Medicare Resources


Member Portal

*The Member Portal gives you access to your Fidelis Care account 24 hours a day, seven days a week. For more information, click HERE.


 

 2024 Plan Documents 

Health Risk Assessment Reward

Wellcare Fidelis Dual Access members may be eligible to receive at $10 incentive for completing their Health Risk Assessment (HRA). Members must complete their HRA by December 31, 2023 to be eligible. Call 1-800-247-1441, ext. 16518 to complete your HRA.

Wellcare Fidelis Dual Access (HMO D-SNP) Plan 001
Wellcare Fidelis Assist (HMO-POS) Plan 002
Wellcare Fidelis Dual Plus (HMO D-SNP) Plan 003
Wellcare Fidelis No Premium (HMO) Plan 004
Wellcare Fidelis Dual Plus (HMO D-SNP) Plan 008
Provider and Pharmacy Directories

Albany, Clinton, Essex, Franklin, Fulton, Hamilton, Montgomery, Rensselaer, Saratoga, Schenectady, Warren, and Washington CountiesAlbany, Clinton, Essex, Franklin, Fulton, Hamilton, Montgomery, Rensselaer, Saratoga, Schenectady, Warren, and Washington Counties (NOT YET AVAILABLE)

Columbia, Dutchess, Greene, Orange, Putnam, Schoharie, Sullivan and Ulster Counties (NOT YET AVAILABLE)

Broome, Cayuga, Chenango, Cortland, Delaware, Herkimer, Lewis, Oneida, Onondaga, Oswego, Otsego, St. Lawrence and Tioga Counties (NOT YET AVAILABLE)

Allegany, Cattaraugus, Chemung, Erie, Niagara, Orleans, Schuyler, Seneca, Steuben, Wyoming and Yates Counties (NOT YET AVAILABLE)

Rockland and Westchester Counties (NOT YET AVAILABLE)

Nassau and Suffolk Counties (NOT YET AVAILABLE)

Bronx County (NOT YET AVAILABLE)

Kings County (NOT YET AVAILABLE)

New York County (NOT YET AVAILABLE)

Queens County (NOT YET AVAILABLE)

Richmond County (NOT YET AVAILABLE)

 

2023 Plan Documents

Wellcare Fidelis Dual Access (HMO D-SNP) Plan 001
Wellcare Fidelis Assist (HMO-POS) Plan 002
Wellcare Fidelis Dual Plus (HMO D-SNP) Plan 003
Wellcare Fidelis No Premium (HMO) Plan 004
Wellcare Fidelis Dual Plus (HMO D-SNP) Plan 008

 

Pharmacy Benefits

In 2024, pharmacy benefits will be covered through Express Scripts.
In 2023, your pharmacy benefits are covered through CVS Caremark. 

Log in to the Member Portal to use your pharmacy benefit.

Wellcare By Fidelis Care also provides an online form for Prior Authorization (PA) and supplemental medication requests:

 

Free 24/7 Nurse Advice Line

Health concerns don't always follow a 9-to-5 schedule.  Thankfully, neither does our 24-hour Nurseline, free of charge for members.  

Medical professionals can answer your health questions and help set up doctor appointments.

Call us toll-free: 1-800-919-8807 (TTY 711).

 

Telehealth Services

There are 2 ways for you to use your telehealth benefit from the safety, comfort and convenience of your home:

  • Schedule a telehealth visit with your network primary care provider or specialist. Many Wellcare By Fidelis Care providers can make an appointment for a visit by phone or video. 
  • Through Teladoc, you can receive online care from board-certified, NY State-licensed doctors, 24 hours a day, 7 days a week.

    Before your first virtual care visit, download the Teladoc app or get started online by following the website link below.
    (By clicking this link, you will leave the Fidelis Care website.) 

    Extended Benefits

    Wellcare By Fidelis Care also offers case management to members by phone:

    • 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 our Clinical Services at the number below:

    Your Information is Protected

    The Health Insurance Portability and Accountability Act (HIPAA) 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 Services
    (By clicking this link, you will leave the Fidelis Care website.) 

     

    Disaster and Emergency Policy

    In the event of an emergency or natural disaster, WellCare By Fidelis Care is committed to helping you continue to access care easily.

    View Policy

     

    Member Medical Reimbursement Claim Form

    Member Medical Reimbursement Claim Form
    Formulario de reclamación de reembolso de gastos médicos para miembros

    Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal.

    From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays.

    Non-Discrimination Notice and Language Assistance (PDF)

    Privacy Policy

    H5599_23123_2024_M

     


    Last Updated 9.18.2023