Provider | Fidelis Care
Member
Providers
Shop For a Plan

Welcome, Providers!

Stay informed about Fidelis Care policies and updates, and keep up to date on upcoming provider office hours and trainings.

Do you need assistance? Please visit our Contact Provider Relations page to find your designated Provider Relations Specialist.

 

Latest Provider Bulletin

 


Provider Bulletin Archives ➔


2025-Provider-Bulletin-Fall_image


LATEST NEWS


Fidelis Medicare Advantage Members will have $0 cost share for Primary Care, Behavioral Health, and Telehealth Services for the rest of 2020
6/24/2020 • Posted by Provider Relations

Effective July 1, Fidelis Legacy Plan is expanding our $0 cost share for members of these plans:

  • Medicare Advantage Flex (HMO-POS Plan 022)
  • Medicare Advantage $0 Premium (HMO-Plan 024)
  • Medicare Advantage Without Rx (HMO-POS Plan 001) members

These members will have no cost share for the rest of 2020 when receiving these services from network providers:

  • primary care doctor visits for in-office, clinics, or in-home visits
  • outpatient behavioral health visits
  • telehealth or virtual visits with primary care, specialty, and behavioral health providers

Inpatient and urgent care are not included.

Beginning July 1, providers should not collect a cost share portion from members for these services. Our claims system will be configured to administer these adjusted benefits. We will continue to follow any accounting and reimbursement arrangements as outlined in each provider’s contract with us.   

We will continue to waive all prior authorizations, copays, and other costs related to COVID-19 testing, screening, and medically necessary treatment for these members. We ­also continue to waive prescription refill limits, and members are able to refill prescriptions prior to their refill date during this crisis.


Provider Bulletin Archives

Assisting providers in staying abreast of the latest trends, policies, and studies.

Provider Access Online

Verify member eligibility or renewal status, check claims, send e-scripts, and more.

Authorization Resources

To submit prior authorization request types, use the Fidelis Care provider portal.

Social Care Network

Members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

Join Our Network

Apply to our network and become a part of the Fidelis Care mission.