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Perks and Protections

Get access to plenty of perks and programs to help you with your health goals.

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Care Coordination

Whether you’d like to speak to a dietitian, want to quit smoking or need help understanding a recent diagnosis, we have teams to help you achieve your goals or get you back on track.

Connect to a team of providers, like social workers, health coaches, pharmacists and more, who work with your doctor to make sure you have the resources you need to stay healthy or work through your medical issues.

Connect to a team of providers, like nurse practitioners, social workers, health coaches, pharmacists and more, who work with your doctor to make sure you have the resources you need to stay healthy or work through your medical issues.

The care coordination team reaches out to offer these services, but you can also request them if you’d like this personalized help.

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Fitness Program

Get fit with the help of our fitness benefit. You can use any FirstHealth Center for Health & Fitness location with no benefit limit, or you can use plan-approved medical fitness centers with reimbursement up to $300 per year. (FirstMedicare Direct HMO Standard includes reimbursement of $180 per year, and it includes a $10 copay per month on each fitness center.)

To get reimbursed, you must complete and submit the reimbursement form, along with payment receipts. We reimburse on a quarterly basis and not in advance. This benefit doesn’t include reimbursement for separate classes or services not included as part of a supervised fitness program, like sports activities, but it does cover fees for your orientation to the equipment.

Get fit at any Western North Carolina YMCA facility, where you’ll have access to all programs available, including the coaching connection program. This is a one-on-one wellness coaching program that helps you set goals, instructs you on use of equipment and creates customized workout plans to fit your needs. You’ll have a $0 copay per month and can be reimbursed up to $510 per year.

Get fit with the help of our fitness benefit for little or no cost. You can use any plan-approved fitness center and be reimbursed up to $300 per year.

Get fit with the help of our fitness benefit for no cost. Get access to a variety of fitness options and community events. Keep your routine or add to it. You decide how to stay active and healthy.

Nurse speaking on helpline

Nurse Helpline

Get access to healthcare information, 24 hours a day, seven days a week, with the Nurse Helpline. Specially trained nurses help you with your health questions at no cost at (877) 388-6501(888) 815-5188.

The Nurse Helpline can help you decide what kind of care to seek – whether you can treat the condition at home, need to see your doctor or need urgent or immediate care. The toll-free Nurse Helpline is on the back of your FirstMedicare Direct ID card.

Building blocks

Disease Management

Get help with programs and support for certain long-term conditions, like asthma, diabetes, high blood pressure and more.

Get help staying on track if you have asthma, diabetes or high blood pressure. We connect you to resources, support and reminders.

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Patient visiting the dentist

Dental Coverage

Get covered preventative dental services, including two cleanings per year, two oral exams and one annual X-ray visit, for a $0 copay.

We're pleased to partner with Delta Dental to offer optional buy-up dental plans. View the Delta Dental flier for more information. To find an In-Network dentist in your area, click here.

Get covered preventive dental services at in-network providers. Benefits vary by plan.

We're pleased to partner with Delta Dental to offer optional buy-up dental plans starting at $26 per month. View the Delta Dental flier for more information. To find an In-Network dentist in your area, click here.

Optometrist providing care

Vision Coverage

Get coverage for one routine eye exam and a $130 allowance for eyewear.

Get coverage for one routine eye exam (copayment applies) and a $150 allowance for eyewear every two years.

Get coverage for one routine eye exam yearly (copayment applies; see the Summary of Benefits for specific copayment amounts) and a $75 allowance for eyewear every two years.

Doctor testing hearing

Hearing

Through TruHearing®, you can get one routine hearing exam for a $45 copay and lowered rates on up to two TruHearing hearing aids per year when you see a TruHearing provider.

man interacting with pharmacist

OTC Benefit

Our plan covers a quarterly Over-the-Counter (OTC) benefit with a maximum plan benefit of $75 a quarter, which allows you to purchase OTC products from a Catalog with hundreds of products to choose from.

Access your account today and manage your plan.