First Medical

Government Health Plan of Puerto Rico

Government Health Plan of Puerto Rico

About us

Welcome to First Medical Health Plan, Inc.

First Medical Health Plan, Inc., (hereinafter First Medical) is a Puerto Rico Health Services Organization serving the community. For the past forty-seven years, First Medical has dedicated its efforts to improving the quality of life of our subscribers and beneficiaries through the planning and implementation of the highest quality and effective health care coverage.

At First Medical, we are committed to your health. Through the Vital Health Plan, we offer you access to a Model of Care that integrates physical and mental health, under the care of a team of providers focused on helping you improve your health. First Medical has a wide and robust network of health care providers distributed throughout the island. You can visit general practitioners, family practitioners, specialists, sub-specialists, dentists, hospitals, health centers, emergency rooms, laboratories and radiology centers, selecting the service of your preference using our Provider Directory. We encourage you to visit our website at www.firstmedicalvital.com for up-to-date information about our service providers.

First Medical has alternative methods available to provide you with important information about the services we offer, at no cost to you. These include the Braille System, enlarged print and translation to other languages, verbal or written, among others. If you need Plan information in another format or language, please contact our Call Center at 1-844-347-7800. Hearing impaired users may call 1-844-347-7805.

CONTACT US
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Learn about the benefits and services

The Government of Puerto Rico's Health Plan, Vital is responsible for providing physical and mental health services to 1.6 million Puerto Ricans. Any person can voluntarily apply and be evaluated at the Local Offices of the Medicaid Program of the Department of Health for the Vital Health Plan of the Government of Puerto Rico. For people who need guidance or information about the benefits of the Medicaid Program, coverage, eligibility, and other related questions, call the Medicaid Program call center at (787) 641-4224, TTY/TDD: (787) 625-6955 (Assistance for the Hearing Impaired) Monday through Friday from 8:00 A.M. to 6:00 P.M. You can also access https://medicaid.pr.gov/OficinasLocales.aspx.

Benefits & Services

The Vital Plan offers you more benefits and services within a preferred network of providers from the medical group of your choice. Services are offered by networks of providers (primary care physicians, specialists, laboratories, etc.) across the island.

Learn about your benefits:

  • Extended hours at your Primary Medical Group: You have access to emergency services at your Primary Medical Group, until 9:00 p.m. Coordinate with your Primary Care Physician so that you know the availability of service during extended hours.
  • Your Primary Medical Group's Preferred Network: With Vital, your Primary Medical Group will have a Preferred Network that includes specialist doctors, laboratories, X-rays, and hospitals, among others. You will receive your ID and a copy of the Providers Directory. Upon receipt, you will be able to visit any doctor or facility within your Primary Medical Group's Preferred Network without needing a referral. You also won't pay copays when using specialists within the Preferred Network.
  • Countersignature: You will not need a Primary Care Physician's countersignature on prescriptions from the Preferred Network specialist.
  • Mental Health Coverage: Access to mental health services through a mental health professional at your Primary Medical Group facility.
CONTACT US

Statement from the Health Services Administration of Puerto Rico addressed to you:

Statement from the Health Services Administration of Puerto Rico

Who can you call for help?

If you have an emergency, call 9-1-1.

People receiving medical guidance

First Medical's Medical Counseling Line

1-844-347-7801

TTY/TDD users should call 1-844-347-7804.

Customer service representative

First Medical's Customer Service Line

1-844-347-7800

TTY/TDD users should call 1-844-347-7805.

Department of Health

Medicaid Program Call Center

(787) 641-4224

ASSMCA

ASSMCA (PAS Line)
Mental Health Service Line

1-800-981-0023

TDD 1-888-672-7622

Patient Advocate Office

Patient Advocate Office

Toll-free 1-800-981-0031

TTY (787) 710-7057

ASES

Puerto Rico Health Insurance Administration (ASES)
Vital Plan Toll-free

1-800-981-2737

TTY (787) 474-3389