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, Formulary, 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 our DentaQuest Resource Page (by clicking on this link, you will leave the Fidelis Care website) for more information on getting started, and preventive dental care best practices.

Vision Benefits

For members with vision coverage, your benefits are covered through Davis Vision. Visit our Davis Vision Resource Page (by clicking on this link, you will leave the Fidelis Care website) for information on getting started. 

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

Member Payment Portal Update

Fidelis Care's online payment portal will be upgraded on September 17, 2022. The redesigned payment system includes a new, easy-to-use interface and more features to improve your experience. Paying online is a quick and easy way to make a SECURE payment for your monthly Fidelis Care premium. This service is available 24 hours a day, 7 days a week, 365 days a year.

If you have any questions regarding the new portal, please review the User Guide

You can also contact Member Services at 1-888-FIDELIS (1-888-343-3547), TTY: 711.

LATEST NEWS


Think Pink: October is Breast Cancer Awareness Month
10/17/2022 • Posted by By Dr. Nicole Belanger-Reynolds, Dr. Sharon McLauglin, and Dr. Kathie Rones, Fidelis Care Medical Directors

Living-with-Sickle-Cell-Fidelis-Care-Support


1) What is breast cancer?

Breast cancer is a disease in which cells in the breast grow out of control and may form a tumor. There are different kinds of breast cancer.

 

2) Who gets breast cancer?

  • About 12%, or 1 in 8, women in the United States will develop breast cancer during their lifetime.
  • It is the second most common cancer among U.S. women, behind skin cancer.
  • Each year in the United States, about 264,000 cases of breast cancer are diagnosed in women. About 42,000 women in the U.S. die each year from breast cancer.

 

You may not know…

  • Many women who get breast cancer do not have any risk factors. This is why screening is important for all women.
  • Men can get breast cancer, too. About 1 out of every 100 breast cancers diagnosed in the United States is found in a man.

 

3) What breast cancer screening is covered?

Per the New York State Department of Health, the law covers:

  • A single, baseline mammogram for women 35 to 39 years old,
  • Yearly mammograms for women 40 years of age or older, and
  • Mammograms for women at any age who are at an increased risk of breast cancer because they have a prior history of breast cancer, or they have a first degree relative (e.g., parent, sibling, child) with breast cancer.

 

4) How do I get screened for breast cancer?

Breast cancer screening is fully covered through New York's Medicaid program. Call your health care provider to schedule your appointment. 

 

Find a mammogram facility near you: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMQSA/mqsa.cfm

 

5) Should I get screened for breast cancer during the COVID-19 pandemic?

YES!

Early in the pandemic, as many as 3.9 million breast cancer screenings were missed due to the COVID-19 pandemic nationwide. The significant decrease in women getting mammogram screening for breast cancer led to fewer early-stage and more late-stage breast cancer diagnoses. 

If you are due for a mammogram, DO NOT WAIT. Call your health care provider to schedule your screening as soon as you can.

Health care providers are taking steps so that breast cancer screening can happen safely. All staff and patients must wear masks. Equipment, exam rooms, and dressing rooms are cleaned after each patient. Other safety measures may include having alcohol-based hand sanitizer available, socially distanced waiting rooms, on-line check in, and more time added between appointments.

Let’s get back to screening!

 

 

6) What are signs I might have breast cancer?

The most common sign of breast cancer is a new lump or mass.  

Other possible signs of breast cancer that should be checked by a health care provider include:

  • Swelling or thickening of all or part of a breast (even if no lump is felt)
  • Any change in the size or shape of the breast
  • Breast or nipple pain
  • Dimpling or puckering of the breast skin
  • Nipple retraction (when the nipple turns inward)
  • A scaly, itchy, or sore area on one nipple
  • Swelling, redness, or warmth that does not go away
  • Sudden nipple discharge other than breast milk 
  • Swelling or lump in your underarm lymph nodes

If you are having any symptoms of breast cancer, call your health care provider right away. Getting a mammogram regularly is the best way to find breast cancer early, when it may be easier to treat.

 

7) What Can I Do to Reduce My Risk of Breast Cancer?

  • Keep a healthy weight
  • Be physically active
  • Drink less alcohol
  • Breastfeed your children, if possible
  • If you are taking hormone replacement therapy or oral contraceptives (birth control pills), ask your doctor about the risks and find out if it is right for you
  • If you have a family history of breast cancer or inherited changes in your BRCA1 and BRCA2 genes, talk to your health care provider about other ways to lower your risk

Although breast cancer screening cannot prevent breast cancer, it can help find breast cancer early, when it is easier to treat. The most important action women can take is to have routine breast cancer screenings.

 

 

References:

 

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.

Make A Payment

Need to pay your premium? Start here.

Health Resources

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