Perks and Protections

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

Nurse helping patient

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.

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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Active man on bicycle

Fitness Program

Get fit with the help of our fitness benefit. You can use any FirstHealth Center for Health & Fitness location at low or not cost, or you can use plan-approved medical fitness centers with reimbursement up to $300 per year on most plans. (FirstMedicare Direct POS Standard has a $10 per month fee or reimbursement up to $180 per year.)

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 at low or no cost. You can use any plan-approved fitness center and be reimbursed up to $300 per year.

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.

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.

Improved fitness is a better way of life. Regular physical activity is one of the best ways to improve your health, the quality of your life, and it's fun! To find an In-Network fitness center in your area visit Peerfit Move.

Nurse speaking on helpline

Nurse Advice Line

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

Get access to healthcare information, 24 hours a day, seven days a week, with the Nurse Advice Line. Specially trained nurses help you with your health questions at no cost at (844) 323-2247.

The Nurse Advice Line 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 Advice Line is on the back of your ID card.

Building blocks

Disease Management

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 preventive dental services, including one annual cleaning, one annual exam 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 starting at $26 per month. View the Delta Dental flier for more information. To find an In-Network dentist in your area, click here.

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.

Taking care of your health includes caring for your teeth, too. In fact, your dental health can have a direct impact on your overall health and well-being. To find an In-Network dentist in your area visit Liberty Dental Plan.

Optometrist providing care

Vision Coverage

Get coverage for one routine eye exam up to $130 (copays as applicable apply).

Get coverage for one routine eye exam up to $130 (copayment applies, see the Summary of Benefits for specific copayment amounts) and a $100 allowance for eyewear.

We understand that you want your vision to be the best it can be. That’s why we have included a vision benefit in your plan. We encourage you to have your eyes examined each year. Eye diseases such as glaucoma can be caught early with a regular checkup. If you have diabetes, an annual eye exam is important for the health of your eyes. To find an In-Network vision care provider in your area visit VSP.

Doctor testing hearing

Hearing Services

If you find that your hearing isn’t as good as it used to be, you can rest assured that your plan can offer you assistance. To find an In-Network hearing care provider in your area visit Hearing Care Solutions

Primary Care Doctor

Primary Care Provider (PCP)

Try setting up an appointment with your PCP if your injury or illness isn't an emergency. Your PCP knows your health history and helps oversee your care.

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Doctor providing care

Convenient/Urgent Care

If you can't get an appointment with your PCP or you're traveling, go to urgent care if your injury or illness isn't an emergency. This can help you save time and money compared to the emergency room. you may need to pay up front at some urgent care facilities but will be reimbursed. Pay attention to your bills to make sure you're billed for urgent care.

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Doctor and patient walking in hospital hallway

Emergency Care

Some injuries or illnesses require emergency care, but if your injury or illness doesn't require immediate medical attention, calling your doctor or going to an urgent care clinic (sometimes called convenient care or a walk-in clinic) can save you time and money. Going to the ER for non-emergencies can drive up costs for you and healthcare overall, and the ER doesn't know your full medical history like your doctor does. Plus, it usually has long wait times.

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