2021 Resources and Tools
Click here for the 2022 Resources and Tools.
General Information and Plan Documents:
- CMS Stars Plan Rating
- General Transition Policy
- Transition of Care Form
- Authorization to Release Protected Health Information (PHI)
- Preferred Fitness Directory
- 2021 Medicare Provider Directory
- 2021 Medicare Pharmacy Directory
- 2021 Medicare Formulary
- Member Resource Guide
Plans Available In Flagler and Volusia Counties
FHCP Medicare Rx (HMO)
- 2021 Enrollment form
- Enrollment form instructions
- 2021 Summary of Benefits
- 2021 Evidence of Coverage
- 2021 Annual Notice of Change
- 2021 Low Income Subsidy Premium table for those receiving Extra help
- Additional Benefits
FHCP Medicare Rx Plus (HMO-POS)
- 2021 Enrollment form
- Enrollment form instructions
- 2021 Summary of Benefits
- 2021 Evidence of Coverage
- 2021 Annual Notice of Change
- 2021 Low Income Subsidy Premium table for those receiving Extra help
- Additional Benefits
FHCP Medicare Rx Savings (HMO)
- 2021 Enrollment form
- Enrollment form instructions
- 2021 Summary of Benefits
- 2021 Evidence of Coverage
- 2021 Annual Notice of Change
- 2021 Low Income Subsidy Premium table for those receiving Extra help
- Additional Benefits
FHCP Medicare Choice (HMO-POS)
- 2021 Enrollment form
- Enrollment form instructions
- 2021 Summary of Benefits
- 2021 Evidence of Coverage
- 2021 Low Income Subsidy Premium table for those receiving Extra help
- Additional Benefits
Plans Available In Brevard and Seminole Counties
FHCP Medicare Premier Plus (HMO)
- 2021 Enrollment form
- Enrollment form instructions
- 2021 Summary of Benefits
- 2021 Evidence of Coverage
- 2021 Annual Notice of Change
- 2021 Low Income Subsidy Premium table for those receiving Extra help
- Additional Benefits
FHCP Medicare Premier Advantage (HMO)
- 2021 Enrollment form
- Enrollment form instructions
- 2021 Summary of Benefits
- 2021 Evidence of Coverage
- 2021 Annual Notice of Change
- 2021 Low Income Subsidy Premium table for those receiving Extra help
- Additional Benefits
Plans Available In St. Johns County
FHCP Medicare Flagler Advantage (HMO)
FHCP Medicare is an HMO plan with a Medicare Contract. Enrollment in FHCP
Medicare depends on contract renewal. This information is not a complete
description of benefits. Call 1-844-672-7324 (TTY user call 1-800-955-8770)
for more information.