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 logging into 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 to register. 

To review Fidelis Care's best practice guidelines for healthy vision, click HERE

 

LATEST NEWS


Fidelis Care Reinforces Importance of Dental Care for Children
2/25/2021 • Posted by Fidelis Care

February 25, 2021 (Long Island City, NY) – In recognition of National Children’s Dental Health Month, Fidelis Care is joining with local dental providers and community partners this month to distribute more than 4,000 dental kits for kids across New York State.

Provided by Fidelis Care’s dental partner, DentaQuest, the kits include the key tools for good oral hygiene – a toothbrush, floss, and toothpaste - and are a helpful reminder of the importance of building healthy dental habits in children as they grow.

“Regular dental checkups for children continue to be important and can help in preventing common oral health problems such as plaque, cavities, and tooth decay,” said Dr. Vincent Marchello, Fidelis Care Chief Medical Officer. “We’re here to encourage parents to take good care of their children’s teeth and gums from an early age and reinforce the importance of dental care throughout their lives.”

Fidelis Care wants parents and caregivers to have the information and resources necessary to help build healthy dental habits for kids of all ages. Here are some helpful guidelines to follow:

 

  • For Babies:
    • Begin dental hygiene as soon as possible. Before teeth even appear, a baby’s mouth should be cleaned twice a day – after first feeding and before bed – by wiping the gums with a clean washcloth to remove bacteria and sugar. Avoid putting a baby to bed with a bottle of milk. Milk or juices can pool around teeth and cause severe decay.
    • Brush regularly. Once teeth come in, a baby’s teeth should be brushed twice a day with a small, soft-bristled toothbrush and water.
    • Check on toothpaste. Talk to your child’s dentist or pediatrician about using fluoride-based toothpaste and receiving a fluoride application on a baby’s teeth.
    • Go to the dentist. Baby’s first Dentist appointment should be no later than their first birthday.

 

  • For Children:
    • Brush twice a day. Encourage children to brush their teeth twice a day – in the morning and right before bed – using fluoride toothpaste.
    • Brush properly and don’t forget your tongue. Poor brushing can be just as bad as not brushing at all. Children should take their time and use gentle, circular motions as well as gently brush their tongue.
    • Don’t forget to floss. Flossing once a day is a great way to stimulate the gums and reduce plaque.
    • Consider using mouthwash. Mouthwash can help reduce acid in the mouth, clean hard-to-brush areas, and strengthen the teeth. A dentist can provide specific mouthwash recommendations for children.
    • Visit the dentist regularly. Children should see the dentist at least twice a year for cleanings and checkups. The dentist can help remove plaque and look for cavities, and spot for potential oral health issues.

 

  • For Caregivers:
    • Model good brushing habits. Brush your teeth with the children to encourage proper brushing technique and habits.
    • Avoid sugar-based food and drinks in your diet. Set a good example for the children and help them establish a lifetime of good dietary habits.

 

The American Academy of Pediatric Dentistry recommends scheduling regular dental checkups to ensure children maintain good oral health. Parents should contact their child’s dental office with any questions or concerns they may have about scheduling an appointment during the pandemic. Additional tips and resources can be found by visiting https://www.fideliscare.org/Dental-Health-Month.


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 2.3 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.

 

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. 

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 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

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