Northwell Health Coverage Update for Fidelis Care Members

You can only see your doctor through the termination date relevant to your plan. We encourage you to start reviewing your options now, so you have a plan in place.

We are here to help you understand your options for care, including:

• Helping you find a new provider

• You can use our Find a Doctor tool to see all the providers near you


• Determining whether you qualify to continue seeing your current provider through August 13, 2026, during a transition period


• Providing directions on how to change your health plan to one that has Northwell in network
  
  
  • You can also 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 enrolled in the Essential Plan or a Qualified Health Plan through NY State of Health, you can only request a plan change after the cooling-off period ends (July 15, 2026, for this transition). Requests submitted before that date will not be approved by the state.

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

You can see Northwell providers until July 15, 2026. After July 15, 2026, you may be eligible to continue an ongoing course of treatment for a transition period if you qualify for continuity of care.

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 the New York 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, 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 an agreement is reached and Northwell remains in the Fidelis Care network, we will notify you by mail. You can also check this webpage for updates.

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.