Mandatory Disclosures
For FirstCare HMO/PPO members, where applicable.
Provider Network Access Plan for Members
Your FirstCare plan includes access to a network of providers (i.e., doctors, hospitals, other health care providers, etc.) to meet your health care needs. These providers are contracted with us and are considered "in-network." They are available to you for a full range of covered health care services. This plan provides insight to the process we use to develop and maintain adequate provider access. Click
here to view the plan.
HMO Plan Description
Click
here to view information regarding health care plan terms and conditions.
Notice of Special Toll-Free Complaint Number
Click
here to view the notice of special toll-free complaint number for Behavioral Health services.
Telemedicine Medical Services & Telehealth Services
Any contracted FirstCare provider can provide telemedicine medical services and/or telehealth services, for certain circumstances and conditions, to a FirstCare member.
- No pre-authorization is required by an in-network FirstCare provider. However, if an out-of-network provider is needed, pre-authorization is required. In these cases, FirstCare requires a 48-hour advance notice prior to the member receiving telemedicine services from an out-of-network provider.
- Covered services are subject to all applicable copayments, coinsurance, and deductible amounts, not exceeding those for the same covered service provided in an in-person location such as a doctor’s office, clinic, or hospital.
If you have any questions, contact FirstCare Customer Service at the number on the back of your FirstCare member ID card.