COVID-19 Update: We’re here for you.
As we continue to monitor the spread of COVID-19, we are committed to keeping you informed. Customer advocates are available by phone, as always. Click here for more information and benefit updates.
Employer Update: Member cost-share waiver for COVID-19 care
Effective March 6, 2020, and until further notice, FirstCare Health Plans is waiving member cost-sharing for care related to COVID-19, which includes testing, telehealth services, outpatient office visits and inpatient hospital stays. This applies to fully insured groups. Self-funded customers may also elect to implement this coverage for their employees. Members of self-funded groups will be directed to their Human Resources Department for guidance.

Group Health Plans

Why FirstCare Health Plans?

Like many of the employers we serve, FirstCare is a Texas-based local business. So we understand what you’re looking for in a health plan for your business. You need competitive pricing and predictable costs. But you’re also looking out for your employees — so of course you want the best quality care and customer service.
 
We get it. That’s why FirstCare offers a broad range of affordable group health plans designed for our friends, neighbors and Texas businesses. Our plans are simple to understand and administer. We make it easy for your employees to access the finest doctors, hospitals and health services in our communities. And we provide incredible service for you and your members, with a “people first” attitude.
 
Want to offer other products such as dental or vision insurance? Want to offer both HMO and PPO plan options to your employees? We can do that and save you money in the process too. With FirstCare Health Plans, you would join thousands of group clients representing more than 120,000 members. Our commercial service area encompasses 108 counties in central and west Texas. We’d love to help you.  

Small Group Plans

We offer a range of HMO and PPO plans for small employers — businesses with 50 employees or less. FirstCare plans are competitive with other carriers in terms of pricing and plan design. What’s more, we have the plans to best meet your employees' needs.

View Small Group Plans

Large Group Plans

For large groups (with 51 or more employees), we offer a range of HMO and PPO plans that are competitive with other carriers in terms of pricing and plan design. What’s more, we are flexible and open to customizing plans to better meet your unique needs.

View Large Group Plans

Teacher Retirement System of Texas (TRS) Plan

FirstCare has served the needs of retired teachers for more than a decade. Our TRS-ActiveCare HMO Plan includes a newly expanded service area, a new wellness program, and more.

View TRS-ActiveCare HMO Plan

Administrative Services

Self-funding can be a cost-effective alternative for many businesses. FirstCare can help. We offer experienced, professional contract administration and local, accurate adjudication of medical claims.

View Administrative Services

  

Employer News

FirstCare wants to keep you informed of national developments affecting employee benefits and the latest news for group health plans.

View Employer News

Hearing Health for Life

FirstCare has teamed up with Amplifon Hearing Health Care to give you savings on hearing aids and services, at a convenient location in your neighborhood.
 
For more than 20 years, Amplifon has earned the trust of millions of people across the country. Their goal is to help you find the right solution for your hearing health by providing personalized service, high-quality care and exceptional products.

With Amplifon, you can access a discount for hearing aids and related services. For more information, click here or call 1-888-413-8752 today.
 

FirstCare Plus - Health and Wellness Benefits

We want to help your employees stay healthy. That’s what FirstCare Plus is all about.

FirstCare Plus gives your employees personal health support through online tools and resources. They can take a customized health assessment. Check out any worrisome symptoms. Discover programs to help them take charge of their health and wellness.

Expecting the Best® Maternity Program
FirstCare Health Plans is pleased to offer the Expecting the Best® maternity program, focused on helping expectant mothers enjoy a healthy pregnancy. Once enrolled, participants can benefit from diverse program features for the duration of their pregnancy and one year postpartum. Participants receive helpful educational materials across distinct categories, including proper nutrition, early identification of pregnancy risk factors and available resources for any complications.

Resources

Find a Provider Service Area Map

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.

Employer Automatic Payments

Click here to set up.


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

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