Ambetter from Fidelis Care

Plans

Ambetter from Fidelis Care offers Qualified Health Plans across various "metal" levels based on plan design and cost sharing, including Platinum, Gold, Gold Enhanced, Silver, Bronze, and Catastrophic Coverage. Gold Enhanced is available in select New York counties and offers additional dental and vision coverage options for adults.

Cost

Premiums, copays, coinsurance, and deductibles vary by plan type. Depending on your income, you may be eligible for Silver and Bronze plans with monthly premiums as low as $0 after government subsidies.

Formularies

• 2027 Formulary
• 2026 Formulary

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.

Notice of Non-Discrimination

Comparison Chart

• 2027 QHP Comparison Chart (Bronze • Bronze HSA • Silver • Gold • Platinum)
• 2026 QHP Comparison Chart (Bronze • Bronze HSA • Silver • Gold • Platinum)

How to Enroll

• Enroll Online via NY State of Health. Visit www.nystateofhealth.ny.gov and click on "Start Enrollment."
• Call NY State of Health at 1-855-355-5777 (TTY: 1-800-662-1220).
• Call 1-888-FIDELIS (1-888-343-3547), TTY: 711.
• Find a Fidelis Care office near you. Make an appointment or visit during regular business hours!

* Gold Plan members can elect dental and vision coverage for an additional cost.