Novel Coronavirus (COVID-19)

FirstCare Health Plans – Here With You Through COVID-19

FirstCare Health Plans and Baylor Scott & White Health are actively monitoring COVID-19 developments and are working together to ensure members get the care and coverage they need, when they need it most.  You can expect claims processing, customer service by phone and member portal, and other operations to continue as usual.

To protect our members and also our health plan employees, we are temporarily suspending in-person visits to our health plan.  We hope to welcome you back to our offices very soon.

We have more information on COVID-19 and how to keep your loved ones safe at BSWHealth.com.

Benefit Updates

The following updates apply to fully insured Commercial Group and Individual policies, as well as Medicare plan members (except where noted). Members of self-insured groups should contact their Human Resources Department regarding coverage.

Virtual Visits and COVID-19 Testing
FirstCare Health Plans is working with providers who have not traditionally provided virtual care (telehealth) services to ensure members have every opportunity to get care without leaving home.

Virtual visits for COVID-19-related testing and diagnosis are now covered at a $0 copayment, whether the service is provided through the member’s physician, or through MDLIVE (more information provided below).

Prescription Drug Refills and Rx Prior Authorizations
In conjunction with our pharmacy benefit manager, FirstCare Health Plans is amending its prescription drug policies to ensure an uninterrupted supply of medication during the COVID-19 threat.
  • Early Refills. You may obtain an early refill of your prescription medications if you have refills remaining on file at a participating retail or mail-order pharmacy. The refill obtained will stay consistent with the standard days’ supply previously filled as allowed by your plan (e.g., 30- or 90-day supply).
  • Extended Authorizations. We are extending prescription drug approvals (prior authorizations) for most medications for an additional 90 days, for commercial members whose authorizations expire on or before May 1, 2020.  (Does not apply to Medicare members at this time).

What to Do if You're Sick

If you feel sick with fever, cough, or have difficulty breathing and have traveled to high-risk locations or were in close contact with someone with COVID-19 in the 14 days before you began to feel sick, seek medical care.

Option 1: Stay home and visit a doctor virtually, 24/7.
FirstCare Health Plans has teamed up with MDLIVE to provide access to board-certified doctors 24 hours a day, seven days a week.

To visit with a doctor:
After your visit, prescriptions (if needed) will be sent immediately to your preferred pharmacy.
 
Option 2:  Find a doctor, clinic or hospital near you. 
When you schedule your visit, share your concerns about your COVID-19 symptoms or exposure. Your doctor’s office, clinic or hospital will have instructions for your visit.
 
Option 3:  If you are experiencing a medical emergency, call 911.
Notify the operator if you have COVID-19 or need to be seen for COVID-19 symptoms. If available, put on a face mask before the ambulance arrives.

We're Here to Help

FirstCare Health Plans is dedicated to providing ongoing access to quality healthcare services for members impacted by public health emergencies. We will follow federal and state guidance while working with hospitals, drug stores and other providers to ensure our members get the care and medications they need.

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