Welcome, Essential Plan Members

Return this brief survey to us in the postage-paid envelope provided with your welcome materials. The answers you provide will help us serve you better and get you connected to whatever services you may need.

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. Your Subscriber Contract provides a full description of the services included in your benefit package, as well as cost information for those services.

Fidelis Care is committed to ensuring you have access to the preventive care and screenings you need to stay healthy. To ensure that access, please select a Primary Care Provider (PCP) who can help make sure you get the care you need when you need it. You will not need a referral from your PCP to see a specialist.

Find PCPs near you by using our Find a Doctor tool. Once you find a PCP, please call Member Services at 1-888-FIDELIS (1-888-343-3547); TTY: 711, and a Representative will update your account.

If you are a new Essential Plan member, you are required to select a PCP. For members whose coverage renews on or after April 1, 2024, you will be required to select a PCP at the time of renewal. If you do not designate a PCP, Fidelis Care will assign a PCP to you. You can review your PCP from your Member Portal account.

It’s important to see your PCP every year for a checkup to see if there are any changes to your health. Seeing your PCP every year can help you stay healthy and keep down your medical costs. Call your PCP to make an appointment. There is no copay for your annual checkup.