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2019 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.

2019 Summary of Benefits

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

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

2019 Evidence of Coverage

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

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

2019 Formularies

2019 FirstCare Advantage Dual SNP Abridged Formulary
(last updated 08/06/2019)

2019 FirstCare Advantage Dual SNP Abridged Formulary - Version en Español
(last updated 08/06/2019)

2019 FirstCare Advantage Dual SNP Comprehensive Formulary
(last updated 08/06/2019)

2019 FirstCare Advantage Dual SNP Comprehensive Formulary - Version en Español
(last updated 08/06/2019)

2019 Provider/Pharmacy Directory

2019 FirstCare Advantage Dual SNP Provider/Pharmacy Directory
(last updated 07/29/2019)

2019 FirstCare Advantage Dual SNP Provider/Pharmacy Directory-Version en Español
(last updated 07/29/2019)

2019 Fraud, Waste, and Abuse Education Insert

2019 Fraud, Waste, and Abuse Educational Insert

2019 Fraud, Waste and Abuse Educational Insert - Version en Español

2019 Notice of Privacy Practices

2019 Notice of Privacy Practices Insert

2019 Notice of Privacy Practices Insert - Version en Español

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 1-800-562-5259.
 
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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