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Ambetter from Fidelis Care

Fidelis Care's Qualified Health Plans are now called Ambetter from Fidelis Care. These standardized plans offer affordable coverage with valuable programs and services to qualifying families and individuals via NY State of Health, the Official Health Plan Marketplace.  

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Ambetter from Fidelis Care Benefits

Our Qualified Health Plans either fully or partially cover a comprehensive list of benefits, including:

How to Enroll

Once you know the health coverage you qualify for, there are four ways you can enroll:

* You must enroll through NY State of Health to receive these benefits. Catastrophic plans exclude this enhanced coverage.
** Gold and Silver Plan members can elect dental and vision coverage for an additional cost.
*** In NYC, Westchester, and Rockland, Wellness and Silver One plans will include acupuncture visits.

Find a Doctor

Search for a medical professional, service, or facility in the Fidelis Care Network.

Plans

Plans fall into various "metal" levels based on their design and the level of cost sharing required: Platinum, Gold, Silver, Bronze, and Catastrophic Coverage. It is also possible to purchase these plans "off-exchange," or directly from Fidelis Care.


Cost

Premiums, copays, coinsurance, and deductibles vary by plan type.


Formularies

Click here for copies of our Ambetter from Fidelis Care Qualified Health Plans' benefit and coverage summaries, drug formulary, and Subscriber Contracts. They have information about pharmacy and utilization management procedures, specific benefit inclusions and exclusions, and our provider network. To request paper copies, call Fidelis Care at 1-888-FIDELIS (1-888-343-3547); TTY: 711.

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