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

Member Portal

Log In/Register

FirstCare is here for you.

Interested in a Marketplace plan?

FirstCare Health Plans: 1-866-522-2516

Baylor Scott & White Health Plan: 1-866-522-2515

Already a member? Call Customer Service at 1-855-572-7238.

Resources

FirstCare's Direct Enrollment Portal Service Area Map 2023 Marketplace Informational Flyer Find a Provider Get a Quote Pay Your Premium Automatic Payments GuideHelp setting up automatic premium payments for your Marketplace plan Rate Increase Justification Technology Assessment Program Marketplace Member Guide

Non-Discrimination Notice

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

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Access a Doctor, 24/7/365

FirstCare Virtual Care—powered by MDLIVE lets you connect with a doctor from wherever you are.

Virtual Care

Talk to a Nurse
24-Hour Nurseline

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 1-877-505-7947 to get answers 24 hours a day, 7 days a week! TTY users can call 711.

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.

Utilization Management

Population Health Management

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