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Important Plan Documents

FirstCare Advantage Dual SNP (HMO SNP) has conveniently posted important plan documents that were included in the Annual Notice of Change/Evidence of Coverage mailing.
 
These include the Annual Notice of Change (ANOC) and Evidence of Coverage (EOC), a Comprehensive Formulary, and Provider/Pharmacy Directory.  Please see FirstCare Advantage home page for a link to the Multi-Language Insert.

Summary of Benefits

2020
FirstCare Advantage Dual SNP Summary of Benefits (SOB)
(last updated 09/24/2019)

FirstCare Advantage Dual SNP Summary of Benefits (SOB) - Version en Español
(last updated 
09/24/2019)

2019
FirstCare Advantage Dual SNP Summary of Benefits (SOB)
(last updated 05/16/2019)

FirstCare Advantage Dual SNP Summary of Benefits (SOB)Version en Español
(last updated 
05/21/2019)

 

Annual Notice of Changes

2020
FirstCare Advantage Dual SNP Annual Notice of Changes (ANOC)
(last updated 09/12/2019)

FirstCare Advantage Dual SNP Annual Notice of Changse (ANOC) - Version en Español
(last updated 
09/12/2019)


Evidence of Coverage

2020
FirstCare Advantage Dual SNP Evidence of Coverage (EOC)
(last updated 12/10/2019)

FirstCare Advantage Dual SNP Evidence of Coverage (EOC) - Version en Español
(last updated 
12/10/2019)

2019
FirstCare Advantage Dual SNP Evidence of Coverage (EOC)
(last updated 06/07/2019)

FirstCare Advantage Dual SNP Evidence of Coverage (EOC) - Version en Español
(last updated 
06/07/2019)

 

Formularies

2020

FirstCare Advantage Dual SNP Formulary
(last updated 10/09/2019)

FirstCare Advantage Dual SNP Formulary - Version en Español 
(last updated 10/09/2019)

2019
FirstCare Advantage Dual SNP Abridged Formulary
(last updated 12/01/2019)

FirstCare Advantage Dual SNP Abridged Formulary - Version en Español
(last updated 12/01/2019)

FirstCare Advantage Dual SNP Comprehensive Formulary
(last updated 12/01/2019)

FirstCare Advantage Dual SNP Comprehensive Formulary - Version en Español
(last updated 12/01/2019)
 

Provider Directory

2020
FirstCare Advantage Dual SNP Provider Directory - Bilingual
(last updated 09/25/2019)

2019
FirstCare Advantage Dual SNP Provider/Pharmacy Directory
(last updated 11/27/2019)

FirstCare Advantage Dual SNP Provider/Pharmacy Directory - Version en Español
(last updated 11/27/2019)

 

Pharmacy Directory

2020
2019 FirstCare Advantage Dual SNP Pharmacy Directory
(last updated 09/01/2019)

2019 FirstCare Advantage Dual SNP Pharmacy Directory - Version en Español
(last updated 09/01/2019)

2019
2019 FirstCare Advantage Dual SNP Provider/Pharmacy Directory
(last updated 111/27/2019)

2019 FirstCare Advantage Dual SNP Provider/Pharmacy Directory - Version en Español
(last updated 11/27/2019)

 

Fraud, Waste, and Abuse Education Insert

Fraud, Waste, and Abuse Educational Insert - Bilingual
 

Notice of Privacy Practices

Notice of Privacy Practices

Notice of Privacy Practices - Version en Español


Do you want a paper version? You can have one or more printed plan booklets mailed to your residential address. To request, current members should visit myFirstCare Self-Service and click on Notification Preferences. Non-members may contact Customer Service at 1-866-229-4969.

Resources

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? 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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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 7-1-1.
 
Or, write:
FirstCare Advantage Dual SNP (HMO SNP)
Attn:  Customer Service
1901 West Loop 289, Suite 9
Lubbock, TX 79407

"What's Covered" App
Centers for Medicare & Medicaid Services (CMS) has an app that gives you access to content about original Medicare. For more information,
click here.

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