A. Free Market Administrators, your plan administrator, will provide you with a medical identification card (ID card) that will include important member and plan information.
As a member, you will present your Medical ID card to a health care provider and pharmacist as you would with any other health care coverage ID card. The provider will verify for membership eligibility and provide your service. The provider will process the claim directly with the plan administrator. Most of the time you will not pay anything at point of service. Some providers on some services may request a portion of your share of the co-insurance.
If you are choosing to utilize your $20.00 co-payment benefit, remember to mention the co-payment for limited services at your provider.
If you are intending to use your Affordable Care Act (ACA) coverage, you must verify as such and that your provider will submit the proper CPT codes. Failure to do so will result in your billing submission to reflect your regular zero deductible 50/50 co-insurance amounts due.
Remember to verify your provider is in First Health network.