Resources and Tools
General Information and Plan Documents:
- CMS Stars Plan Rating, last updated 10/12/2022
- General Transition Policy, last updated 8/24/2022
- Transition of Care Form
- Authorization to Release Protected Health Information (PHI)
- Preferred Fitness Directory, last updated 3/8/2023
- 2023 Medicare Provider Directory, last updated 4/1/2023
- 2023 Medicare Pharmacy Directory, last updated 3/1/2023
- 2023 Medicare Formulary, last updated 05/16/23
- Your Member Rights
- Member Resource Guide
- FHCP Medicare New Member Packet
Plans Available In Flagler and Volusia Counties
FHCP Medicare Rx (HMO)
- 2023 Enrollment form, last updated 8/11/2022
- Enrollment form instructions
- Important 2023 Benefit Information, last updated 2/14/2023
- 2023 Summary of Benefits, last updated 9/8/2022
- 2023 Evidence of Coverage, last updated 9/14/2022
- 2023 Annual Notice of Change, last updated 9/9/2022
- 2023 Low Income Subsidy Premium table for those receiving Extra help, last updated 9/13/2022
- Additional Benefits
FHCP Medicare Rx Plus (HMO-POS)
- 2023 Enrollment form, last updated 8/11/2022
- Enrollment form instructions
- Important 2023 Benefit Information, last updated 2/14/2023
- 2023 Summary of Benefits, last updated 9/8/2022
- 2023 Evidence of Coverage, last updated 9/14/2022
- 2023 Annual Notice of Change, last updated 9/9/2022
- 2023 Low Income Subsidy Premium table for those receiving Extra help, last updated 9/13/2022
- Additional Benefits
FHCP Medicare Rx Savings (HMO)
- 2023 Enrollment form, last updated 8/11/2022
- Enrollment form instructions
- Important 2023 Benefit Information, last updated 2/14/2023
- 2023 Summary of Benefits, last updated 9/8/2022
- 2023 Evidence of Coverage, last updated 9/14/2022
- 2023 Annual Notice of Change, last updated 9/9/2022
- 2023 Low Income Subsidy Premium table for those receiving Extra help, last updated 9/13/2022
- Additional Benefits
FHCP Medicare Premier Advantage (HMO)
- 2023 Enrollment form, last updated 8/11/2022
- Enrollment form instructions
- Important 2023 Benefit Information, last updated 2/14/2023
- 2023 Summary of Benefits, last updated 9/8/2022
- 2023 Evidence of Coverage, last updated 9/14/2022
- 2023 Annual Notice of Change, last updated 9/9/2022
- 2023 Low Income Subsidy Premium table for those receiving Extra help, last updated 9/13/2022
- Additional Benefits
Plans Available In Brevard and Seminole Counties
FHCP Medicare Premier Advantage (HMO)
- 2023 Enrollment form, last updated 8/11/2022
- Enrollment form instructions
- Important 2023 Benefit Information, last updated 2/14/2023
- 2023 Summary of Benefits, last updated 9/8/2022
- 2023 Evidence of Coverage, last updated 9/14/2022
- 2023 Annual Notice of Change, last updated 9/9/2022
- 2023 Low Income Subsidy Premium table for those receiving Extra help, last updated 9/13/2022
- Additional Benefits
FHCP Medicare Premier Plus (HMO)
- 2023 Enrollment form, last updated 8/11/2022
- Enrollment form instructions
- Important 2023 Benefit Information, last updated 2/14/2023
- 2023 Summary of Benefits, last updated 9/8/2022
- 2023 Evidence of Coverage, last updated 9/14/2022
- 2023 Annual Notice of Change, last updated 9/9/2022
- 2023 Low Income Subsidy Premium table for those receiving Extra help, last updated 9/13/2022
- Additional Benefits
FHCP Medicare Rx Savings (HMO)
- 2023 Enrollment form, last updated 8/11/2022
- Enrollment form instructions
- Important 2023 Benefit Information, last updated 2/14/2023
- 2023 Summary of Benefits, last updated 9/8/20221
- 2023 Evidence of Coverage, last updated 9/14/2022
- 2023 Annual Notice of Change, last updated 9/9/2022
- 2023 Low Income Subsidy Premium table for those receiving Extra help, last updated 9/13/2022
- Additional Benefits
Plans Available In St. Johns County
FHCP Medicare Flagler Advantage (HMO)
- 2023 Enrollment form, last updated 8/11/2022
- Enrollment form instructions
- Important 2023 Benefit Information, last updated 2/14/2023
- 2023 Summary of Benefits, last updated 9/8/2022
- 2023 Evidence of Coverage, last updated 9/14/2022
- 2023 Annual Notice of Change, last updated 9/9/2022
- 2023 Low Income Subsidy Premium table for those receiving Extra help, last updated 9/13/2022
- Additional Benefits
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 1-855-462-3427 (TTY user call 1-800-955-8770)
for more information.