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.