Tools and Resources for
STAR and CHIP Members


At FirstCare Health Plans, giving you access to helpful plan information is important to us. Did you know you can find useful tips and tools in your Member Handbook?
 
Please read your handbook (and click on the topics linked below), to learn about your benefits, how to find a doctor, how to use your plan and more. Questions? Contact us Monday through Friday, from 8 a.m. to 5 p.m. Central Time.
 
  • Your plan benefits, including services covered and not covered
  • How to receive primary care services 
  • How to get services for specialty care, behavioral health care and hospital care
  • How to find information about doctors in our network
  • How to get approval for medicine, treatment, surgery, or hospital stays
  • Your costs for services, including copays and other charges
  • How to submit a claim for covered services, if needed
  • A list of the approved medicines in your plan
  • How to get care outside of our plan
  • How to get language assistance
  • How and when to get emergency care/call 911
  • How to get care after office hours
  • How to contact Nurse24 or FirstCare Virtual Care—powered by MDLIVE
  • Expecting the Best® Maternity Program
  • How to get healthy and stay healthy
  • Case Management services
  • FirstCare’s decisions about new tests, medicine or treatments
  • How to submit a complaint or appeal
  • FirstCare’s Compliance program
  • How we guard the privacy of health information 
  • How to get care when sick and traveling
  • Your member rights and responsibilities
  • What to do if you have questions about your plan, your bill, and other frequently asked questions

Find a Provider

Click below to access the STAR/CHIP provider directories:

Access a Doctor, 24/7/365

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

Need Help?
Contact Us!

We can help you find a doctor, schedule a checkup, or answer any questions you have about your benefits.
 
Call FirstCare Customer Service at 1-800-431-7798 (STAR) or 1-877-639-2447 (CHIP). We're open Monday through Friday, from 8 a.m. to 5 p.m., excluding state approved holidays. If you call after hours, please leave us a message. We return all calls the next business day.
 
Our Customer Service Representatives speak both English and Spanish. If you speak another language, we can connect you with an interpreter.

Members with hearing loss can call the Relay Texas number 7-1-1. Relay Texas is a free telephone interpreting service to help people with hearing or speech disabilities.

Resources

Talk to a Nurse—Nurse24™

Need care advice? Should you see a doctor? FirstCare members can talk to a nurse by calling 1-855-828-1013. Get answers 24 hours a day, 7 days a week! Information is available in English and Spanish. Interpreter services available upon request. 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 to authorize services? Our decisions are based on medical evidence and consensus of health care professionals. For more details, click here.

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