Fidelis Care
Fidelis Care is a New York State-focused managed care health plan and wholly-owned subsidiary of Centene Corporation, serving over 2.4 million members through Medicaid, Essential Plan, Child Health Plus, Ambetter Qualified Health Plans, and Wellcare Medicare products.
- Company typePrivate
- Founded1993
- HeadquartersRego Park, United States
- Headcount1,001–5,000
- GTM typeB2C
- OfferingServices
What Fidelis Care does
Fidelis Care (legal name: New York Quality Healthcare Corporation) is a New York State-focused managed care health insurance organization founded in 1993 and operating as a wholly-owned subsidiary of Centene Corporation (NYSE: CNC) since its 2018 acquisition. The company serves over 2.4 million members across New York State through a multi-line product portfolio organized as a platform-plus-modules architecture. Core government-sponsored plans include Medicaid Managed Care, Essential Plan, Child Health Plus, HealthierLife (HARP), Fidelis Care at Home (MLTC), and Medicaid Advantage Plus. Commercial and marketplace offerings are sold through Ambetter from Fidelis Care Qualified Health Plans. The Medicare line operates under the Wellcare By Fidelis Care sub-brand, offering HMO, HMO-POS, and D-SNP variants (Plans 002, 003, 004, 010, and 013-001/013-002). Fidelis Care is incorporated in New York with headquarters at 25-01 Jackson Avenue in Long Island City, and its FIDELIS and FIDELIS CARE marks are registered trademarks owned by Centene Corporation.
The company's technology stack relies largely on third-party integrations rather than proprietary platforms. Telemedicine services are delivered through a Teladoc Health partnership providing 24/7 virtual visits covered at no cost for QHP and Medicare members, pharmacy benefits run through Express Scripts with access to 4,400+ in-network NY pharmacies and 64,400+ nationwide locations, clinical decision support is provided through MCG Health (a Hearst Health network asset), and members access online services through a Member Portal supporting premium payments, ID cards, claims, PCP changes, and Flex Reimbursement requests. Distribution occurs through NY State of Health marketplace, a network of community offices with mobile enrollment assistance, broker and navigator channels, and a self-service Medicare Member Portal at my.wellcare.com.
Fidelis Care generates revenue exclusively through regulated per-member per-month premiums across its government, marketplace, and Medicare product lines. Pricing is set externally: the Essential Plan offers $0 monthly premiums with no deductible, Ambetter QHP pricing varies by tier and county, and Medicare Advantage plans have varied pricing based on plan type and location. Customer acquisition combines direct-to-consumer community outreach, broker and navigator partnerships, the "Here for Your Health" community grants campaign ($500,000 in total grant commitments), and partnerships with organizations such as Shatterproof on addiction stigma. Growth is being actively shaped by federal funding changes that will end the Essential Plan 200-250 tier by June 30, 2026, affecting approximately 140,000 members and necessitating a managed transition to Ambetter QHPs and other coverage.
Fidelis Care firmographics
Firmographics- Name
- Fidelis Care
- Legal name
- New York Quality Healthcare Corporation
- Website
- https://fideliscare.org
- Company type
- Private
- Founded year
- 1993
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- Fidelis Care is a New York State-focused managed care health plan and wholly-owned subsidiary of Centene Corporation, serving over 2.4 million members through Medicaid, Essential Plan, Child Health Plus, Ambetter Qualified Health Plans, and Wellcare Medicare products.
- Ownership category
- akta.pro rank
Fidelis Care industry classification
Industry- Product category
- Managed Care Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Health Care and Social Assistance (62)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)
- akta.pro secondary industries
- Managed Care / Network-Based Group Health Plans (Carrier Network Products) (FSAIAFAO), MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG), Children’s & Family Medicaid Managed Care Plans (HLAEAEAF)
Keywords
Where Fidelis Care is headquartered
LocationHeadquarters
- HQ city
- Rego Park
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Fidelis Care business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Medicaid Managed Care Premiums: Revenue from New York State Medicaid Managed Care program serving eligible low-income individuals and families.
- Essential Plan Premiums: Revenue from Essential Plan, a $0 premium plan for low- and moderate-income individuals who don't qualify for Medicaid, with income-based eligibility.
- Child Health Plus Premiums: Revenue from Child Health Plus program for children who don't qualify for Medicaid.
- Medicare Advantage Premiums: Revenue from Wellcare By Fidelis Care Medicare Advantage plans including HMO, HMO-POS, and D-SNP products.
- Qualified Health Plan (Ambetter) Premiums: Revenue from Ambetter from Fidelis Care Qualified Health Plans offered through NY State of Health marketplace in 56 counties.
- HARP (HealthierLife) Premiums: Revenue from HealthierLife HARP plan for members with serious mental illness and substance use disorders.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Essential Plan - $0 Premium Tier |
| Subscription | Monthly | Ambetter from Fidelis Care Qualified Health Plans |
| Subscription | Monthly | Wellcare Fidelis Assist (HMO-POS) Plan 002 |
| Subscription | Monthly | Wellcare Fidelis Dual Align (HMO D-SNP) Plan 003 |
| Subscription | Monthly | Wellcare Fidelis Simple (HMO) Plan 004 |
| Subscription | Monthly | Wellcare Fidelis Dual Liberty Sync (HMO D-SNP) Plan 013 |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels6 records
Fidelis Care product offering
Product offeringCore offering
Fidelis Care provides government-sponsored and commercial health insurance coverage to over 2.4 million New York State residents through Medicaid Managed Care, Essential Plan, Child Health Plus, HealthierLife (HARP), Fidelis Care at Home (MLTC), Medicaid Advantage Plus, Ambetter Qualified Health Plans, and Wellcare By Fidelis Care Medicare Advantage and Dual Advantage plans. As a wholly-owned subsidiary of Centene Corporation, it delivers managed care plans across all life stages, supported by telemedicine, pharmacy networks, and a Social Care Network addressing social determinants of health.
Product overview
Fidelis Care is a New York State health insurance provider and subsidiary of Centene Corporation, serving over 2.4 million members. The company operates a multi-product portfolio organized as a platform-plus-modules architecture, consisting of core government-sponsored health plans (Medicaid Managed Care, Essential Plan, Child Health Plus, HealthierLife/HARP) and commercial/marketplace products (Ambetter Qualified Health Plans). The Medicare line operates under the Wellcare By Fidelis Care sub-brand, offering HMO, HMO-POS, and D-SNP plan variants (Plans 002, 003, 004, 010, 013-001, 013-002). Long-term care is addressed through Fidelis Care at Home (MLTC) and Medicaid Advantage Plus. Members access additional services through add-on modules including a Social Care Network, telemedicine via Teladoc Health, mail order pharmacy, OTC benefits, and 24/7 nurse advice. All members can use the online Member Portal for account management. The company also operates community benefit programs through its Here for Your Health grants initiative.
Differentiator
Problem solved
Functional benefit
Brands
- Wellcare By Fidelis Care: Medicare Advantage and Dual Advantage plans offering affordable access to doctors, nurses, and specialists in New York State.
- Ambetter from Fidelis Care
Products and services
- Medicaid Managed Care
- Essential Plan
- Child Health Plus
- HealthierLife (HARP)
- Ambetter from Fidelis Care Qualified Health Plans
- Fidelis Care at Home (MLTC)
- Medicaid Advantage Plus
- Wellcare By Fidelis Care (Medicare Advantage and Dual Advantage)
- Social Care Network
Companies that use Fidelis Care
Customer profileNamed customers4 records
Segments8 records
Ideal customer profiles4 records
Fidelis Care technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration7 records
Feature4 records
Fidelis Care partnerships and signals
Strategic signalPartnerships
18 partnerships are on record, tiered core and minor.
- ShatterproofcoreFidelis Care partnered with Shatterproof to end addiction stigma by participating in the 2025 NYC Shatterproof Walk to End Addiction Stigma. The collaboration focuses on improving access to addiction treatment, education, and reducing barriers in underserved populations.
- Teladoc HealthcoreTelemedicine program providing access to online doctor visits 24 hours a day, 7 days a week for Qualified Health Plan members and Wellcare By Fidelis Care Medicare and Dual members. Covers common conditions and mental health support at no cost to members.
- MCG HealthcoreCentene partnership with MCG Health, part of the Hearst Health network, providing unbiased clinical guidance for patient-centered care decisions using artificial intelligence and technology solutions.
- Express ScriptscorePharmacy benefit management partnership providing access to over 4,400 pharmacies in New York State and over 64,400 network pharmacies nationwide for prescription drug coverage.
- Value Network Inc.minorHealthcare nonprofit recipient of Here for Your Health behavioral health grant ($140,000 in 2026). Using funding for a technology-driven initiative to connect individuals newly diagnosed with substance use disorders to rapid treatment.
- Wellcome Care MedicalminorHealthcare provider recipient of Here for Your Health behavioral health grant. Expanding behavioral health programs through enhanced outreach, telehealth, and navigation services.
- The Alex House ProjectminorNonprofit recipient of $130,000 maternal health grant providing parental support and mental health services for underserved communities.
- Mothers and Babies Perinatal NetworkminorNonprofit recipient of $130,000 maternal health grant providing postpartum care and mental health services for underserved communities.
- Healthy AlliancecoreSocial Care Network partner serving multiple NY counties (Albany, Clinton, Columbia, Cortland, Lewis, Madison, Monroe, Montgomery, Schenectady, Warren, Washington). Provides housing, nutrition, transportation, and care management services.
- WholeYouNYCcoreSocial Care Network partner serving New York County (Manhattan) and all other Brooklyn zip codes not served by Staten Island PPS. Provides housing, nutrition, transportation, and care management services.
- SOMOS Community CarecoreSocial Care Network partner serving Bronx County. Part of the SCN network providing essential support services.
- Care Compass CollaborativecoreSocial Care Network partner serving Broome, Delaware, and Otsego counties. Provides housing, nutrition, transportation, and care management services.
- Forward Leading IPAcoreSocial Care Network partner serving Allegany, Livingston, and Ontario counties. Provides housing, nutrition, transportation, and care management services.
- Integrated CarecoreSocial Care Network partner serving Cattaraugus and Niagara counties. Provides housing, nutrition, transportation, and care management services.
- Hudson Valley Care CoalitioncoreSocial Care Network partner serving Dutchess and Orange counties. Provides housing, nutrition, transportation, and care management services.
- Staten Island PPScoreSocial Care Network partner serving specific Brooklyn zip codes (11209, 11219, 11220, 11228) and Richmond County (Staten Island). Provides housing, nutrition, transportation, and care management services.
- HEALI (Health & Equity Alliance of Long Island)coreSocial Care Network partner serving Nassau and Suffolk counties. Provides housing, nutrition, transportation, and care management services.
- Northwell HealthminorPartnership providing information about Northwell Health services available to Fidelis Care members.
Scale indicators9 records
Recent moves6 records
Expansion highlights5 records
Fidelis Care competitors and assessment
Company assessmentEmerging players
- Oscar Health: Tech-led ACA marketplace insurer with growing Medicare Advantage business. Partial overlap with Fidelis Care's Ambetter QHP product through ACA marketplaces and a similar member-acquisition focus on individual consumers.
Direct peers
- EmblemHealth: Long-standing NY not-for-profit insurer with deep Medicaid and Medicare Advantage presence. Competes head-to-head with Fidelis Care for NY Medicaid, Essential Plan–adjacent, and dual-eligible members.
- Capital District Physicians' Health Plan (CDPHP): Regional NY health plan offering Medicaid, Medicare, and commercial coverage primarily in upstate NY. Comparable managed care carrier model with similar product mix and NY geographic overlap.
- CareSource: Mission-driven, non-profit Medicaid managed care organization. Comparable to Fidelis Care in Medicaid-first model, focus on low-income populations, and similar dual-eligible / SDoH program emphasis.
- Healthfirst: New York-based not-for-profit health plan serving Medicaid, Medicare, and commercial members in NY. Direct overlap with Fidelis Care across Medicaid Managed Care, MLTC, and D-SNP product lines in the same geography.
- Molina Healthcare: National Medicaid-focused managed care company with a similar government-program-led business model. Highly comparable to Fidelis Care's Medicaid and D-SNP mix, though operating across multiple states rather than concentrated in NY.
- MetroPlusHealth: NYC public-option health plan offering Medicaid, Medicare, and QHP products with a heavy NYC focus. Directly comparable to Fidelis Care's government-program-led portfolio concentrated in the same metro.
Broad incumbents
- UnitedHealthcare: Largest US health insurer with a sizeable NY Medicaid and Medicare Advantage footprint. Direct overlap on plan types and geography but at far greater scale and brand recognition.
- Humana: Medicare Advantage-led national carrier with growing D-SNP presence. Directly comparable to Wellcare By Fidelis Care's MA and dual-eligible product emphasis with greater national scale.
- Elevance Health (Anthem): National diversified health insurer operating Blue Cross Blue Shield plans, Medicaid (Anthem), and Medicare products. Competitor in NY Medicaid/Medicare markets through subsidiary brands and category parent of Amerigroup.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Fidelis Care social profiles
Digital presenceFidelis Care financial estimates
Financial estimateRevenue estimate
Valuation estimate
Fidelis Care leadership team
Management profileNumber of profiles
Profiles3 records
Fidelis Care subsidiaries and ownership
Company hierarchySubsidiaries2 records
Fidelis Care funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Fidelis Care M&A and investment
M&A and investmentM&A
Investments98 records
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Fidelis Care
What does Fidelis Care do?
Fidelis Care provides government-sponsored and commercial health insurance coverage to over 2.4 million New York State residents through Medicaid Managed Care, Essential Plan, Child Health Plus, HealthierLife (HARP), Fidelis Care at Home (MLTC), Medicaid Advantage Plus, Ambetter Qualified Health Plans, and Wellcare By Fidelis Care Medicare Advantage and Dual Advantage plans. As a wholly-owned subsidiary of Centene Corporation, it delivers managed care plans across all life stages, supported by telemedicine, pharmacy networks, and a Social Care Network addressing social determinants of health.
Is Fidelis Care a public or private company?
Fidelis Care is a private company. It is classified as corporate owned and is currently operating.
When was Fidelis Care founded?
Fidelis Care was founded in 1993. It employs 1,001 to 5,000 people.
Where is Fidelis Care based?
Fidelis Care is headquartered in Rego Park, United States, in the North America region.
How does Fidelis Care make money?
Six revenue lines are on record. Medicaid Managed Care Premiums are the primary driver. The others are essential Plan Premiums, child Health Plus Premiums, medicare Advantage Premiums, qualified Health Plan (Ambetter) Premiums and HARP (HealthierLife) Premiums.
Who are Fidelis Care's main competitors?
Oscar Health is listed as an emerging player. Direct peers are EmblemHealth, Capital District Physicians' Health Plan (CDPHP), CareSource, Healthfirst, Molina Healthcare and MetroPlusHealth. Broad incumbents are UnitedHealthcare, Humana and Elevance Health (Anthem).
Does Fidelis Care have an API?
No public API is recorded for Fidelis Care.
What industry is Fidelis Care in?
Fidelis Care's product category is Managed Care Health Insurance. Its primary akta.pro industry code is HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans, with a secondary code of FSAIAFAO, Managed Care / Network-Based Group Health Plans (Carrier Network Products). Its NAICS code is 524114 and its SIC code is 6324.