Medicare

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,...

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...

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...

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...

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...

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 . ...

Beginning January 1, 2026, FirstMedicare Direct will no longer offer Medicare Advantage coverage. FirstMedicare Direct will accept Medicare Advantage enrollments through the remainder of 2025, but coverage will end on December 31, 2025.  This doe...

This is to inform you that your group’s current Medicare Advantage group plan will not be renewed. Effective January 1, 2026, FirstMedicare Direct will no longer offer Medicare Advantage coverage in your area. In order to maintain Medicare Advanta...

Beginning January 1, 2026, New Hanover Health Advantage will no longer offer Medicare Advantage coverage. New Hanover Health Advantage will accept Medicare Advantage enrollments through the remainder of 2025, but coverage will end on December 31, ...