Welcome Brokers!

Fidelis Care serves more than 1.6 million children and adults of all ages, making us one of the largest government programs-based health insurance plans in New York State. We were founded on the belief that all New Yorkers should have access to quality, affordable health insurance, and our mission to help others informs everything that we do. 


Have a question? We're here to help: 1-877-259-8428


Statewide Contact:
Gary Galletta
Broker Program Manager

Brokers must go to the broker manager to obtain an application. 

Special Announcements


Need Help Applying for Insurance in New York City or Long Island?
Posted October 19, 2017

If you reside in the counties of: Bronx, New York, Richmond, Kings, Queens, Nassau or Suffolk and you are looking for help applying for insurance through the NYSOH Marketplace (On Exchange), we offer many different options for you.

You May:

If you reside in the counties of: Bronx, New York, Richmond, Kings, Queens, Nassau or Suffolk and you are looking for help applying for insurance through the NYSOH Marketplace (Off-Exchange), which is directly through Fidelis. Note: Off-Exchange does NOT offer any premium subsidies and you will be responsible for the full premium.

In this case, you may call our Member Service number at: 1-888-343-3547 and ask for information regarding our Off-Exchange Metal plans. You will then receive the application via US Mail.

Note: Fidelis Off-Exchange Plans are only the standard Metal Plans and does not include:

- NY Medicaid
- Child Health Plus
- Essential Plans
- Silver CSR (Cost Sharing Reduction Plans)

Now Available! Medicare Advantage and Dual Advantage 2018 Formularies
Posted October 18, 2017

Brokers can now download the 2018 Medicare Advantage and Dual Advantage formularies. Formularies can change each year, and this year's formularies include some updates. 

  • The 2018 Formulary for Fidelis Dual Advantage, Fidelis Medicaid Advantage Plus and Fidelis Dual Advantage Members is available here
  • An additional drug list for Fidelis Dual Advantage and Fidelis Medicaid Advantage Plus members is available here.
  • The 2018 Formulary for Fidelis Medicare Advantage Flex (HMO POS) and Fidelis Medicare $0 Premium (HMO) members is available here


Find a Doctor Online Search

Posted October 18, 2018

Finding a provider is each with Fidelis Care's Provider Directory online tool. Visit fideliscare.org/findadoctor to search for health care providers and facilities within Fidelis Care's provider network. 

Just type your desired location, select your current Fidelis Care health coverage, and enter the type of care or service you want. A list of providers matching your search will appear. 

Remember, if your clients need help making an appointment, they can call Member Services at 1-888-FIDELIS (1-888-343-3547); TTY: 1-800-421-1220.


Ask the Expert: Send Us Your Questions
Posted October 18, 2017

Do you have questions for Fidelis Care? The "Ask the Expert" monthly column will feature questions from our broker partners and shed light on topics of interest to you. Send us your questions at ggalletta@fideliscare.org with the subject line "Ask the Expert." 

Question: My client is looking for a Flex Benefit Reimbursement Form. Where can I find one, or where can I direct a client?

Answer: The Flex Benefit Reimbursement Form is available here. All member forms, including the Flex form, are available by visiting fideliscare.org/resources, and then selecting "Forms" under the "Category" dropdown menu on the left-hand side. 

Alternatively, members can fill out their Flex Benefit Reimbursement Form through the Fidelis Care member portal, at fideliscare.org/members, and print it, ready for signature. The form is available by logging in and clicking on the "Downloads" tab. 

New Fidelis Care Medicare Online Application
Posted October 18, 2017

Fidelis Care's Medicare online application has been streamlined. Questions have been reorganized and edited for clarity, "help" icons have been placed throughout, and a status bar now helps navigate the process. Examples of useful supporting documentation have also been added to the Medicare Online Application. 

The document outlining all the changes, called the "2017 Medicare Online Application Rewrite," can be found here. Brokers can start a Medicare Online Application here. A Spanish version of the Medicare Online Application is also available here

The Medicare Annual Election Period has Started!
Posted October 18, 2017

The Medicare Annual Election Period has started, it runs through December 7 for benefits starting January 1, 2018. Brokers enrolling members should view the Online Medicare Application Process presentation before completing the application online. Brokers can enroll members online here. Brokers will need an enrollee's Medicare number for enrollment in Dual Advantage and Dual Advantage Flex plans. 

Coming Soon: Open Enrollment for Qualified Health Plans
Posted October 18, 2017

Open enrollment for Qualified Health Plans starts on November 1 and ends January 31, 2018. Individuals must enroll by December 15 for coverage that starts on January 1, 2018. Enrollment in these products can be completed through NY State of Health, The Official Health Plan Marketplace at www.nystateofhealth.ny.gov. The Summary of Benefits and Coverage for Qualified Health Plans is available in Broker Resources

New Online Payment System for Fidelis Care Members Launches October 5
Posted October 3, 2017

Thanks to valued feedback from members, Fidelis Care is excited to launch a new and improved online payment system on October 5.

The new system, provided by Payspan, will make it easier for members to make payments, check balances, and keep track of transactions from within the Fidelis Care Member Portal. It will also enable members to sign up for automatic payments, and even receive mobile text alerts about account activity.

As part of the transition to the new payment system, a series of member communications will guide members through updating their Member Portal passwords and setting up new automatic payment (AutoPay) schedules. In order to set up AutoPay, members must first change their Member Portal password. They can do so by logging in to the Member Portal and clicking the “change your password” message on the welcome page. 


Fidelis Care to Join with Centene, One of Largest Medicaid Managed Care Organizations in the Country 
Posted September 26, 2017

Fidelis Care has taken a major step toward ensuring that our mission will be strengthened for the future by announcing that we have reached an agreement under which Fidelis Care will become Centene’s health plan in New York State. Centene will maintain the Fidelis Care name, mission, management team and staff, and our grassroots, community-based approach will continue across New York State.

This announcement is the result of a lengthy, comprehensive review of strategic options by our Board of Directors, in partnership with executive leaders, to determine how we could best continue our mission and position Fidelis Care for the future.

By joining with Centene, Fidelis Care will have the support, investment, and innovation that are necessary to meet the health care needs of our members today and in the future. Centene’s scale, expertise, and resources – including its advanced data and analytics – will enable us to further enhance the well-being of Fidelis Care’s members and continue to build linkages and systems for the coordination of care and services. Our shared goal is to improve the health care experience not only for members, but also for providers.

Most importantly, Fidelis Care’s mission and values are shared by Centene. Centene’s core philosophy is that quality healthcare is best delivered locally, and that a local, decentralized approach helps to provide members with access to high-quality and culturally sensitive care and service. Fidelis Care has always focused on this local commitment. Our relationship with Centene will enhance our work together on behalf of members and providers.

Please note that until the closing, Fidelis Care and Centene remain separate companies, and all current contracts remain in effect. There is nothing that Fidelis Care members need to do. Members will continue to use their Fidelis Care member ID card, and have the same coverage and benefits.

If you have any specific questions related to this announcement, please contact your assigned Territory Sales Specialist. Fidelis Care is proud to be your health care partner, and we look forward to our continued relationship on behalf of the members we serve.

Key Resources: Visit Our Broker Resources Page
Posted September 26, 2017

Now Available! Producer Program Contact List 

Brokers can now download the Producer Program Contact List from Fidelis Care’s Broker Resources page. This list includes the contact information of all the Territory Sales Specialists, the Broker Program Coordinator, and the Program Manager. The Producer Program Contact List is available here.

For general questions, please contact your assigned Territory Sales Specialist. For issues relating to commissions, applicant information verification, contracting, or training, please contact Katie Schlie, Broker Program Coordinator, at kschlie@fideliscare.org.

Now Available! Online Medicare Application Process Presentation

A new presentation explaining the Online Medicare Application Process is available for download from our Broker Resources page. This tutorial details where to find the application, what information is required for enrollment, and how to complete the application. The Online Medicare Application Process presentation is available here.

Ask the Expert: Send Us Your Questions
Posted September 26, 2017

Do you have questions for Fidelis Care? The “Ask the Expert” monthly column will feature questions from our broker partners and shed light on topics of interest to you. Send us your questions at
ggalletta@fideliscare.org with the subject line “Ask the Expert.” To get us started, here's a common question and answer that you may find helpful:

Question: I have a Dual Advantage client who is having difficulty obtaining diabetic supplies. Who can I refer my client to?

Answer: Fidelis Care assigns a Nurse Care Manager to all of our Dual Advantage members. Brokers can call 1-800-247-1447 (TTY: 1-800-695-8544), their Territory Sales Specialist, or the Broker Program Coordinator, and they can ask for a Nurse Care Manager to reach out directly to a member about a particular need.

Fidelis Care Announcements
Posted September 26, 2017

Reminder: Submit Your AHIP Medicare Training Certificate

In order to remain eligible to sell Fidelis Medicare Advantage and Dual Advantage products for 2018, brokers must email their AHIP Online Medicare Training Course completion certificate to Katie Schlie at medicareenrollmentforms@fideliscare.org. The deadline to submit certificates is October 1, 2017.

This AHIP training on Medicare and Fraud, Waste, and Abuse is available here. Instructions on how to complete the course and download the completion certificate are available here.

Coming Soon: Medicare Annual Election Period and Open Enrollment for Qualified Health Plans through the New York State of Health Marketplace 
Posted September 26, 2017

The Medicare Annual Election Period starts October 15 and ends December 7 for benefits starting January 1, 2018. Brokers enrolling members should view the Online Medicare Application Process presentation before completing the application online. Brokers can enroll members online here.

Open enrollment for Qualified Health Plans starts on November 1 and ends January 31, 2018. Individuals must enroll by December 15 for coverage that starts January 1, 2018. Enrollment for these products can be completed through NY State of Health, The Official Health Plan Marketplace on their website, available here. The Summary of Benefits and Coverage for Qualified Health Plans is available at Fidelis Care’s Broker Resources site.

If you have any questions, please contact your assigned Territory Sales Specialist. Contact information is available here.

Metal-Level Products for 2017
Posted November 4, 2016

Fidelis Care has made some changes to our Metal-Level products effective January 1, 2017.

  • Fidelis Care will be offering Metal-Level products both on and off-exchange.
  • Fidelis Care will pay the same commission amount for sales on and off-exchange.
  • There is a specific process for enrolling in Fidelis Care off-exchange products that must be followed and all producers must be trained and sign off on the policies and procedures for off-exchange production in advance of any enrollment submission.

Please contact your Broker Manager by phone or email (click the link above) for contracting, enrollment support, product or commission information. 

Medicare Advantage and Dual Advantage Products for 2017
Posted November 4, 2016
Fidelis Care has made some changes to our Medicare Advantage products effective January 1, 2017:

  • Plan 003, Medicare Advantage Flex, is no longer available in 2017 in Dutchess, Ulster, Sullivan, Putnam, and Orange Counties
  • Plan 019, Medicare Advantage $0 Premium, has been segmented into two plans in 2017: Plan 020-001 and Plan 020-002
  • Plan 020-002 is available in 2017 in Dutchess, Ulster, Sullivan, Putnam, and Orange Counties (Plan 020-002 is not eligible for new or renewal commissions)
  • Plan 020-001 is available in 2017 in all other counties where Plan 019 was offered in 2016
  • Fidelis Care will pay the maximum CMS allowable commissions in 2017 for Plans 001, 002, 003, 017, 019 and 020-001
  • Commissions will be paid for as long as the member is active and any/all applicable premiums are paid 
  • Writing producers must remain fully trained, credentialed, and in good-standing with Fidelis Care to be eligible for commission payments

Please contact your Broker Manager by phone or email (click the link above) for contracting, enrollment support, product or commission information.

Fidelis Care Achieves 4-Star Medicare Rating
Posted October 12, 2015
Fidelis Care Medicare Advantage has been recognized as a 4-star plan by the Centers for Medicare and Medicaid Services (CMS). The high rating is based on the quality of care and services provided to members. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. To determine Star Ratings, Medicare studies 48 measures related to quality, member satisfaction, and other measures. 

Broker Tips: Helping Your Members Make Their First Payment 
Posted May 28, 2014 
Fidelis Care members who have signed up for a metal-level product through NY State of Health will need to make their first payment in order to activate their coverage. As a broker, you can help your members make their first payment by sharing this link with them: http://www.fideliscare.org/products/nystateofhealthmembers.aspx or by clicking the green "Welcome NY State of Health Members" button on the fideliscare.org homepage.

Updated Brokers Materials
Posted March 26, 2014
Updated Broker materials are now available on the Broker Resources page.