Service Area map

Dual Special Needs Plan
(D-SNP) Service Area

This plan is designed to meet the special needs of those who are eligible for both Medicare and Medicaid. You must be eligible for Medicare and Medicaid in order to enroll in FirstCare Advantage Dual SNP (HMO SNP). Ask if you qualify to enroll in FirstCare's Special Needs Plan designed for Medicare and Medicaid beneficiaries.

FirstCare Advantage Dual SNP (HMO SNP) serves the following counties in Texas: 

Carson, Crosby, Deaf Smith, Floyd, Garza, Hale, Hockley, Hutchinson, Lamb, Lubbock, Lynn, Potter, Randall, Swisher, and Terry

FirstCare Low Income Subsidy (LIS) Premium Summary Chart

2021 FirstCare Advantage Dual SNP LIS Premium Summary Chart
2021 First Care Advantage Dual SNP LIS Premium Summary Chart - Version en Español


2021 Plan Benefits

FirstCare Advantage Premier

FirstCare Advantage Select
Monthly Payment $0 - $22.50
(depending on your level
of Low Income Subsidy)
$0 - $22.50
(depending on your level
of Low Income Subsidy)
Inpatient Hospital
$0/day Medicare-defined
cost sharing
Skilled Nursing Facility (SNF)
No prior hospital stay required.

Covers up to 100 days per Medicare defined benefit period
$0/day Days 1-20: $0
Days 21-100: $176
Home Health $0/day Days 1-20: $0
Days 21-100: $176
Outpatient Surgery
(includes Outpatient Hospital & ASC locations)
$0 copay Medicare-defined
cost sharing
Ambulance $0 copay 20% coinsurance
Emergency Care $0 copay 20% up to $90
Urgent Care $0 copay 20% up to $65
Doctor Visits
Primary Care

$0 copay
$0 copay

$0 copay
20% coinsurance
Physical Therapy $0 copay 20% coinsurance
Speech Therapy $0 copay 20% coinsurance
Occupational Therapy $0 copay 20% coinsurance
Preventive Care $0 copay $0 copay

This information is not a complete description of benefits. Call 1-866-229-4969/TTY 711 for more information.

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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. For more details, click here.

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? Our utilization management (UM) decisions are based on medical evidence and consensus of health care professionals. For more details, click here.

Population Health Management

Support for Your Health Needs

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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:
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 711.
Or, write:
FirstCare Advantage Dual SNP (HMO SNP)
Attn:  Customer Service
7005 Salem Park Drive
Suite 100 (1st Floor)
Lubbock, TX 79424

"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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