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Individuals & Families

Healthy Pregnancy Information

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Expecting the Best® Maternity Program

FirstCare Health Plans is pleased to offer Expecting the Best® for our members. This program is focused on helping mothers enjoy a healthy pregnancy. Expecting the Best® members will receive helpful tips and assistance during pregnancy and for one year after birth.

Pregnancy/Delivery
  • Planning for delivery, including individual support during and after a pregnancy
  • Access to a nurse 24 hours a day, seven days a week
  • Coordinated efforts to promote full-term birth in women who previously delivered pre-term
  • In-home support for high-risk conditions such as diabetes, hypertension and severe nausea
  • Early enrollment in case management support program
Postpartum
  • Depression screening following delivery, including postpartum resources
  • Parental education for newborn health during the first year
  • Immunization reminders
  • Planning for returning to work
Members may be contacted by a Case Manager to invite you to this program, when we receive a claim indicating pregnancy. You may also opt-in and sign up for this program by calling the customer service number on the back of your insurance card or email us. Please include:
  • Name
  • Preferred phone number
  • FirstCare member number
  • Brief description of your needs
A Case Manager may invite you to enroll when we receive a doctor’s referral or pregnancy claim. You can opt-in or out of this program at any time through a Case Manager or customer service.

Click here for informational flyer.

Member Portal

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Authorization Information

Click here to access authorization information.

Find a Provider

Click below to access the STAR/CHIP provider directories:

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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 711. 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 711 or 1-800-955-8771. Voice communication is available at 1-800-955-8770.

Healthy Texas Women Plus

Beginning Sept. 1, 2020, Texas HHSC is implementing Healthy Texas Women Plus (HTW Plus), an enhanced, cost-effective and limited postpartum services package for women in the HTW program. HTW Plus will be provided in the postpartum period for not more than 12 months after the start date. Women in HTW Plus will have access to both HTW and HTW Plus benefits.For more details, click here.

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.

Non-Emergency Medical Transportation (NEMT)

1-833-779-3105
For more details, click here.

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