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24/7 Self-Service Portal

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Please choose from the options below to access your Member Portal or view the User Guide for instructions:

  • If you are a FirstCare Health Plans Marketplace, STAR Medicaid or CHIP member in West Texas, visit FirstCare.com.
  • If you are a RightCare from Scott and White Health Plan STAR Medicaid member in Central Texas, visit rightcare.swhp.org.

Please choose from the options below to access the correct Employer Portal or view the User Guide for instructions:

Please choose your patient's coverage type from the options below to access the correct Provider Portal or view the User Guide for instructions:

  • If you are a FirstCare Health Plans Marketplace, STAR Medicaid or CHIP provider in West Texas, visit FirstCare.com.
  • If you are a RightCare from Scott and White Health Plan STAR Medicaid provider in Central Texas, visit rightcare.swhp.org.

Please choose from the options below to access the correct Portal or view the User Guide for instructions:

  • If you are an agent or broker with FirstCare Health Plans (FirstCare) business (Commissions through first quarter 2022), visit FirstCare.com.

Portal Features

Here's a quick look at the various features provided:

Claims

  • List of Claims information for member(s) enrolled on plan.
  • Results can be filtered by Date of Service, Member, Claim Number, Provider or Status.
  • Click Claim Status to see full Claim Details, plus an Explanation of Benefits (EOB) link.

Authorizations

  • List of Authorization information for member(s) enrolled on plan.
  • Results can be filtered by Date of Service, Member, Referrer, Authorization Number, Alt Number, Type, admit Type, Approval Letter or Status.
  • Click Authorization Status to see full Authorization Details.

Deductible

  • Lists various plan details, including:
  • Member Name
  • Effective Date
  • Status
  • Member Number
  • Group Number
  • Family and Individual Deductible
  • Family & Individual Out-of-Pocket Maximum
  • RX Deductible & Out-of-Pocket Maximum
  • Progress toward reaching Maximums

Plan Benefits

  • Listing of In-Network Copays and Other Copays
  • Detailed Explanation of Coverage, and usage progress for current year
  • Link to detailed Pharmacy Benefits
  • Link to downloadable Benefits Documents

ID Card

  • Displays an image of your member ID card. This image file can be downloaded as a PDF and printed for use as a temporary ID card.
  • Request New ID Card—verify the address and click Submit Request.

Documents and Resources

  • Online repository for member documents (i.e., Member Handbook, Formulary, Member Rights and Responsibilities, Notice of Privacy Practices, etc.)

Member Support

  • Create a new Request for Support and message with Customer Advocates.
  • Please allow two (2) business days for a response.

Other Coverage

  • List of additional insurance coverage.

Wellness

  • Includes links to wellness programs and educational resources.

Virtual Care

  • Click Launch MDLIVE to connect with MDLIVE, your 24/7 resource for easy, convenient online doctor visits. Doctors are available for help with more than 50 minor illnesses, from colds and sinus infections to allergies and more.
  • Use Chrome, Safari or Edge for the best experience.

Eligibility and Authorizations

  • See what services are covered under your plan.

Benefits Information

  • Review your Member Handbook.
  • Update your personal information.

Account Information

  • Choose or update your PCP.
  • Update personal information.
  • Add or update other coverage information.

ID Cards

  • View or download temporary ID cards (front and back) for the entire family.
  • Order a new ID card.

Provider and Pharmacy Finder

  • Find an in-network doctor, specialist, pharmacy, hospital or health care facility.
  • Find a nearby urgent care facility.

Deductible and Out-of-Pocket

  • See if you have met your deductible or out-of-pocket amounts.

Copays and Coinsurance

  • Find your copayment and/or coinsurance amounts.

Claims

  • Check the status of your claims.
  • View and search for recent and past claims.

Explanation of Benefits

  • View your Explanation of Benefits and other correspondence.

Cost Estimators

  • Use our calculator to estimate the costs of procedures, tests and treatments.

Invoices

  • Search for paid and outstanding invoices.

Wellness Program

  • Access the FirstCare Plus Wellness Program website.
  • Enrollment Tools
  • Invoices
  • Commissions
  • Group Reports
  • Document Search
  • Message Center
  • Detailed Account Search and Information
  • Document Search
  • Authorization Request and Search
  • Reporting Features
  • Message Center
  • Claims Search
  • ID Card Features
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