Novel Coronavirus (COVID-19)
Physician/Provider Notice
Find information about COVID-19 coding guidelines, claims submission procedures, and reduced prior authorization requirements on the provider section of our website.

FirstCare Health Plans – Here With You Through COVID-19

FirstCare Health Plans and Baylor Scott & White Health are continuing to monitor 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 remain as usual.

To protect our members and also our health plan employees, we are temporarily suspending in-person visits to our health plan offices. This does not apply to Baylor Scott & White Health medical facilities.

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.

COVID-19 Vaccine Update

The U.S. Food and Drug Administration (FDA) issued Emergency Use Authorizations for COVID-19 vaccines by Pfizer, Moderna and Johnson & Johnson/Janssen. We want to answer a few of your questions about this exciting development in the fight against COVID-19.

Learn more about vaccine safety and how to get a vaccine.

What does the COVID-19 vaccine cost?
The COVID-19 vaccine is available to health plan members at zero out-of-pocket cost.

Potential Schemes Related to COVID-19

Scammers are using telemarketing, text messages, door-to-door visits as well as social media to conduct their fraudulent activities. These individuals are offering COVID-19 tests, grants and prescription cards in exchange for personal information to benefit themselves and harm the public.

Benefit Updates: COVID-19 Testing and Treatment

Effective July 1, 2021, and until further notice:
  • FirstCare Health Plans continues to waive all member cost-sharing for COVID-19 testing and vaccinations.
  • Member cost-sharing is no longer waived for outpatient office visits and inpatient hospital stays.
  • Refer to your plan documents for:
    • Telehealth services coverage
    • Copayment information
    • Other plan details
This applies to fully insured Commercial Group and Individual policies. Members of self-insured groups should contact their Human Resources Department regarding coverage.

What to Do if You're Sick

The COVID-19 virus and its variants are still circulating in the community. Even individuals who are fully vaccinated should remain watchful of their health.

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.
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:
  • Log into your member portal;
  • Download the MDLIVE mobile app; or
  • Call and speak to an MDLIVE representative at 1-800-718-5082
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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