Skip to Main content

Menu

Renew
2025
- Enroll 2025
- Members 2025
Enroll
Members
Providers
Brokers
About us
Contact us
Report fraud
Home
Language
Careers
Search

Secondary Navigation

Report fraud
Home
Language
Careers

Search

Main Navigation

Renew
2025

Enroll 2025 Members 2025
Enroll

Enroll 2025 homepage Enroll 2024 homepage Summary of benefits
Understanding Medicare Who we are Who is eligible?
Helping a loved one enroll? Get more information
Members

Members 2025 homepage Members 2024 homepage Benefits and programs
Member portal Resources Self-service tools
Summary of benefits

Find a provider

Find a pharmacy

Search for a drug
Providers

Providers homepage Self-service tools Searchable provider directory
Resources Clinical resources Communications
Training and education
Brokers

Brokers homepage Self-service tools
Enroll a member Broker resources
Contact
About us
Contact us

Home > Providers > Resources > Reimbursement Policies

Reimbursement Policies

Search

Search Results

You searched for: .
Clear search and show all policies.

Providers

Self-service tools
Resources
Communications
Training and Education

Careers
Site Map
About us
Report fraud, waste, or abuse
Non-discrimination notice (PDF)

Download our mobile app

The South Carolina Department of Health and Human Services must make sure that everyone who is receiving Medical Assistance is still eligible by reviewing each person's information.

Here's what you need to do now

Last Update:

This site contains links to other Internet sites. First Choice VIP Care (HMO-SNP) is not responsible for the content of these sites. Please see Terms of Use, Privacy Notice, Third-Party Data Privacy and Educational Materials, and Potential for Contract Termination.

First Choice VIP Care is an HMO-SNP plan with a Medicare contract and a contract with the South Carolina Healthy Connections Medicaid program. Enrollment in First Choice VIP Care depends on contract renewal. This information is not a complete description of benefits. Call 1-888-996-0499 (TTY 711), Monday through Friday, 8 a.m. – 8 p.m., from April 1 to September 30; or seven days a week, 8 a.m. – 8 p.m., from October 1 to March 31, for more information. Out-of-network/non-contracted providers are under no obligation to treat First Choice VIP Care members, except in emergency situations.

Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premiums, unless otherwise covered by your South Carolina Medicaid benefits.

Every year, Medicare evaluates plans based on a 5-star rating system.