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Last Updated: 06/27/2025
in Medicare
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, ...
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Last Updated: 06/27/2025
in Employees and Employers
This is to inform you that your group’s current group plan will not be renewed. Effective January 1, 2026, FirstCarolinaCare will no longer offer employer group coverage. This means you must enroll in a new health insurance plan from another compa...
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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: 06/27/2025
in Medicare
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...
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Last Updated: 01/21/2025
in Employees and Employers Clinical Review Criteria Lab Management - Genetic Testing | Prior Authorized Utilization Review | Lab Management (evicore.com) Radiology/Cardiology/US - Cardiology Solution | Cardiology Benefit Management | eviCore Medical Oncology - Medica...
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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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Last Updated: 12/11/2024
in Medicare Your Pharmacy Info Better therapeutic outcomes for members with multiple conditions Our Medication Therapy Management Program (MTMP) is focused on improving therapeutic outcomes for Medicare Part D members. To qualify for MTMP, a member must meet all of the following...
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If you're having trouble affording your medicine, contact your doctor, your case manager, or our pharmacy department at (800) 481-1092, option 4 to discuss your options and support. For Group Medicare members: If you experience hardship from h...
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Fill out the Pharmacy Prior Authorization Request Form .
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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...