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Last Updated: 06/27/2025
in Medicare
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...
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Last Updated: 09/19/2022
in Medicare 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...
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How can I check my claims? - Not available in Wake County. How can I see my prior authorizations? How to file an grievance or appeal a coverage decision?
Where can I get an Appointment of Representative form? How do I authorize rele...
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Last Updated: 10/01/2024
in Medicare
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...
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When you're shopping for Medicare Advantage plans, it's important to find a plan type that meets your needs. Do you need personal care? Are your doctors covered in this plan's network? Knowing what comes with each type of Medicare Advantage plan is ...
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Last Updated: 10/01/2024
in Medicare Your Hally Account
How do I order a new ID card? How can I check my claims? - Not available on our SmartHMO plan. How can I request or see my prior authorizations? What is my spending on services? ...
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As a new or continuing member, you might be taking drugs that are not on our formulary , or list of covered drugs, that require you to meet certain requirements , like prior authorization, step therapy, or quantity limits. If you're in the fi...
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A PPO (Preferred Provider Organization) plan contracts with medical providers, such doctors, clinics and hospitals, to create a network or participating providers. You pay less if you use providers that belong to the plan's network.
You won't ha...
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An exciting change has been made to your coverage – here’s what you need to know. Starting January 1, 2025, there is no longer a “Coverage Gap,” also called the “Donut Hole” Phase, in your prescription drug plan. This means that once you reach t...
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Each Medicare Advantage plan with prescription drug coverage or Part D plan has its own list of covered drugs, called a formulary. Our pharmacy department partners with physicians from other health systems who are specialized in their field to dec...