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. Your PCP will work with you to make sure you get the care you need.

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


Changes to Fidelis Care Essential Plan Coverage
5/28/2021 • Posted by Fidelis Care

Starting June 1, 2021, there will be no monthly premium for Essential Plan coverage and all Essential Plan members will have dental and vision benefits with no premium or cost sharing for covered services. This is due to a recent change in New York State law.

Here’s what these changes mean for Essential Plan members.

  • All Essential Plan premiums will be eliminated as of June 1, 2021. Starting June 1, 2021, there is no longer a monthly premium for Essential Plan coverage.
  • Essential Plan members with dental and vision coverage through Fidelis Care will no longer need to pay a monthly premium for dental and vision coverage starting June 1, 2021. Also, Essential Plan members will no longer have to make any copayments or coinsurance when they receive a covered dental or vision care service from a network provider. This will happen automatically. Essential Plan members do not need to take any action.
  • Essential Plan members who currently do not have dental and vision coverage through Fidelis Care will automatically receive dental and vision coverage starting June 1, 2021 at no cost to you. Also, Essential Plan members will not have any copayments or coinsurance when they get a covered dental or vision care service from a network provider.

The covered dental and vision benefits can be viewed at fideliscare.org/member-resources.

Our plan’s network of dental and vision providers is available at fideliscare.org/find-a-doctor. Essential Plan members will use their existing card for dental and vision benefits.

If you have any questions, please call Member Services at 1-888-FIDELIS (1-888-343-3547); TTY: 711.  We are here to help.

 

Find a Doctor

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

Understand Your Benefits

Learn how health insurance helps manage expenses, and prepare for the unexpected.

Member Resources

View and download documents for your Fidelis Care health plan. 

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.

 

 

 

Health Resources

Information to help you and your provider better manage your health.