IMPORTANT NEWS ABOUT FirstCare Advantage (HMO)
Our goal is to provide the best health plan solutions for our members while weighing the financial challenges of declining reimbursement and rising costs. It was difficult, but we made the decision to not renew our Medicare Advantage contract with the Center for Medicare & Medicaid Services (CMS) for 2017. Please contact FirstCare Customer Service with any questions.

FirstCare Advantage (HMO)

Welcome to the FirstCare Advantage (HMO) home page.

The links in the left-hand navigation will lead you to valuable information about our plan, including formularies, provider/pharmacy directories, frequently asked questions, and enrollment instructions.
 
If you click on any link or tab at the top or bottom of the page, you will leave FirstCare’s Medicare website. Clicking on any external links such as www.Medicare.gov or www.keproqio.com will navigate you away from FirstCare’s Medicare website altogether. Before you go to the external site, a warning box will appear to make sure you want to leave. Please click ‘OK’ to continue to the new page or click ‘Cancel’ to stay on the page you are on.

 

How to Contact Us For Questions Related to the Medicare Advantage Program

We are available October 1 - February 14 from 8a.m.-8.p.m. Daily and February 15 -September 30 from 8a.m.-8p.m. Monday through Friday. Members should call 1-866-229-4969.
(TTY users call 1-800-562-5259).

Prospective members should call 1-866-245-1580.
 
Or write:
FirstCare Advantage (HMO)
Attn: Customer Service
1901 West Loop 289, Suite 9
Lubbock, TX 79407
 
For more information about Medicare, call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. You can call 24 hours a day, 7 days a week. Or, visit www.medicare.gov on the web.
 
FirstCare Advantage (HMO) is a health plan with a Medicare contract.  Enrollment in FirstCare depends on contract renewal.  If Medicare determines during the year that our contract must be terminated, then the plan's members will be notified in advance of the plans termination.  Enrollment is limited to certain times of the year.  Please see eligibility restrictions for more guidance.
 
If FirstCare Advantage (HMO) terminates the contract with CMS, a notice to all members will be provided within 60 days prior to the termination. If CMS elects to non-renew the FirstCare Advantage (HMO) contract, a notice to all members will be provided within 30 days prior to the termination. The notice will include a list of alternatives available in the area for obtaining Medicare services. In addition, FirstCare Advantage (HMO) will publish a CMS approved notice of the contract termination/non-renewal in the local newspapers.

Please see the FirstCare Advantage (HMO) Privacy Policy for more information about how we protect your private information.

FirstCare Advantage (HMO) has been approved by the National Committee for Quality Assurance (NCQA), a non-profit organization dedicated to improving health care quality.
 
This information is available for free in other languages. Please contact our customer service number at 1-866-229-4969 for additional information. (TTY users call 1-800-562-5259).
Multi-Language Insert

Resources

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? Our utilization management (UM) decisions are based on medical evidence and consensus of health care professionals. For more details, click here.

How to Learn More

Schedule a sit-down:
Feel free to contact us, and a FirstCare Advantage (HMO) representative will gladly sit down with you and compare the plans in greater detail.
Prospective members may call 1-866-245-1580.
 
Join us for a Benefits Overview:
A FirstCare Advantage (HMO) Representative will be present to answer your questions. To find out when the next benefits overview is scheduled, call 1-866-245-1580.
 
For TTY or for accommodation of persons with special needs, please call TTY 1-800-562-5259.
 
Or, write:
FirstCare Advantage (HMO)
1901 West Loop 289, Suite 9
Lubbock, TX 79407

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The National Committee for Quality Assurance (NCQA) has awarded an accreditation status of Accredited for service and clinical quality that meet the basic requirements of NCQA's rigorous standards for consumer protection and quality improvement.

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