How to Enroll in FirstCare Advantage Dual SNP (HMO SNP)

Enrollment for the FirstCare Advantage Dual SNP (HMO SNP) is available by sending in an enrollment form, calling our Customer Service Department or enrolling on-line through Medicare.gov website. There are eligibility restrictions to when and how often you can change the way you get Medicare and what choices you can make when you make the change. 
 
Here are some ways you may qualify to enroll outside the annual enrollment period:
  • You may qualify if you have recently moved
  • You qualify for both Medicare and Medicaid
  • You have recently qualified for other Low Income Subsidy
  • You have lost your group health care coverage
 Contact FirstCare Advantage Dual SNP (HMO SNP) Customer Experience Center today to see if you qualify!
 

How Do I Enroll by Mail?

Download and print the enrollment application and attestation of eligibility form below.

2019
2019 FirstCare Advantage Dual SNP Individual Enrollment Request Form

2019 FirstCare Advantage Dual SNP Individual Enrollment Request Form - version en Español

2019 FirstCare Advantage Dual SNP Attestation of Eligibility Form

2019 FirstCare Advantage Dual SNP Attestation of Eligibility Form - version en Español
Get Adobe Reader
 

Fill out the Enrollment Form. There are instructions on the first page of the form.
  • Mail both forms to:
FirstCare Advantage Dual SNP (HMO SNP)
Attention:  Enrollment Department
12940 N HWY 183
AUSTIN TX 78750-9952
 
Have questions?   We are here to help. Our trained Customer Experience Agents are available to assist you. We are available by calling 1-866-229-4969, TTY/TDD users 1-800-562-5259. 
Medicare beneficiaries may also enroll in FirstCare Advantage Dual SNP (HMO SNP) through the CMS Medicare Online Enrollment Center located at
http://www.medicare.gov.
  • TTY - 1-800-562-5259
  • FirstCare Advantage Dual SNP (HMO SNP)
  • 1901 West Loop 289, Suite 9
  • Lubbock, TX 79407
FirstCare Advantage Dual SNP (HMO SNP) is a Health Plan with a Medicare Contract and a contract with the Texas Medicaid Program. Enrollment in FirstCare Advantage Dual SNP (HMO SNP) depends on contract renewal. If Medicare determines during the year that our contract must be terminated, then the plan's members will be notified in advance of the plans termination. If this were to occur, FirstCare Advantage Dual SNP (HMO SNP) will provide all members with a notice within 30 to 60 days for any termination of contract with CMS. You must be entitled to Medicare Part A, be enrolled in Part B, and reside in our service area to be eligible. If you obtain routine care from out-of-plan providers neither Medicare nor FirstCare Advantage Dual SNP (HMO SNP )will be responsible for the costs. Enrollment is limited to certain times of the year, please see eligibility restrictions for more guidance.

Enrollment Kit Request

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Resources

Virtual Care Powered by MDLive

We've teamed up with MDLIVE to provide our members with access to Telehealth visits to board-certified doctors, pediatricians, licensed therapists and more- using your smartphone, tablet or desktop.  ***Available January 1, 2019***

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.

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

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