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Individual & Family Marketplace Plans

The Health Insurance Marketplace, also known as the Health Care Exchange, is a one-stop shop for health insurance. FirstCare offers a range of Gold, Silver and Bronze Marketplace health plans with different coverage levels, deductibles and costs.

All of our Marketplace plans offer 100% coverage for preventive care. Pharmacy benefits are also included.

We’re happy to help you find a plan that fits your health needs as well as your budget. You may also be eligible for assistance with the Advance Premium Tax Credit or Cost Share Reduction program.

Gold

With our Marketplace Gold plans, you have low or no deductibles and pay the lowest out-of-pocket costs for covered services.

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Silver

With our Marketplace Silver Plans, you will pay lower premiums than our Gold Plans. Your deductible may be as low as $0, and your copayments for doctor visits or medications may be as low as $5.

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Bronze

These are our most affordable Marketplace plans. With a Bronze Plan, you will pay lower premiums with slightly higher out-of-pocket costs.

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LifeBalance

LifeBalance Discounts—Take Advantage of Exclusive Savings!

LifeBalance offers you exclusive savings on thousands of recreational, wellness, travel, and cultural activities locally and throughout the U.S.  Whether you're looking to take a vacation, join a gym, catch a play, or go for a run, visit myFirstCare Self-Service to make your LIfeBalance and save! (NOTE:  Access to LifeBalance discounts is available, at no cost, for FirstCare members and your family members, excluding Medicaid members.)

Click here to find out more about LifeBalance.
 



Hearing Health for Life

FirstCare has teamed up with Amplifon Hearing Health Care to give you savings on hearing aids and services, at a convenient location in your neighborhood.
 
For more than 20 years, Amplifon has earned the trust of millions of people across the country. Their goal is to help you find the right solution for your hearing health by providing personalized service, high-quality care and exceptional products.

With Amplifon, you can access a discount for hearing aids and related services. For more information, click here or call 1.888.413.8752 today.
 

FirstCare Plus

Health and Wellness Benefits

We want to help you stay healthy. That’s what FirstCare Plus is all about.

FirstCare Plus gives our members personal health support through online tools and resources. You can take a customized health assessment. Check out any symptoms that are worrying you. Discover programs to help you take charge of your health and wellness. Expecting a child? Access our new Expecting the Best® Maternity Program for information and educational tools. If you're a member, access FirstCare Plus (including our new Expecting the Best® Maternity Programhere.
 

Talk to a Nurse—Nurse24™

Need care advice? Should you see a doctor? Get the info you need today! FirstCare members can talk to a nurse 24/7 by calling 1.855.828.1013 to get answers 24 hours a day, 7 days a week! TTY users can call 7-1-1 or 1.800.955.8771. Voice communication is available at 1.800.955.8770.
 

Ameritas

In the Market for Dental Coverage? - Ameritas Dental Coverage Benefits Your Health and Your Pocketbook

Did you know that over 120 medical conditions can be detected by a dental examination of the mouth, throat and neck? And, that with regular visits to the dentist, serious health problems can be found early and treated more affordably? With Ameritas ACA-compliant dental plans, you'll receive 100% coverage for preventive care and much more. Click here to shop for dental coverage today.

 
 

For details on information in other languages, click here

FirstCare is here for you.

We can help you find a plan that fits your needs. Contact us today!

Resources

FirstCare's Direct Enrollment Portal Service Area Map Find a Provider Get a Quote Pay Your Premium Rate Increase Justification (2019) Rate Review Justification (2018)

Non-Discrimination Notice

FirstCare does not discriminate or exclude people based on race, color, national origin, age, disability, or sex. Read more here.

Ask the Pharmacist

Have a question about a specific drug, or a drug benefit in your plan? Email our Pharmacist for the answers you need!

Talk to a Nurse—Nurse24™

Need care advice? Should you see a doctor? Get the info you need today! FirstCare members can talk to a nurse 24/7 by calling 1.855.828.1013 to get answers 24 hours a day, 7 days a week! TTY users can call 7-1-1 or  1.800.955.8771. Voice communication is available at 1.800.955.8770.

Utilization Management

Ever wonder how we decide what services to authorize for our members? Our utilization management (UM) decisions are based on medical evidence and consensus of health care professionals. For more details, click here.


The National Committee for Quality Assurance (NCQA) awarded FirstCare a Commendable Status (Medicaid HMO, 09/2018) & an Accredited Status (Commercial and Marketplace HMO, recertified 02/2018)—reflecting our continuous work to fulfill NCQA requirements for consumer protection & quality improvement.


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