Medicare

Articles

How to enroll in a Medicare plan?
Where are Medicare plans available?
Your network is where you can get care. Our service areas are where we sell plans. We have service areas in North Carolina. Service Areas Sandhills Chatham, Hoke, Lee, Montgomery, Moore, Richmond, Scotland, Cumberland, Harnett, Johnston, Robeson,...
What to do in a disaster?
In crises like tornadoes, hurricanes, earthquakes, floods and fires, if the Governor of your state, the U.S. Secretary of Health and Human Services, or the President of the United States declares a state of disaster or emergency in your geographic...
How do I file a grievance or appeal a coverage decision?
How to request a coverage determination or medical exception for a drug?
You, your authorized representative, or your prescribing doctor can ask for a coverage determination. Your provider can submit prior authorization requests through the GuidingCare Provider Portal. Mail or fax us a Coverage Determination Request...
How do I change or cancel/disenroll from my plan?
Changing Plan Types The Annual Enrollment Period (AEP) is the time each year, chosen by the Centers for Medicare & Medicaid Services (CMS), when you can enroll in a plan or switch to a new one. Unless you qualify for a Special Enrollment Perio...
What are my rights and responsibilities upon disenrollment?
If you decide to disenroll from your FirstCarolinaCare Insurance Company's Medicare Advantage plan, you're ending your membership. Disenrollment can be voluntary (your choice) or involuntary (not your choice). For more information on enrollment or d...
National Coverage Determinations
When the Centers for Medicare & Medicaid Services (CMS) makes changes to the services that are covered, they update them through National Coverage Determinations. Learn more about National Coverage Determinations on their website . ...
Glossary