FirstCare Member Resources

As a FirstCare Health Plans member, learn more about how you can use your FirstCare health care coverage to access the services you need, when you need them.

FirstCare Member Handbook

As a FirstCare member, your Member Handbook provides you with details about your plan, how to utilize the FirstCare network of physicians, and more.  Click on the links below to access the Member Handbook for your plan:   

Quick Reference Guides

Our priority is to provide you—the FirstCare member—with an exceptional health care coverage experience. These quick reference guides are designed to provide information about your coverage and help you get the most out of your plan. Click on the links below to access the Quick Reference Guide for your plan:   

Your FirstCare Member ID Card

Remember to carry your FirstCare member ID card with you at all times. You will need to show it to your provider(s) when you receive covered services. You card contains important information, including your plan name, member ID number, copay/coinsurance amounts, and customer service phone number(s) to call if you have questions. Click here to view samples of FirstCare ID cards. 
 
NOTE:  Information shown on your ID card may vary based on your plan benefits.

To print a temporary copy of your ID card, please log on to myFirstCare Self-Service. You can also contact our Customer Service team and request your new card be mailed to you.

myFirstCare Self-Service—available 24/7

We're committed to providing FirstCare members with access to high-quality health care in their communities, as well as tools and resources to understand and manage their health plan benefits. With myFirstCare Self-Service you can enjoy access to your health plan through intuitive and mobile-friendly navigation—all within a secure environment that includes the resources you can count on from FirstCare.

Click on the links below for information on logging in to your portal.

  

 
Find a Provider/Pharmacy

Looking for a doctor in your area?  FirstCare's online provider directory helps you locate a doctor or hospital in your area. You can also find links to view your plan's pharmacy directory. To get started click here.

For pharmacy information, FirstCare's pharmacy benefits manager (PBM) Navitus, makes it easy to get started using your prescription drug benefits.
Click here for tips on accessing the Navitus portal, setting up mail-order prescription drugs, contact information for your prescription benefit questions, and a helpful FAQ. 

Click on the following links to access details on your plan's prescription drug network:

 

Medical Cost Estimator

Take the mystery out of health care costs. FirstCare’s medical cost estimator gives members a simple, intuitive way to easily understand how much a procedure will cost, compare costs across providers and understand your specific out-of-pocket costs, including the impact on your deductible and overall medical expense. Log on to myFirstCare Self-Service to find out more.

Health and Wellness—FirstCare Plus

Helping you stay healthy. That’s what FirstCare Plus is all about.

LifeBalance—Lifestyle and Wellness Discounts

Ever feel like you are so busy making a living that you never make a life? LifeBalance offers a user-friendly platform with well-being discounts for various goods and services in your area. FirstCare's commerical plan members can find deals on things like health club memberships, yoga, spa treatments, weight management programs, athletic apparel, hotels, movies and more. All just a click away through my.FirstCare.com—our member self-service portal. For more details, click here.

What Does It Mean?—A Health Insurance Glossary

Health insurance terms and phrases can be confusing, so we've compiled a list to help you.

Questions? Contact Us!

If you have any questions about your plan, your benefits, or FirstCare—our Customer Service team is standing by, ready to assist you.

Resources

Contact Us Find a Provider or Pharmacy 

We put you first

Find out more about FirstCare Health Plans:

Our Service Area Maps

Coverage to Care

CMS has provided this helpful roadmap to better care and a healthier you—click here for details!

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!

Emergency vs. Urgent Care

A trip to the ER can be costly & time consuming. Follow these guidelines to help determine when a condition is serious enough to go to the ER versus visiting an Urgent Care center.

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..


The National Committee for Quality Assurance (NCQA) awarded FirstCare a Commendable Status (Medicaid HMO, 09/2018) & an Accredited Status (Commercial and Marketplace HMO, recertified 02/2018)—reflecting our continuous work to fulfill NCQA requirements for consumer protection & quality improvement.


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