1. Learn about Fidelis Care Products
Through NY State of Health, Fidelis Care offers:
Enrollment November 1, 2016 - January 31, 2017
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:
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.
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)
Child Health Plus (.pdf)
Medicaid Managed Care (.pdf)
Behavioral Health services available for Medicaid Managed Care Members in New York City as of 10/1/16 (.pdf)
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)
Individual & Family (.pdf)
Summary of Benefits
Remember, you are eligible for an annual wellness visit and preventive services that are not subject to cost-sharing. More information on how to receive these preventive services can be found here. Please note that cost-sharing may apply to services provided during the same preventive service visit.