Northwell Health Coverage Update for Fidelis Care Members

Effective July 16, 2026, Northwell providers are no longer in network. If you need help finding a new provider in the Fidelis Care network or understanding your options, we are here to support you. Visit our Find a Doctor tool or call 1-888-FIDELIS (1-888-343-3547), TTY: 711.

Northwell providers are no longer in network. Visit our Find a Doctor tool to find in-network providers in your area. You also may qualify to continue seeing your current provider through August 13, 2026, during a transition period.

If you are eligible to change your health plan to one that has Northwell in network, you can contact the organization that helped you enroll:

• If you enrolled through NY State of Health, call 1-855-355-5777 (TTY: 1-800-662-1220) for assistance.
• If you enrolled through NY State Medicaid Choice, call 1-800-505-5678 (TTY: 1-888-329-1541) for assistance.
• If you enrolled through your local Department of Social Services, visit https://www.health.ny.gov/health_care/medicaid/ldss.htm for a list of phone numbers by county.

If you are an Ambetter from Fidelis Care Qualified Health Plan (QHP) member, you are eligible to change your plan during a Special Enrollment Period that runs until September 13.

If you are a QHP member and you request a plan change between July 15 and August 15, you will remain covered with Ambetter from Fidelis Care through August 31. Coverage under your new plan will take effect September 1 in accordance with standard enrollment rules.

If you are a QHP member and you request a plan change between August 16 and September 13, you will remain an Ambetter from Fidelis Care member through September 30. You will join your new plan effective October 1.

If you are a QHP member and you would like to request an earlier effective date, you will need to call the NY State of Health Customer Service Center at 1-855-355-5777 and specifically request the backdated effective date.

You can still use Northwell hospitals for emergency services even after July 15. Emergency care does not require a contract, so access to emergency services will not be impacted.

You may be eligible to continue an ongoing course of treatment for a transition period if you qualify for continuity of care. Talk to your provider about your ongoing care needs. If your provider thinks you are eligible for ongoing treatment, the provider can submit a request for continuity of care. Fidelis Care will review requests and share results with the provider.

Examples include:

• Scheduled surgeries, hospital admissions, diagnostic testing, ongoing treatment plans, and maternity care.

If you qualify for continuity of care, coverage may continue through August 13, 2026. After this time, you will need to choose new care providers that are part of the Fidelis Care provider network or contact NY State of Health (1-855-355-5777), NY State Medicaid Choice (1-800-505-5678), or your LDSS to change to a health plan that has Northwell in network.

• Pregnant members: If you are pregnant as of May 15, 2026, you may continue care through delivery and postpartum care directly related to the pregnancy.

Continuity of care allows the following:

• Seeing your provider for a serious and complex condition (either acute or chronic), and if the treatment would prevent serious harm.
• Undergoing a course of inpatient treatment.
• Scheduling nonelective surgery.
• Receiving treatment for pregnancy, or receiving postpartum care.
• Receiving treatment for a terminal illness.

If you were pregnant as of May 15, 2026, you may continue care through delivery and postpartum care directly related to the pregnancy with your Northwell provider. That care is allowed as part of continuity of care.

No. Nuvance Health is still part of the Fidelis Care network, so you can continue seeing your provider.

We’re here to help. Call 1-888-FIDELIS (1-888-343-3547), TTY: 711, and we can answer questions and help you understand next steps.