Popular Articles

  1. General Enrollment Period

    If you didn't sign up for Original Medicare or Medicare Supplement when you're first eligible, you can sign up during the General Enrollment Period, between January 1 and March 31 each year. If you enroll during this time, your coverage will start ...
  2. What are out-of-pocket costs?

    Out-of-pocket costs are what you must pay when you get care. These costs depend on how much care you actually get and your yearly out-of-pocket maximum. Once you hit this limit, your insurance pays for all of your care. There are three types of out-...
  3. What is a Biosimilar?

    A biosimilar is a highly similar product to the original biologic medication already approved by the Food and Drug Administration (FDA). Biosimilars are made with the same types of natural products and administered in similar ways. Biosimilars have ...
  4. Initial Enrollment Period

    Your Initial Enrollment Period (IEP) is a 7-month period, which includes the 3 months before your 65th birthday, the month of your birthday, and the 3 months after your birth month, when you can enroll in Original Medicare, a Medicare Advantage plan...
  5. Am I eligible for Part C (Medicare Advantage)?

    To be eligible for a Medicare Advantage plan, you: Must have Medicare Parts A and B. Must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicare or by another third party. Must live in the plan's service area. ...
  6. New Hanover Health Advantage Medicare Advantage Plan Termination Details

    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, ...
  7. How can I sign up for Medicare Part A and Part B?

    Apply online through the Social Security's website . Call Social Security at (800) 772-1213, TTY (800) 352-0778 or 711. Fill out the Application for Enrollment in Part B . Remember, you must already have Part A to apply for Part B. If you're a...
  8. How do I file a grievance or appeal a coverage decision?

  9. FAQ's

  10. 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...