Providers in Our Plan
For the most part, you must use doctors, hospitals, and other health care providers that are in our provider network. Our provider network is the group of doctors, therapists, hospitals, facilities, and other health care providers that we work with. You can choose from any provider in our provider network. This is called your freedom of choice. If you use a health care provider that is not in our network, you may have to pay for that appointment or service.
You will find a list of providers that are in our network in our provider directory. If you want a copy of the provider directory, call 1-833-FCC-PLANto get a copy or visit our website at www.fcchealthplan.com.
If you are in the LTC program, your case manager is the person who will help you choose a service provider for each of your services. Once you choose a service provider, they will contact them to begin your services. This is how services are approved in the LTC program. Your case manager will work with you, your family, your caregivers, your doctors and other providers to make sure that your LTC services work with your medical care and other parts of your life.
There are times when you may need to speak to a therapist or counselor if you are having any of the following feelings or problems:
- Always feeling sad
- Not wanting to do the things that you used to enjoy
- Feeling worthless
- Having trouble sleeping
- Not feeling like eating
- Alcohol or drug abuse
- Trouble in your marriage
- Parenting concerns
We cover many different types of behavioral health services that can help with issues you may be facing. You can call a behavioral health provider for an appointment. You can get help finding a behavioral health provider by:
- Calling Florida Community Care at 1-833-FCC-PLAN or TTY 711
- Looking at our provider directory
- Going to our website at fcchealthplan.com
Someone is there to help you 24 hours a day, 7 days a week.
You do not need a referral from your PCP for behavioral health services.
If you are thinking about hurting yourself or someone else, call 911.You can also go to the nearest emergency room or crisis stabilization center, even if it is out of our service area. Once you are in a safe place, call your PCP if you can. Follow up with your provider within 24-48 hours. If you get emergency care outside of the service area, we will make plans to transfer you to a hospital or provider that is in our plan’s network once you are stable.
Providers Not in Our Plan
There are some services that you can get from providers who are not in our provider network. These services are:
- Family planning services and supplies
- Women’s preventative health services, such as breast exams, screenings for cervical cancer, and prenatal care
- Treatment of sexually transmitted diseases
- Emergency care
If we cannot find a provider in our provider network for these services, we will help you find another provider that is not in our network. Remember to check with us first before you use a provider that is not in our provider network. If you have questions, call Member Services at 1-833-FCC-PLAN.
Your dental plan will cover most of your dental services, but some dental services may be covered by your medical plan. The table below will help you to decide which plan pays for a service.
|Type of Dental Service(s)||Dental Plan Covers:||Medical Plan Covers:|
|Dental Services||Covered when you see your dentist or dental hygienist||Covered when you see your doctor or nurse|
|Scheduled dental services in a hospital or surgery center||Covered for dental services by your dentist||Covered for doctors, nurses, hospitals, and surgery centers|
|Hospital visit for a dental problem||Not covered||Covered|
|Prescription drugs for a dental visit or problem||Not Covered||Covered|
|Transportation to your dental service or appointment||Not Covered||Covered|
What Do I Have To Pay For?
You may have to pay for appointments or services that are not covered. A covered service is a service that we have to provide in the Medicaid program. All of the services listed in this handbook are covered services. Remember, just because a service is covered, does not mean that you will need it. You may have to pay for services if we did not approve it first.
If you get a bill from a provider, call Member Services. Do not pay the bill until you have spoken to us. We will help you.
You can choose from any provider in our provider network. This is called your freedom of choice. If you use a health care provider that is not in our network, you may have to pay for that appointment or service.
You will find a list of providers that are in our network in our provider directory.
This information is available for free in other languages. Please contact our member services number at 1-833-FCC-PLAN. If you use TTY, call 711, Monday - Friday, 8 a.m. - 8 p.m. Eastern Time.
Esta información está disponible gratuitamente en otros idiomas. Comuníquese con nuestro Servicio al Miembros llamando al 1-833-FCC-PLAN. Si usa un TTY, marque 711. El horario de atención es de lunes a viernes de 8 a.m. a 8 p.m.
This information is available for free in other formats. Please contact our member services number at 1-833-FCC-PLAN. If you use TTY, call 711, Monday - Friday, 8 a.m. - 8 p.m. Eastern Time.
Florida Community Care’s Long-Term Care Plus Plan is a Managed Care Plan with a Florida Medicaid Contract.
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact Florida Community Care.
Limitations, copayments, and/or restrictions may apply.
Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change.
Florida Community Care complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.
You have the right to get several kinds of information from us. You have the right to get information from us in a way that works for you. Interpretation services and alternative format communications, such as Braille, are available to those with a vision and/or hearing impairment. This includes getting the information in languages other than English and in large print or other formats.
Alternative format and foreign language materials are available for free. Call Member Services at 1-833-FCC-PLAN. If you use TTY, call 711, Monday - Friday, 8 a.m. - 8 p.m. Eastern Time.
Florida Community Care believes in equal opportunity and affirmative action. We comply with all applicable Federal civil rights laws. We do not discriminate because of age, race, ethnicity, religion, mental or physical disability, national origin, marital status, sexual orientation, sex, genetic information, gender, gender identity, health status, claims experience, medical history, or source of payment. We do not discriminate in the enrollment of members, the delivery of covered services or items, or the credentialing or contracting of providers. FCC will not tolerate employees or providers that discriminate.
For more information or if you have concerns about discrimination or unfair treatment, call the Department of Health and Human Services’ Office for Civil Rights at 1-800-368-1019 (TTY 1-800-537-7697) or your local Office for Civil Rights.
If you have a disability and need help with access to care, call Member Services at 1-833-FCC-PLAN. If you use TTY, call 711, Monday - Friday, 8 a.m. - 8 p.m. Eastern Time. If you have a concern, such as a problem with wheelchair access, Member Services can help.