NY State of Health
The Official Health Plan Marketplace

Recently enroll through NY State of Health?

Looking to make your first payment? Visit the initial payment form by selecting 'Pay Your First Premium' below.

Haven't created your member profile yet? Select 'Register for Member Portal' below. 

Fidelis Care offers quality, affordable health insurance products that you and your family can enroll in through NY State of Health: The Official Health Plan Marketplace.  

New York State of Health Logo
Enrolling is easy!

1. Learn about Fidelis Care Products

Through NY State of Health, Fidelis Care offers:

Year-Round Enrollment

  • Child Health Plus: For children under the age of 19, Child Health Plus provides free or low-cost comprehensive coverage. Almost every child in New York State is eligible - regardless of family income.
  • Medicaid Managed Care: For children and adults who meet income, resource, age, and/or disability requirements, Medicaid Managed Care offers comprehensive coverage with no copays for covered services and no monthly premium.
  • Essential Plan: A new product that costs much less than other products and offers the same essential benefits. It's for lower-income people who don't qualify for Medicaid.

Enrollment November 1, 2017 - January 31, 2018

  • Metal Level Products: Standardized products which fall into various "metal" levels based on their design and the level of cost sharing required: Platinum, Gold, Silver, Bronze, and Catastrophic Coverage.
Missed the open enrollment deadline? Learn about Special Enrollment Periods


2. Determine Your Eligibility and Potential Costs

Each product has different eligibility guidelines, and you may have monthly premiums or copays. To give you a better picture of your health coverage and costs, check out the Fidelis Affordable Care Advisor. It's an easy-to-use tool that helps you learn what coverage you and your family may be eligible for, and what your costs may be. It even includes your subsidies or tax credits if they apply.

As another helpful tool, our Treatment Cost Calculator lets you estimate your share of costs for many common conditions and health care services. It's easy:

  1. Choose a medical treatment, service, or condition.
  2. Review a general estimate based on your personal information.

Treatment Cost Calculator:

3. Enroll through NY State of Health

(Clicking this link will cause you to leave the Fidelis Care website)

Off-Exchange health insurance plans are available through a licensed and contracted broker. Contact our Broker Relationship Managers to find out more.

Helpful Resources

A drug formulary is a list of both generic and brand name prescription drugs that are covered by your prescription drug benefit. The formulary is managed by our Pharmacy and Therapeutics Committee, qualified pharmacists and doctors whose primary focus is offering safe, high-quality and cost-effective drugs. New drugs are added to the formulary periodically based on the latest medical research and some drugs may be removed periodically based on the findings and recommendations of the Pharmacy and Therapeutics Committee.

Pharmacy 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.

Non-Discrimination Notice (.pdf)

Free Interpreter Services Are Available (.pdf)

Member Handbooks

Child Health Plus (.pdf)

Medicaid Managed Care (.pdf)

Benefit Comparison

Compare the Metal-Level Products Side-by-Side (.pdf)
Compare the Silver Plans Side-by-Side (.pdf)
Compare the Essential Plans Side-by-Side (.pdf)

Subscriber Contracts


Individual & Family (.pdf)
Children (.pdf)
Catastrophic (.pdf)


Individual & Family (.pdf)
Children (.pdf)
Catastrophic (.pdf)

Summary of Benefits

Essential Plan

Metal-Level Products

Prior Approval Rate Changes for 2018

Remember, you are eligible for an annual wellness visit and preventive services that are not subject to cost-sharing. For more information on how to receive these preventive services, please visit the Preventive Health Services page on healthcare.gov. Please note that cost-sharing may apply to services provided during the same preventive service visit.