Key Things to Know: Your Membership Fact Sheet Thanks for being a FirstMedicare Direct member. We’re excited to help you use your plan and all its perks made for you. Changes, Reminders – and Great Benefits Discover some of your key benefits below – these are just a small number of the perks and programs your plan gives you to help you stay healthy. And notice the important pharmacy changes for 2025.
Other ways you can identify plan changes: • Review your Annual Notice of Change (ANOC) that is sent to you every September, or find it at FirstMedicare.com. • Call Member Services at the number on the back of your ID card. We can help you with any benefit change
questions you might have.
Outlined below are some benefits of the FirstMedicare Direct SmartHMO plan for the 2025 plan year.
Category
Benefit
Specialist Visit
In 2025, members will have a $20 specialist visit copay.
OTC Benefit
Our plan gives you a benefit of up to $95 a quarter. It allows you to purchase OTC products at participating retailers nationwide and online from a catalog with hundreds of products to choose from.
Dental Coverage
Get covered preventive dental services, including one cleaning and fluoride treatment every six months, and one full set of X-rays every three years.
Fitness Benefit
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.
Vision Coverage
Get coverage for one routine eye exam (copayment applies) and a $75 allowance for eyewear every two years.
Go online to FirstMedicare.com/Perks to view all the options available on your plan.