Health Insurance Plans from Fidelis Care vs Healthfirst

Christian Worstell
In this article...
  • Choosing a comprehensive health insurance plan can feel confusing. Learn what plans and coverage are available with Fidelis Care vs Healthfirst to help you decide.

Finding the correct health insurance coverage can feel like a hassle, but getting your medical bills covered is important. When weighing available health plans, it’s vital to see what coverage you’re eligible for and get clear on the premium and copays you may need to pay. If you’re a New Yorker, Fidelis Care and Healthfirst are two well-known companies that provide a range of plans for individuals, families and small businesses. Keep reading to learn more about the plans each company offers so you can decide which works best for you. 

Have Medicare questions?

Talk to a licensed agent today to find a plan that fits your needs.

What Plans Does Fidelis Care Offer?

Fidelis Care provides health insurance coverage to over 2 million New Yorkers. There are plans to suit adults and children, with online tools to help you make a payment and find a doctor in your area. While some plans are only available in selected counties, there are several options to choose from depending on your specific needs.

Available plans include:

  • Medicaid managed care: For low-income adults, families and people with disabilities. It may cover ER, prescriptions, vision and dental care.

  • HealthierLife: For people who struggle with behavioral difficulties and qualify for Medicaid. It can help with finding housing and employment, among other services.

  • Low-cost child health: This covers children under 19 and may include benefits such as speech and hearing services, prescriptions and hospital care.

  • Fidelis Care at Home: For Medicaid-qualifying enrollees who need ongoing support, this coverage could help with social care, therapy and nursing.

  • Bronze, Silver, Gold or Platinum Health Plans: These may cover individuals and families for a wide range of services including dental, vision, childbirth and chronic illness management.

  • Medicare Advantage: Comprehensive coverage to help manage Original Medicare (Medicare Part A and Part B) plus other benefits that Fidelis Care offers.

Fidelis Care also provides a wealth of resources in its online databases. This includes cost calculators, downloadable forms and member handbooks. 

Does Fidelis Care Cover Emergency Room Visits?

Some plans offered by Fidelis Care may provide coverage for emergency room visits and the use of ambulatory services. These could include the Medicaid managed care, Essential and Quality Health plans. 

What Plans Does Healthfirst Offer?

Healthfirst is also a New York-based health insurance provider, focused on coverage for individuals, families and small businesses with 100 employees or fewer. 

Healthfirst offers the following plans:

  • Medicaid managed care: May help people under 65 with low-income pay for services such as doctor’s visits, lab tests and hospitalization.

  • Essential plans: May cover basic health services such as prescription drugs with a $0 monthly premium.

  • Child health plus: Provides coverage for children under 19 with no copays and a premium based on the household income.

  • Leaf plans: Includes customizable plans for families of all sizes, with premiums depending on household income and coverage level.

  • Personal wellness plan: For people who receive Medicaid and are eligible for help with behavioral health issues.

Healthfirst’s app provides lots of useful benefits for its members, including a digital ID card, access to virtual care and a tool to help you find a local doctor. Some eligible Healthfirst members may also claim a free Android smartphone with an unlimited data plan to encourage the use of digital services. 

Have Medicare questions?

Talk to a licensed agent today to find a plan that fits your needs.

Does Healthfirst Provide Coverage in New Jersey?

Healthfirst doesn’t currently provide coverage in New Jersey. Healthfirst may only cover enrollees living in The Bronx, Brooklyn, Queens, Manhattan, Staten Island, Long Island or Westchester, Orange or Sullivan counties.

Fidelis Care vs Healthfirst: Before You Decide

Before choosing a health insurance marketplace, see if you receive coverage through your employer. If you don’t, then first consider what health needs you or your family have to determine the best coverage. From there, you may want to compare the plans available. It may be wise to weigh out-of-pocket costs like copays and premiums along with what services are covered to make the best decision for you. 

Christian Worstell
About the Author

Christian Worstell is a senior Medicare and health insurance writer with He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

While at HelpAdvisor, Christian has written hundreds of articles that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. You can find Christian’s most recent articles in our blog.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at

Read More
Infant and mother play with toys on living room floor while mother studies
Life insurance protects those you love, but does it make sense to buy a policy for kids? Learn the ...
A doctor crouches to speak with young boy and his mother
Kids who have disabilities or who've been diagnosed with ESRD may qualify for Medicare benefits. Here's ...
Want to know more about New York Medicaid? Here's the essentials, including what’s covered, income ...