How do you renew a health insurance card Is there e fee?

It is not the card that is renewed, it is the policy that is renewed. The card is merely evidence of the insurance.

Generally, at the end of the policy term, which is the period that the insurance is in force, the insurer will send a notice of renewal. This will contain information as to any changes in the coverage for the forthcoming year, and any change in premium. If you decide to remain insured with the company, it will issue a new insurance card for the forthcoming policy year.