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The Daily Insight

What type of insurance is Fidelis Care?

Author

Isabella Ramos

Updated on February 28, 2026

Fidelis Care, a leading health insurer that serves all of New York State, offers free or low-cost comprehensive health coverage, including Medicaid Managed Care, Medicare Advantage, Child Health Plus, and plans available through NY State of Health, The Official Health Plan Marketplace.

Is Medicaid and Fidelis the same?

Fidelis Care is contracted with Medicare for HMO, HMO D-SNP, and HMO-POS plans, and with the state Medicaid program. Enrollment in Fidelis Care depends on contract renewal.

What is fidelis health insurance?

Fidelis Care provides quality, affordable health insurance coverage for more than 2.3 million children and adults of all ages and at all stages of life. Starting in 2022, our Medicare Advantage and Dual Advantage plans will have a new name: Wellcare By Fidelis Care.

Is Fidelis free?

Fidelis Care offers free or low-cost health coverage year-round to New Yorkers of all ages and at all stages of life.

Is Fidelis Medicaid or Medicare?

Who owns Fidelis Care?

Centene Corporation
Fidelis Care/Parent organizations

Is Fidelis prescription insurance?

Fidelis Medicare Advantage Flex, Fidelis Dual Advantage and Fidelis Dual Advantage Flex’s premium includes coverage for both medical services and prescription drug coverage.

Is Fidelis and Medicare the same?

All Fidelis plans cover the same benefits as original Medicare. They may also include additional benefits like dental, vision, and hearing aids.

Does Walgreens accept Fidelis?

The Fidelis Care Blog Starting January 1, 2021, Walgreens and Duane Reade will no longer be in the pharmacy network for members of these products: Fidelis Care at Home (Managed Long Term Care – MLTC)

Is Fidelis Care HMO or PPO?

Fidelis Care is an HMO plan with a Medicare contract. Enrollment in Fidelis Care depends on contract renewal. Fidelis Care is a Coordinated Care plan with a Medicare contract and a contract with the New York State Department of Health Medicaid program.

What does Fidelis insurance cover?

Fidelis offers health plans for individuals, Medicare eligible beneficiaries and Medicaid eligible people. They provide free or low-cost health insurance through a variety of health programs that help cover preventive care, prenatal care, labs and immunizations, emergency care, and more.

What is Fidelis essential plan?

Essential Plan. The Essential Plan is for New Yorkers who do not qualify for Medicaid or Child Health Plus, but still need access to high quality health care. Fidelis Care offers four different income-based “tiers” of the Essential Plan. The Essential Plan is for individuals who meet certain income requirements.

Does Fidelis require referrals?

Fidelis Care does not require PCPs to notify the Plan when a member is referred to a participating specialist. To ensure coordination of care, Fidelis Care does recommend that a specialist notify the member’s PCP when a referral to another specialist is made.