eligible Members

Integrated Benefits for Dually Eligible Members (Chinese)

Integrated Benefits for Dually Eligible Members (Russian)

Integrated Benefits for Dually Eligible Members (Spanish)

Interoperability Service Authorization Timeframes

Interoperability Service Authorization Timeframes (Chinese)

Interoperability Service Authorization Timeframes (Russian)

Interoperability Service Authorization Timeframes (Spanish)

 

Additional Benefits

2026 Alternative Covered Drugs

2026 Covered Diabetes Meters and Testing Supplies

2026 National Medicare Handbook

Over-the-Counter Benefits

Wellcare Spendables® Card

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Simple (HMO) Plan 004

Formulary

2026 Formulary

List of Drugs Change Notice (Available February 2026)

Formulario 2026

 

Annual Notice of Change

Annual Notice of Change

Aviso Anual de Cambio

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2026. It explains how to get coverage for the health care services and prescription drugs you need.

Evidence of Coverage

Evidencia de Cobertura

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

Summary of Benefits

Resumen de Beneficios

 

Additional Benefits

2026 Alternative Covered Drugs

2026 Covered Diabetes Meters and Testing Supplies

2026 National Medicare Handbook

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Patriot Simple (HMO) Plan 010

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2026. It explains how to get coverage for the health care services and prescription drugs you need.

Evidence of Coverage

Evidencia de Cobertura

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

Summary of Benefits

Resumen de Beneficios

 

Additional Benefits

2026 Alternative Covered Drugs

2026 Covered Diabetes Meters and Testing Supplies

2026 National Medicare Handbook

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) Plan 013-001

Formulary

2026 Formulary

2026 Formulary (Spanish)

2026 Formulary (Russian)

2026 Formulary (Chinese)

List of Drugs Change Notice

 

Annual Notice of Change

Annual Notice of Change

Annual Notice of Change for Plan 013-001 (Albanian)

Annual Notice of Change for Plan 013-001 (Arabic)

Annual Notice of Change for Plan 013-001 (Bengali)

Annual Notice of Change for Plan 013-001 (Chinese)

Annual Notice of Change for Plan 013-001 (French)

Annual Notice of Change for Plan 013-001 (Greek)

Annual Notice of Change for Plan 013-001 (Haitian Creole)

Annual Notice of Change for Plan 013-001 (Italian)

Annual Notice of Change for Plan 013-001 (Korean)

Annual Notice of Change for Plan 013-001 (Polish)

Annual Notice of Change for Plan 013-001 (Russian)

Annual Notice of Change for Plan 013-001 (Spanish)

Annual Notice of Change for Plan 013-001 (Tagalog)

Annual Notice of Change for Plan 013-001 (Urdu)

Annual Notice of Change for Plan 013-001 (Yiddish)

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2026. It explains how to get coverage for the health care services and prescription drugs you need.

Evidence of Coverage

Evidence of Coverage (Albanian)

Evidence of Coverage (Arabic)

Evidence of Coverage (Bengali)

Evidence of Coverage (Chinese)

Evidence of Coverage (French)

Evidence of Coverage (Greek)

Evidence of Coverage (Haitian Creole)

Evidence of Coverage (Italian)

Evidence of Coverage (Korean)

Evidence of Coverage (Polish)

Evidence of Coverage (Russian)

Evidence of Coverage (Spanish)

Evidence of Coverage (Tagalog)

Evidence of Coverage (Urdu)

Evidence of Coverage (Yiddish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

Summary of Benefits

Summary of Benefits (Albanian)

Summary of Benefits (Arabic)

Summary of Benefits (Bengali)

Summary of Benefits (Chinese)

Summary of Benefits (French)

Summary of Benefits (Greek)

Summary of Benefits (Haitian Creole)

Summary of Benefits (Italian)

Summary of Benefits (Korean)

Summary of Benefits (Polish)

Summary of Benefits (Russian)

Summary of Benefits (Spanish)

Summary of Benefits (Tagalog)

Summary of Benefits (Urdu)

Summary of Benefits (Yiddish)

 

Member Handbook Inserts

Integrated Benefits for Dually Eligible Members

Integrated Benefits for Dually Eligible Members (Chinese)

Integrated Benefits for Dually Eligible Members (Russian)

Integrated Benefits for Dually Eligible Members (Spanish)

Interoperability Service Authorization Timeframes

Interoperability Service Authorization Timeframes (Chinese)

Interoperability Service Authorization Timeframes (Russian)

Interoperability Service Authorization Timeframes (Spanish)

 

Additional Benefits

2026 Alternative Covered Drugs

2026 Covered Diabetes Meters and Testing Supplies

Healthmap Kidney Health Management

2026 National Medicare Handbook

Over-the-Counter Benefits

Wellcare Spendables® Card

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) Plan 013-002

Formulary

2026 Formulary

2026 Formulary (Spanish)

2026 Formulary (Russian)

2026 Formulary (Chinese)

List of Drugs Change Notice

 

Annual Notice of Change

Annual Notice of Change

Annual Notice of Change for Plan 013-002 (Albanian)

Annual Notice of Change for Plan 013-002 (Arabic)

Annual Notice of Change for Plan 013-002 (Bengali)

Annual Notice of Change for Plan 013-002 (Chinese)

Annual Notice of Change for Plan 013-002 (French)

Annual Notice of Change for Plan 013-002 (Greek)

Annual Notice of Change for Plan 013-002 (Haitian Creole)

Annual Notice of Change for Plan 013-002 (Italian)

Annual Notice of Change for Plan 013-002 (Korean)

Annual Notice of Change for Plan 013-002 (Polish)

Annual Notice of Change for Plan 013-002 (Russian)

Annual Notice of Change for Plan 013-002 (Spanish)

Annual Notice of Change for Plan 013-002 (Tagalog)

Annual Notice of Change for Plan 013-002 (Urdu)

Annual Notice of Change for Plan 013-002 (Yiddish)

 

Evidence of Coverage

This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2026. It explains how to get coverage for the health care services and prescription drugs you need.

Evidence of Coverage

Evidence of Coverage (Albanian)

Evidence of Coverage (Arabic)

Evidence of Coverage (Bengali)

Evidence of Coverage (Chinese)

Evidence of Coverage (French)

Evidence of Coverage (Greek)

Evidence of Coverage (Haitian Creole)

Evidence of Coverage (Italian)

Evidence of Coverage (Korean)

Evidence of Coverage (Polish)

Evidence of Coverage (Russian)

Evidence of Coverage (Spanish)

Evidence of Coverage (Tagalog)

Evidence of Coverage (Urdu)

Evidence of Coverage (Yiddish)

 

Summary of Benefits

You can use this document to compare Wellcare By Fidelis Care programs and the Original Medicare Program. The charts in this booklet list important health benefits. For each benefit, you can see what our program covers and what the Original Medicare Program covers. Our members receive all of the benefits that the Original Medicare Program offers but we also offer additional benefits to help you stay healthy.

Summary of Benefits

Summary of Benefits (Albanian)

Summary of Benefits (Arabic)

Summary of Benefits (Bengali)

Summary of Benefits (Chinese)

Summary of Benefits (French)

Summary of Benefits (Greek)

Summary of Benefits (Haitian Creole)

Summary of Benefits (Italian)

Summary of Benefits (Korean)

Summary of Benefits (Polish)

Summary of Benefits (Russian)

Summary of Benefits (Spanish)

Summary of Benefits (Tagalog)

Summary of Benefits (Urdu)

Summary of Benefits (Yiddish)

 

Member Handbook Inserts

Integrated Benefits for Dually Eligible Members

Integrated Benefits for Dually Eligible Members (Chinese)

Integrated Benefits for Dually Eligible Members (Russian)

Integrated Benefits for Dually Eligible Members (Spanish)

Interoperability Service Authorization Timeframes

Interoperability Service Authorization Timeframes (Chinese)

Interoperability Service Authorization Timeframes (Russian)

Interoperability Service Authorization Timeframes (Spanish)

 

Additional Benefits

2026 Alternative Covered Drugs

2026 Covered Diabetes Meters and Testing Supplies

Healthmap Kidney Health Management

2026 National Medicare Handbook

Over-the-Counter Benefits

Wellcare Spendables® Card

My Wellcare Rewards

 

Out-of-Network Coverage Rules

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which Wellcare By Fidelis Care authorizes use of out-of-network providers. See Chapter 3 (Using the plan’s coverage for your medical services) for more specific information about emergency, out-of-network, and out-of-area coverage.

Provider and Pharmacy Directories

2026 Provider and Pharmacy Directories

Important: Remember your plan name will start with Wellcare Fidelis. (This link will leave fideliscare.org and open up in a new window)

Member Portal

Access your Wellcare By Fidelis Care account 24 hours a day, seven days a week.
Log In to the Member Portal

Pharmacy Benefits

Your pharmacy benefits are covered by Express Scripts.
(By clicking, you will leave the Fidelis Care website.) 

Log in to the Member Portal to use your pharmacy benefit.

Wellcare By Fidelis Care also provides an online form for Prior Authorization (PA) and supplemental medication requests:

Free 24/7 Nurse Advice Line

Health concerns don't always follow a 9-to-5 schedule.  Thankfully, neither does the 24-hour Nurse Advice Line, free of charge for members.  

Medical professionals can answer your health questions.

Call toll-free: 1-800-581-9952

 

Krames Health Library

With access to more than 4,000 topics relating to health and medication, Krames Online allows you and your family the ability to find answers to most questions, both big and small.

Educational Videos

Want to better understand your Medicare plan, pharmacy benefits, or how to make the most of your coverage? Visit Wellcare’s YouTube channel for quick, easy-to-follow videos.

 

Telehealth Services

There are 2 ways for you to use your telehealth benefit from the safety, comfort and convenience of your home:

  • Schedule a telehealth visit with your network primary care provider or specialist. Many Wellcare By Fidelis Care providers can make an appointment by phone or video. Regular cost shares may apply.
  • Through Teladoc, you can receive online care from licensed doctors, 24 hours a day, 7 days a week.

    Before your first virtual care visit, download the Teladoc app or get started online by following the website link below.
    (By clicking this link, you will leave the Fidelis Care website.) 

    Extended Benefits

    Wellcare By Fidelis Care also offers case management to members by phone:

    • 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 our Clinical Services at the number below:

     

    Cyber-Seniors Live Help Sessions

    As a Wellcare By Fidelis Care member you have access to live weekly sessions covering a variety of topics designed to help you better understand and use your benefits, tools, and technology. You can register for and attend as many webinars as you like, as often as you want.

    • To view the full schedule, click the "Register Today" button below.
    • Once you arrive at the page, select the “Register” link next to each topic on the calendar to join a session.

     

    Additional Medicare Pharmacy & Prescription Drug Resources

    Find helpful information about your Wellcare By Fidelis Care Medicare prescription drug coverage, including covered medications, formularies, pharmacy networks, mail order services, prior authorization requirements, and medication management programs.

    View Additional Pharmacy & Prescription Drug Resources

     

    Your Information is Protected

    The Health Insurance Portability and Accountability Act (HIPAA) 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)

     

    Couple-Medicare-Advantage-Image

    Disaster and Emergency Policy

    In the event of an emergency or natural disaster, Wellcare By Fidelis Care is committed to helping you continue to access care easily.

    View Policy

     

    Member Medical Reimbursement Claim Form

    Member Medical Reimbursement Claim Form

     

    Appointment of Representative Form

    Appointment of Representative

    (By clicking this link, you will leave the Fidelis Care website.)

     

    Additional Information

    Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal.

    From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays.

    Notice of Non-Discrimination

    Notice of Availability of Language Assistance Services and Auxiliary Aids and Services

    Wellcare By Fidelis Care | Notice of Privacy Practices

    Privacy Notice

    Medicare Complaint Form (By clicking this link, you will leave the Fidelis Care website.)

    H5599_12364_M_2027

     

     


    Last Updated 10.5.2026