Fidelis Care Logo
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10 User Reviews

3.9

Overall Score

LAST UPDATED: May 18th, 2022

Fidelis Care offers a range of health plans in the state of New York. Some plans have treatment cost calculators that help you plan for costs. Some plans also offer case management to support preventive care and manage conditions like asthma.

Although Fidelis Care reviews are limited on BestCompany.com, its helpful treatment cost calculators and case management services make it worth considering for those interested in better cost estimates and support navigating health care.

Read Fidelis Care Reviews

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The Good

  • Treatment Cost Calculators
  • User-Friendly Site
  • Good Insurance Plan Selection
  • Case Management Services

Treatment Cost Calculators

Fidelis Care offers treatment cost calculators with some of its plans. You can use these calculators to understand and anticipate health care costs. This tool helps you budget and plan for needed care.

Few health insurers offer similar calculators, so this feature makes Fidelis Care stand out.

User-Friendly Site

Fidelis Care's website is accommodating to visitors' needs. It's easy to change the site's language from English to Spanish, Russian, or Chinese. You can also adjust the font size to make it easier to read.

Good Insurance Plan Selection

Fidelis Care offers a range of health insurance plans including Medicare Advantage, Medicaid Managed Care, Child Health Plus, and qualified health plans on the Health Insurance Marketplace. It also offers Essential Plans for people who need health care but are not eligible for Medicaid or Child Health Plus.

If you have a Fidelis Care health plan from the Marketplace, you'll also benefit from access to telemedicine, mail-order pharmacy, and fitness reimbursement. Fitness reimbursements are becoming a popular offering among health insurers, so this inclusion makes Fidelis Care's Marketplace plans competitive.

Fidelis Care also offers a Health and Recovery Plan (HARP) called HealthierLife for qualifying individuals who also have Medicaid or Managed Care plans. This program offers support for behavioral health and provides services to help members find a job, get housing, complete school, and achieve other life goals.

As you evaluate plans, consider the monthly premium amount and out-of-pocket costs (e.g. deductible, copay, etc.). Understanding the full cost of your health plan will help you find one that meets your coverage and budget needs.

Case Management Services

Fidelis Care also offers a few different case management services. It offers population case management, which provides services like reminders for preventive care and coaching for self-care.

You can also receive case management services if you have certain medical conditions like a high-risk pregnancy, organ transplant, or asthma.

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The Bad

  • Limited Availability
  • Minimal Customer Insight

Limited Availability

Fidelis Care coverage is only available in New York state. If you live outside of New York, you'll need to choose another health insurer.

Minimal Customer Insight

Fidelis Care doesn't have many customer reviews on Best Company. No conclusions about the customer experience with Fidelis Care can be drawn with a limited number of reviews.

However, Fidelis Care offers a range of health plan options and treatment cost calculators with some of them. If you're in New York, Fidelis Care is worth exploring further.

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The Bottom Line

Although a full recommendation cannot be made for Fidelis Care because of a lack of customer reviews, the insurance company is worth exploring further if you live in New York.

Fidelis Care offers Medicare Advantage, Medicaid, Essential Plans, and qualified health plans. If you're looking for an affordable health insurance plan, you can find good options from Fidelis Care. Some of its plans even include treatment calculators that help you plan for medical costs.

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Star Rating

1.3

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10 Reviews

Review Breakdown

5 grade

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4 grade

10%

3 grade

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2 grade

0%

1 grade

90%

Sentiment Criteria

Value

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Quality

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K M Endicott, NY

DO NOT TRUST! They do not pay their vendors and several home health aide agencies and transportation companies have told me they do not work with Fidelis because they do not pay their bills! Four transports out of four were cancelled last second! Incredibly unprofessional and incompetent. Three weeks and no home health aide and no transportation and no returned calls. Avoid this company at ALL costs. I would leave 0 stars if I could!

4 months ago

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Teresa Quinones

Try finding a dentist that excepts Fidelis Medicaid, right!! They don't want to pay these doctors and the doctors are dropping coverage because of it!! Start paying more so we can get our teeth fixed!! Even when I was paying, couldn't find a denist!! You should be ashamed of yourselves...also, get a new updated dental list...the one you have isn't any good, there are no dentists on there that take your insurance or aren't taking new patients!! Bad bad bad...I switched to another insurance!!

6 months ago

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Saundra Besecker Perry, NY

I would give zero stars but I can't. You are constantly lied to by representatives. You are given false extension numbers to try to resolve your issues. When dealing with CDPAC services,home care, they are totally in denial as to what care and how many hours you actually need! They lie. They lie they lie. This is the most frustrating insurance company myself or even my care managers have had to deal with! They refuse to talk to my care managers and badger them too! Even though papers were signed that they can talk on my behalf! Evil company!! Evil company!!

6 months ago

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Andrew Bahnken Bay Shore, NY

They deny the medicine that your doctor prescribed because they want to save money. When you call customer service they can't help and are rude. When you ask to speak to a manager they get mad and say they can't help you either and hang up. They just want your money and couldn't care less about their customers. I wish I could rate them 0 they rum such a disgusting practice

7 months ago

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WastedTalent Binghamton, NY

I just got it because I moved to upstate NY from Long Island. The nearest doctor with availability to see new patients is 25 miles away. The nearest CVS is 22 miles away. The nearest lab for bloodwork is almost 30 miles away. I have a Walgreens about 10 minutes away, but they're not part of CVS Caremark. Fidelis stopped shipping meds with Medicaid, so I have to drive a half hour to pick them up. Don't they understand that most people on Medicaid already have limited funds and accessibility? I am unemployed right now and it costs me a quarter tank of gas to pick up my meds. I'll gladly pay the $5 to ship my meds every 3 months if it means I don't have to make a special trip just to pick them up.

10 months ago

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Emmy Elmasry Staten Island, NY

If I could give this company zero star I will do it,I requested a new ID card 5 times in 3 months and I got nothing! I don’t know what is their problem!

5 months ago

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lori jarhoud Mount Vernon, NY

Appears to offer a lot but in actuality, many good docs do not accept Fidelis. The dental plan part of their qualified health plans is with dental students. Want to see a specialist, well if you have a qualified health plan that you pay for every month , you are limited. Fellows and PA's is what you'll get. The docs that do accept Fidelis, are paid small amounts, so don't expect the best serve HORRIBLE

1 year ago

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Robert Granata Ambler, PA

They are awful. I've only had 3 submissions to them and on all 3 they sent a cryptic letter requesting a prior authorization. It seems like they are hoping that members will discontinue the submission of their claim. They don't code these as claims either. I've never seen anything like this.

1 year ago

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Gioacco Mahopac, NY

I like the choice of doctors, and the customer service is great. But they are lacking in preventative care.

2 years ago

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Laura Jones Niagara Falls, NY

Very poor customer service, uninformed phone representatives.

10 months ago