Marketplace Member Rights & Responsibilities

  1. A right to receive information about FirstCare, its services, its practitioners and providers and member rights and responsibilities.
  2. A right to be treated with respect and recognition of your dignity and your right to privacy.
  3. A right to participate with practitioners in making decisions about your health care. 
  4. A right to a candid discussion of appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage.
  5. A right to voice complaints or appeals about the FirstCare or the care it provides. 
  6. A right to make recommendations regarding FirstCare's member rights and responsibilities policy.
  7. A responsibility to supply information (to the extent possible) that FirstCare and its practitioners and providers need in order to provide care. 
  8. A responsibility to follow plans and instructions for care that you have agreed to with your practitioners.
  9. A responsibility to understand your health problems and participate in developing mutually agreed-upon treatment goals, to the degree possible.

FirstCare is here for you.

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


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.

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