Fidelis Care Logo
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5 User Reviews
LAST UPDATED: November 1st, 2021

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, 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.

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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.


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.


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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5 Reviews

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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.

2 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

5 months 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.

5 months ago

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Laura Jones Niagara Falls, NY

Very poor customer service, uninformed phone representatives.

2 months 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.

1 year ago