Dual Special Needs Plan
(D-SNP) Service Area

This plan is designed to meet the special needs of those who are eligible for both Medicare and Medicaid. You must be eligible for Medicare and Medicaid in order to enroll in FirstCare Advantage Dual SNP (HMO SNP). Ask if you qualify to enroll in FirstCare's Special Needs Plan designed for Medicare and Medicaid beneficiaries.

FirstCare Advantage Dual SNP (HMO SNP) 
serves the following counties in Texas: 

Carson, Crosby, Deaf Smith, Floyd, Garza, Hale, Hockley, Hutchinson, Lamb, Lubbock, Lynn, Potter, Randall, Swisher, and Terry

2019 FirstCare Low Income Subsidy (LIS) Premium Summary Chart

2019 FirstCare Advantage Dual SNP LIS Premium Summary Chart 

2019 First Care Advantage Dual SNP LIS Premium Summary Chart - Version en Español
 
2019
Plan Benefits
FirstCare Advantage Select (HMO SNP)*
Monthly Payment $0 - $23.90 (depending on your level of Low Income Subsidy)
Inpatient Acute and Mental Health Hospital

$0/day
 
Skilled Nursing Facility (SNF)
No prior hospital stay required.

Covers up to 100 days per Medicare defined benefit period

$0/day
Home Health $0 per visit
Outpatient Surgery
(includes Outpatient Hospital & ASC locations)
$0 copay
Ambulance $0 copay
Emergency Care $0 copay
Urgent Care $0 copay
Doctor Visits
Primary Care
Specialist

$0 copay
$0 copay
Physical Therapy $0 copay
Speech Therapy $0 copay
Occupational Therapy $0 copay
Preventive Care $0 copay

This information is not a complete description of benefits. Call 1-866-229-4969/TTY 1-800-562-5259 for more information.

Resources

Virtual Care Powered by MDLive

We've teamed up with MDLIVE to provide our members with access to Telehealth visits to board-certified doctors, pediatricians, licensed therapists and more- using your smartphone, tablet or desktop.  ***Available January 1, 2019***

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 Dual SNP (HMO SNP) representative will gladly sit down with you and compare the plans in greater detail.
 
Call us at:
1- 866- 229-4969
We are available;
October 1- March 31, 8 a.m. to 8 p.m. Central Time (CT) daily;
April 1- September 30, 8 a.m. to 8 p.m. Central Time (CT) Monday through Friday.
 
For TTY or for accommodation of persons with special needs, please call TTY 1-800-562-5259.
 
Or, write:
FirstCare Advantage Dual SNP (HMO SNP)
Attn:  Customer Service
1901 West Loop 289, Suite 9
Lubbock, TX 79407

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