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. If you already have a PCP who is in the Fidelis Care network, then that provider should have been automatically assigned as your PCP. You can review, select, 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 Encourages Parents to Ensure Children’s Immunizations are Up to Date
7/24/2020 • Posted by Fidelis Care

 

Fidelis Care Encourages Parents to Ensure Children's Immunizations are Up to Date


Nature

During COVID-19 outbreak, CDC data shows a decrease in childhood vaccinations that help protect against preventable diseases


NEW YORK CITY (July 24, 2020) – According to the Centers for Disease Control and Prevention (CDC), childhood vaccinations have declined dramatically during the COVID-19 outbreak. That is why Fidelis Care, a New York State-based health plan with over two million members in all 62 counties, encourages parents and guardians to ensure their children are up to date on immunizations and protected against preventable diseases.

 

During the COVID-19 outbreak, many parents may have had concerns about the safety of health clinics or the ability to see their child’s doctor for checkups or routine care such as immunizations. Among five month olds across the country, for example, vaccination rates have declined from approximately two-thirds (66.3%) of children from 2016 – 2019, to fewer than half (49.7%) in May 2020, according to the CDC. The CDC reports similar trends among older children as well, with non-influenza vaccination rates decreasing by 21.5% for children age 18 and younger.

 

“Children who do not receive vaccinations are at higher risk for vaccine-preventable diseases such as measles, whooping cough, chicken pox, and more,” explained Fidelis Care Chief Medical Officer, Vincent Marchello, MD. “We encourage every parent to ensure their child stays on schedule with their immunizations.”

 

As the first step, parents can contact their child's provider to make an appointment for a checkup and immunizations, ask questions related to their childs health, and address any concerns they may have. Healthcare providers across New York State continue to regularly update safety procedures to reduce the risk of coronavirus transmission and ensure the health and safety of patients.

 

Fidelis Care can also help members connect with their provider, either through a telehealth or in-person visit. For help finding a doctor close to home, members can use the Find a Doctor tool at fideliscare.org/Find-A-Doctor or call Fidelis Care at 1-888 FIDELIS (1-888-343-3547).

 

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 two-million members statewide, Fidelis Care believes that all New Yorkers should have access to quality, affordable health coverage. For more information, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547) or visit fideliscare.org.

Follow us on Twitter and Instagram at @fideliscare and on Facebook at Facebook.com/fideliscare.

 

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.