Welcome, Fidelis Care Members!

We are proud to be your healthcare partner and want to help you access essential health benefits and services to keep you as healthy as possible.

Here’s how to get started:

Step 1: Sign Up for Our Member Portal

The Member Portal is the easiest and most secure way to access information about your plan. With 24/7 access to your Fidelis Care account, you can pay your monthly premium, request and print new ID cards, and access your plan documents. To create a secure online member account, visit members.fideliscare.org and click “Register.”

Step 2: Fill Out Your Health Risk Assessment

You can complete this brief survey on the Member Portal. The answers you provide will help us serve you better and get you connected to whatever services you may need.

Step 3: Review Your Plan Documents

You can access your Summary of Benefits and Coverage, Subscriber Contract, and other important plan documents by visiting our Member Resources page. These documents are also available in the Member Portal. The Summary of Benefits and Coverage outlines some of your plan’s key benefits, and explains how much they could cost. The cost examples are estimates only, and serve as a guide for how your particular plan might cover different conditions; not the exact dollar amount you will pay. Visit fideliscare.org/costcalculator to find a treatment cost calculator, providing you with estimates that cover other conditions and services. Your Subscriber Contract provides a full description of the services included in your benefit package, as well as cost information for those services. 

Step 4: Choose a Primary Care Provider
Fidelis Care is committed to ensuring you have access to the preventive care and screenings you need to stay healthy. To ensure that access, we recommend you select a Primary Care Provider (PCP), even if your plan does not require one. You can choose or change your PCP from your Member Portal account. To find PCPs near you, use our Find a Doctor tool. If you need help finding a doctor or choosing your PCP, call Member Services at 1-888-FIDELIS (1-888-343-3547); TTY: 711. 

Pharmacy Benefits

For members with pharmacy coverage, your 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.

Dental Benefits

For members with dental coverage, your benefits are covered through DentaQuest. Visit the DentaQuest website (by clicking on this link, you will leave the Fidelis Care website) for more information or to register. 

Vision Benefits

For members with vision coverage, your benefits are covered through Davis Vision. Visit the Davis Vision website (by clicking on this link, you will leave the Fidelis Care website) for more information or to register. 


Need Help?

Visit our Contact Us page and select "I am a Member" to find answers to frequently asked questions.

LATEST NEWS


NEWS RELEASE: Fidelis Care Expands Access to Telehealth Services to Support Members During COVID-19 Emergency
4/9/2020 • Posted by Fidelis Care

NEW YORK CITY (April 9, 2020) – To support members and the health of local communities during the COVID-19 outbreak, Fidelis Care has expanded access to telehealth services, covering virtual visits with providers from the safety, comfort, and convenience of a member’s home for a $0 copay.

There are two ways for members to access telehealth services:

With a Network Provider or Specialist: Members can use their telehealth benefit with their Fidelis Care network provider or specialist. Many providers have also recently expanded telehealth capabilities, and can schedule an appointment for a consultation via phone or video.

With Teladoc: Teladoc is a new online option for Fidelis Care Medicaid, Child Health Plus, Essential Plan, Health and Recovery Plan (HARP), Medicare Advantage, and Dual Advantage members. Through Teladoc, members can access online care by phone or video, from board-certified, NY State-licensed doctors, 24 hours a day, 7 days a week. Fidelis Care Qualified Health Plan members also continue to have access to telehealth services through Teladoc.

As a reminder, Fidelis Care has waived all COVID-19 related prior authorization requirements, and member cost sharing for related screening, testing, and treatment – including telehealth visits.

“Fidelis Care is committed to supporting the health care needs of our members,” said Vincent Marchello, MD, Chief Medical Officer. “From New York City to the most rural areas across the state, telehealth has an important role to play in expanding our members’ access to care and services, and in helping to stop the spread of COVID-19.”

Members can speak with a Teladoc provider about COVID-19 concerns or symptoms, and also about other general concerns they have about their or their child’s health like: sore throats, earaches, the flu, allergies, sinus infections, rashes, and more. Support for anxiety, depression, post-traumatic stress, and family issues is also available. Members are encouraged to download the Teladoc app before the first virtual care visit or create a profile online at teladoc.com/fideliscare.

The Teladoc provider can also coordinate care with a member’s primary care provider.

Fidelis Care is also sharing these general guidelines regarding COVID-19-related provider visits:

• Individuals who think they may have COVID-19 or who have been exposed to someone who has been diagnosed with COVID-19 should call their provider’s office or use a telehealth visit for guidance on next steps.

• Call ahead before going in-person to any doctor’s office.

• Don’t go to your local emergency room for COVID-19 testing. The ER is only for those who need the most critical care.


About Fidelis Care:
Fidelis Care is a mission-driven health plan offering quality, affordable coverage for children  and adults of all ages and at all stages of life. With more than 1.8 million members Statewide, Fidelis Care believes that all New Yorkers should have access to affordable, quality health insurance. For more information, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547) or visit fideliscare.org.

Contact: MediaInquiries@fideliscare.org

Find a Doctor

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

Member Resources

View and download documents for Fidelis Care health plans. 

Family Planning

Learn more about updates to Fidelis Care’s family planning coverage starting January 1, 2019. 

Member Rights and Responsibilities

General Statement of Member Rights and Responsibilities (PDF)


Important Information on Coverage Decisions

Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on many health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

Fidelis Care does not reward providers or other individuals for issuing denials of coverage, and does not offer financial incentives to UM staff based on decisions that promote underutilization of services. 

Fidelis Care is committed to ensuring that members have the care and services they need. 

Member Portal

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

Renew Your Coverage

Questions about renewing health insurance? Fidelis Care can help.

HealthyNOW

Read the latest member newsletter and browse the archives.