What If I Get a Bill?

If you pay for your covered services or drugs, or if you receive a bill, you can ask us for payment.

Our network providers bill the plan directly for your covered services and drugs. If you get a bill for the full cost of medical care or drugs you have received, you should send this bill to us so that we can pay it.

You should not pay the bill yourself. If you do, the plan may not be able to pay you back (paying you back is often called "reimbursing" you). It is important that you do not pay directly for services that are covered under your Healthy Connections Medicaid benefits.

If you pay for them directly, we will not be able to reimburse you. You will have to seek reimbursement directly from the provider. When you send us the bill, we will look at the bill and decide whether the services should be covered. If we decide they should be covered, we will pay the provider directly.

If you have already paid for services or drugs covered by the plan, you can ask our plan to pay you back. It is your right to be paid back by our plan whenever you've paid more than your share of the cost for medical services or drugs that are covered by our plan. When you send us a bill you have already paid, we will look at the bill and decide whether the services or drugs should be covered. If we decide they should be covered, we will pay you back for the services or drugs.

Send us your request for payment, along with your bill and documentation of any payment you have made. It's a good idea to make a copy of your bill and receipts for your records.

Mail your request for payment to these addresses. Be sure to include any bills or receipts.

For medical services:
First Choice VIP Care Plus
PO Box 7107
London, KY 40742-7107

For drugs:
First Choice VIP Care Plus
Attention: Direct Member Reimbursement
P.O. Box 516
Essington, PA 19029

You must submit your claim to us within 12 months of the date you received the service, item, or drug.

If you have any questions, contact Member Services at 1-888-978-0862; (TTY/TDD 711), 8 a.m. to 8 p.m., seven days a week. If you don't know what you should have paid, or you receive bills and you don't know what to do about those bills, we can help. You can also call if you want to give us more information about a request for payment you have already sent to us.

For more information on situations in which you should ask us to pay for your covered services or drugs, see the Member Handbook (PDF).