• First Choice
• First Choice Miembro
• First Choice Kids
• FC Kids Miembro
• Provider
• Pharmacy

Frequently Asked Questions

• How can I find a doctor in your network?
• What is prior authorization? How do I get it?
• Can I change my primary care doctor?
• What are your hours of operation? What phone number should I call?
• What is a well visit?
• How do I become a member?
• How do I know if I am eligible?
• If I can't get my medicine, can I call First Choice while I am at the pharmacy?
• What should I do if I get a bill?

You can search our doctors by name, county or zip code from our website.Click here to search for a doctor in your area. You can also call our Member Services Department at 888.276.2020, and a representative will help you find a doctor in our network.

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 888.276.2020.

Yes. Call the Member Services Department at 888.276.2020, and a representative will help you change your primary care doctor. For most doctors, you can call anytime during the month, and the change will go into effect the 1st day of the next month.

The Member Service Department 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 888.276.2020.

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.

Enrollment is done through Healthy Connections Choices. If you are eligible, please contact Healthy Connections Choices at: 877.552.4642.

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
• Are a foster child

Yes. If you have a problem getting your medication, please call Member Services at 888.276.2020 while you are still at the pharmacy.

If you receive a medical bill, call Member Services at 888.276.2020 as soon as possible. Please have the bill in hand when you call, so that the representative can help you.