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First Choice frequently asked questions

How do I become a member?

You can enroll through Healthy Connections Choices. If you are eligible, please contact Healthy Connections Choices at: 1-877-552-4642.

How can I find a doctor in your network?

You can search our doctors by name, county or zip code from our website. Use our Online Provider Directory doctor in your area. You can also call our Member Services Department at 1-888-276-2020, and a representative will help you find a doctor in our network.

What is prior authorization? How do I get it?

Some prescriptions must be approved before you can get them filled. This is called a prior authorization. If a medicine needs prior authorization, your doctor must complete a form and return it to First Choice before the prescription can be filled.

If the request is approved, a notice is sent to your doctor, and you can get your medicine. If the request is denied, you will get a letter explaining why. If you don't agree with the denial, you can appeal the decision. To file an appeal, call Member Services at 1-888-276-2020.

Can I change my primary care doctor (PCP)?

Yes. Call Member Services at 1-888-276-2020. A representative will help you change your primary care doctor.

What are your hours? What number should I call?

Member Services is available to take your call Monday through Friday from 8 a.m. to 9 p.m. and Saturday and Sunday from 8 a.m. to 6 p.m. Please call toll free at 1-888-276-2020.

What is a well visit?

A well visit is a complete medical check-up from head to toe. Based on age, there are certain times that you (or your child) should have a well visit.

  • From birth to age 2: At 3-5 days, 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 24 months, and 30 months 
  • Age 3 through age 21:  Every year 
  • Adults: Every 1-3 years

How do I know if I am eligible?

You may be eligible for First Choice if you have Medicaid through:

  • TANF (Temporary Assistance to Needy Families) 
  • SOBRA (for Pregnant women) 
  • Social Security without Medicare

You are not eligible for First Choice if you:

  • Have Medicare 
  • Are 65 or older 
  • Have another HMO plan 
  • Receive hospice care 
  • Live in a nursing home

If I can't get my medicine, can I call First Choice while I am at the pharmacy?

Yes. If you have a problem getting your medicine, please call Member Services at 1-888-276-2020 while you are still at the pharmacy.

What should I do if I get a bill?

If you get a medical bill, call Member Services at 1-888-276-2020 as soon as possible. Please have the bill in hand when you call, so that the representative can help you.

Why is First Choice asking for my race, ethnicity and language?

At First Choice, we're here to serve you. We want to make sure that all of our members get the best care possible. The more we know about you, the better we can meet your needs. The next time you talk to a First Choice customer service representative or nurse, you may be asked to share your race, ethnicity (cultural background), and preferred written and spoken language. You do not have to answer these questions. But, if you do, your answers will help us make sure that you and your family get good care.

Your information will stay private. We will only share it with your doctor and other health care providers. For more information about how your race, ethnicity (cultural background) and language information is protected and stays private, please read our Privacy Protections for Member Race, Ethnicity & Language Data. 

If you have questions, please contact Member Services at 1-888-276-2020.