Need to contact or place a phone call to Fidelis Care Member Services: 1-800-247-1447

Contact Line for Current Members: Please first call the number found on the back of your member ID card for accurate and faster service. 

Fidelis Care offers quality and affordable health insurance plans for more than 2.1 million children and adults of all ages at all stages of life.  They have regional offices that may be visited in New York City, Rochester, Albany, Buffalo, and Syracuse.  Fidelis Care has over 20 community offices all over the state of New York.  This will allow Fidelis Care to better serve their local members or those individuals with queries about health insurance for themselves or their families.

Fidelis Care is provided through the following: 

• Qualified Health Plans
• Child Health Plus
• Essential Plan
• Medicaid Managed Care
• Managed Long Term Care
• Medicaid Advantage Plus

Fidelis Legacy Plan offers plans through Medicare Advantage and Dual Advantage plans.  Qualified over-the-counter (OTC) costs may include medications or items that will assist in treating injuries or illness. Members who are enrolled in Fidelis Dual Advantage, Fidelis Dual Advantage Flex, and Medicaid Advantage Plus (003) plans will get to enjoy the OTC benefit by using the debit card that will be provided to them.  This may be used at most chain pharmacies like CVS, RiteAid, Duane Reade, Walgreens, and many more.

This is a program that will enable you to acquire over-the-counter items that will arrive at your address in the mail.  The card must be activated and the initial OTC dollar amount will be loaded onto the card.  This benefit will also assist you with the cost of essential health care products that are not within the medical or pharmacy expense under your plan.  To add to this, it can aid you in saving money on a vast array of generic branded health essential products like cold medicines, pain relievers, dental care, first aid supplies, and so much more.

Advantages of using OTC benefit:

If you will use the credit or pre-determined allowance that is provided within this benefit, all products you wish to get will be given to you at no extra cost.  Your orders will also be delivered to your home without worrying about shipping fee as these will all be covered by the benefit.

Fidelis Dual Advantage Plan and Medicaid Advantage works with NationsOTC that will allow their members to purchase common everyday medical and personal health care essentials.  Their team of clinicians, researchers, engineers, financial experts, and a great number of direct sales representatives have outstanding expertise and know everything about healthcare business.  

The following are the common medical and personal care items that they offer for their partners:

• Eye and Ear Care
• First aid supplies
• Allergy sprays and gels
• Skin and sun care products
• Cold and flu products
• Dental and Denture Care
• Antacids and Acid Reducers
• Vitamins and Minerals
• And so many more!

These OTC products are all given to members at no extra cost.  A credit or pre-determined allowance is given within the benefit.  Shipping fee will not be charged to the member especially if this is inclusive in your plan.  Find below the easy methods where active members of this program can submit their orders:

• They may scroll down below and go through on how to set up an account online.  This is considered to be the fastest, most convenient, and easiest way to order 24/7.
• They may place their orders by calling 877-240-2160, TTY: 711
• They may send in a completed order form to the OTC company.

Members must make sure to review the Summary of Benefits of their existing personal plan to verify if their plan has this benefit included in it.  If it does, members must also be aware of the plan’s specified OTC allowance frequency, whether it is provided monthly or quarterly.  The allowance amount may vary depending on the plan.  The number to contact is given at the start of this article if you need further information about your plan benefits.

There are a few plans that are inclusive of an allowance that is provided on a monthly basis.  These credits may be consumed to purchase some over-the-counter medications and supplies, comprising of digestive health treatments, allergy medication, pain relievers, first aid supplies, and so many more.  Members must review the Evidence of Coverage of their plan to check if it is included in their benefit and to find out the exact amount of the monthly allowance provided.

IMPORTANT: Go directly to the site to confirm and acquire more information.

• https://www.fideliscare.org/Member/Medicare-Information/OTC 

NOTE:  The information provided here is not a comprehensive explanation of the benefits available to you.  It is always best to communicate directly with the company to know more information about their available plans.

Easy-to-follow steps are provided below should you feel the need to access the login or registration page.  A brief guide is available for you so you can discover how you can login or activate a new online account and gain access.  Just make sure your personal information is close by.

• Stable internet access
• Email address
• Member information
• Personal information

1. Visit this link in your preferred internet browser on your device.
2. Type in your 19-digit card number in the space provided.
3. Select the red “LOGIN” button to move forward.
4. Continue to move forward and provide all the necessary information to complete the activation.

• Your card is automatically refilled every month.
• The OTC benefit is not intended to purchase items for friends and family.  The benefit is for the sole use of the member.

NOTE:

If you wish to download the OTC Guide, you may visit the link below:

• 2021 Fidelis Card Over-the-Counter OTC Card Guide

• If you are ordering by mail, you have to make sure that you follow the instructions to complete the order form.  You have to mail it to the address indicated on the order form. 
• If you have further questions about your plan, it is best to directly contact the following numbers: 1-888-FIDELIS or 1-888-343-3547, TTY: 711