Marketplace Member Rights & Responsibilities

As a member of our health plan, you have:
  1. A right to receive information about your health plan, including the services we offer and our providers and caregivers
  2. A right to be treated with respect
  3. A right to have others recognize your dignity
  4. A right to privacy
  5. A right to work with providers to make decisions about your health care
  6. A right to talk openly about appropriate and medically necessary treatment options for your conditions, regardless of cost or benefit coverage
  7. A right to timely access to your covered services and drugs
  8. A right to voice complaints or appeals about your health plan, benefit coverage, or your medical care
  9. A right to information about your rights and responsibilities and a right to make recommendations about our member rights and responsibilities
 
You are responsible for doing your best to:
  1. Give your health plan and providers information they need to provide your care; tell your health plan if you move
  2. Follow plans and instructions for care that you have agreed to with your providers
  3. Understand your health problems and take part in the treatment plan you and your providers make together

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 2020 Get a Quote Pay Your Premium Rate Increase Justification (2019)

Non-Discrimination Notice

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

Access a Doctor, 24/7/365

FirstCare Virtual Care—powered by MDLIVE lets you connect with a doctor from wherever you are. For more details, click here.

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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