Northwell Health Coverage Update for Fidelis Care Members

We understand how important it is to keep seeing the doctors and hospitals you trust. If an agreement is not reached before the termination date, we’ll be here to guide you through what comes next, such as:

• 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 15, 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 NY State of Health at 1-855-355-5777 for assistance

At this time, you can continue to see Northwell providers. If we are unable to reach an agreement to continue our partnership before the termination dates, you may be eligible to continue an ongoing course of treatment for a transition period.

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 15, 2026, based on the original termination date of May 15, 2026. After this time, you will need to choose new care providers that participate with Fidelis Care, or contact the New York State of Health (1-855-355-5777) to change to a health plan that has Northwell in network.

• Pregnant members: Members who 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