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FirstCare Plus

Wellness, Condition Management and Maternity Programs
 
 
FirstCare Plus offers members personalized health support tools—online and over the phone—as well as these additional resources:
 
  • Case Management Program
All Health Plan members with current coverage can have Case Management. The program is an added benefit for our members. Case Management is at no cost to the member. Our program is completely voluntary so members may opt in or out at any time.
 
What Case Management Can Help With
The nurses and social workers are here to help you:
  • Get care, services, equipment and medications.
  • Understand and manage your health conditions.
  • Tunderstand and get the most out of your benefits.
  • Understand the healthcare system and get needed authorizations and referrals.
  • Find programs and community resources for things your insurance does not cover.
 
What to Expect
After being referred to Case Management, one of our team members will call you and complete an assessment over the phone. You can expect this call within four (4) days. This assessment will help us identify what needs you have. We will work with you to create a plan of how to meet your needs. We will work with you on your plan until your needs are met, you no longer have coverage with us, we can no longer reach you or you decide you no longer want help.
 
You will be linked with a nurse or social worker who you can call directly anytime you need help. Your nurse or social worker can also work with your doctor or pharmacy to help you. Health information is confidential and protected. Having Case Management does not affect your Medicaid coverage.
 
How to Request Case Management to Help You:
To request Case Management, call: 1-800-431-7798 and ask to speak with a member of our team. You can also email us to request Case Management at: CaseManagement@BSWHealth.org.
 
Our Case Managers are available between 8 AM and 5 PM CT weekdays (except for state-approved holidays). TTY users can call 711.
 
  • 24-Hour Nurse Advice Line/Online Nurse Chat
Need care advice? Have a medical question? Not sure if you should see a doctor? For non-emergency symptoms and health or treatment questions, FirstCare Members have access to talk with a nurse 24 hours a day, every day. Get the information you need any time of the day or night by calling 1-855-828-1013. Information is available in English and Spanish. Interpreter services available upon request. TTY users can call 7-1-1.
 
  • Expecting the Best® Maternity Program
This FirstCare Health Plans is pleased to offer the Expecting the Best® maternity program, focused on helping expectant mothers enjoy a healthy pregnancy. Once enrolled, participants can benefit from diverse program features for the duration of their pregnancy and one year postpartum. Participants receive helpful educational materials across distinct categories, including proper nutrition, early identification of pregnancy risk factors and available resources for any complications.
  • Digital Wellness Platform*
Take an online health assessment to tailor the site to your specific health needs and access various wellness information and activities. Check out the online chat options and wellness trackers too! The wellness program encourages members to be healthy, while providing personal health support for various health conditions and health risks.

Members can take advantage of the following resources:
  • Online wellness assessments and trackers*
  • Healthy lifestyle tips (i.e., fitness planner, meal planner, challenges, etc.)
  • Details on various diseases and conditions (i.e., allergies, asthma, osteoporosis, sleep disorders, etc.) as well as surgical/medical procedures, medications & a symptom checker
  • Complementary/alternative medicine information
  • Quizzes, assessments and games
  • Health blog
NOTE: Currently, FirstCare does not offer monetary incentive or reward for FirstCare Plus members’ accrued points.
 
  • FirstCare's Disease Management Program
The disease management program provides specialized help from registered nurses for members with conditions such as: Asthma, Diabetes and Musculoskeletal Conditions (injuries or disorders of the muscles, nerves, tendons, joints, cartilage and spinal discs).

The program offers education and coordination of care between your doctors and benefits. You can talk and work with a nurse who has been certified and licensed by the state. We want to help you get information and the support you need. Please call us at 1-855-828-1013 if you would like the extra help. Our disease management programs are at no additional cost to you.
 

FirstCare members can access FirstCare Plus by logging into the member portal, or by calling 1-855-828-1013.
 

Tools & Features

Members can take advantage of the following FirstCare Plus resources:
  • High-risk pregnancy screening (through Expecting the Best® Maternity Program)
  • Access to our 24/7 nurse line and online chat
  • Recommendations and news based on member’s profile
  • Online seminars
  • Message center
  • Educational resources 

Questions?

Contact FirstCare Customer Service for assistance.

*For Commercial Members Only.
 

Stay Connected

Resources

We put you first

Contact our Customer Service team for assistance.

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 1-877-828-1013 to get answers 24 hours a day, 7 days a week! TTY users can call 711.

Behavioral Health Services

Having a tough time? Need to talk to someone? Make the most of your FirstCare benefits & call us at 1-800-327-6943 for 24/7 assistance with what's troubling you.

Community Resources

Click here for valuable resource information—programs, events, support groups, educational sessions, volunteer opportunities, and more—available throughout the communities we serve.

Our Service Area Maps

Commercial HMO and PPO
Marketplace Individual/Family Medicaid STAR/MRSA CHIP

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