Resources for Medicare Advantage and Dual Advantage Members

View and download plan materials.

Essential Plan

Treatment Cost Calculator


Essential Plan 1 

Benefit Summary (PDF)

Drug Formulary (PDF)

Subscriber Contract (PDF)


Essential Plan 2 

Benefit Summary (PDF)

Drug Formulary (PDF)

Subscriber Contract (PDF)


Essential Plan 3 

Benefit Summary (PDF)

Drug Formulary (PDF)

Subscriber Contract (PDF)


Essential Plan 4 

Benefit Summary (PDF)

Drug Formulary (PDF)

Subscriber Contract (PDF)

Metal-Level Products (Qualified Health Plans and Off-Exchange)
HealthierLife Health and Recovery Plan (HARP)

Exhausted Benefits

Fidelis Care offers case management services to members by phone. Our Case Managers can provide support and assistance in identifying alternatives and resources when benefits have been exhausted. Case Managers are health professionals available to assist you in managing your health, learning more about your health or conditions, coordinating care with providers and receiving necessary services. To receive more information, please call Fidelis Care Clinical Services at 1-800-247-1441.

Your Health Information is Protected

The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule provides national standards to protect individuals’ medical records and other personal health information. The Privacy Rule applies to all forms of your protected health information, whether electronic, written, or oral. 

To learn more about HIPAA and your privacy rights, visit the U.S. Department of Health and Human ServicesBy clicking this link, you will leave the Fidelis Care website.



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