FirstCare Health Plans

2009 Plan Year Benefits

 

Transitional Care Benefit

With FirstCare, all care must be properly referred by your PCP.  If you are undergoing a course of treatment at the time of your effective date, and the treating physician is not a participating FirstCare provider, one of the following will take place:

  1. Your PCP and FirstCare will transition your care to an in-plan provider if at all possible; or
  • If your treatment or condition is such that your care cannot be transitioned to an in-plan provider, you may request ongoing care with your current provider for a period of time. FirstCare may authorize the use of an out-of-plan provider. 
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  ERS cannot and does not guarantee the length of time that a specific type of “Value-Added” product shall be offered.  Any questions or concerns about these products should be directed to the sponsoring HMO.
   
 
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