Coverage Summary
| Benefit: | You Pay: |
|---|---|
| Primary Care Doctor Visit | $0 copay |
| Specialist Visit | $30 copay |
| Inpatient Hospital Care | $320 copay per day for days 1-6 |
| Emergency Services (In and out-of-network) | $90 copay, waived if admitted within 24 hours for the same condition. |
| Urgent Care Services | $0 - $30 copay, depending on the service |
Prescription Drug Coverage
| Benefit: | You Pay: |
|---|---|
| Prescription Drug Deductible | N/A |
| In-Network Prescription Drug Coverage - Initial Coverage | N/A |
| Coverage Gap | N/A |
| Catastrophic Coverage | N/A |
Extra Coverage
| Benefit: | |
|---|---|
| Extra Benefits | Routine vision |
Out of Network Coverage
| Benefit: | |
|---|---|
| Medical Services/Supplies | If you receive care from an out-of network provider without prior authorization from our plan, the care will not be covered except for emergency care, urgently needed care and dialysis services. |
| Prescription Drugs | N/A |
Value Added Benefits and Services
Member Portal
A secure member only website that keeps you in control of your health and wellness with a variety of easy-to-use tools.
FHCP's Preferred Fitness Program
With our Preferred Fitness Program, you'll have free unlimited visits to participating fitness centers and gyms within the Service Area.
Case Management Coordination of Care
The Case Management Coordination of Care Program is designed to address the needs of all members helping to navigate the health care system, functioning as a health coach, connecting members with community resources, and implementing measures to improve the quality of life and disease-specific outcomes. The case management process is characterized by advocacy, communication, and resource management.
FHCP Centers
We pride ourselves on being local and accessible. Our dedicated Member Services Team is always happy to assist you either by telephone or in person. We welcome our members to stop by and talk with us at one of our convenient locations throughout our service area.
