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FirstCarolinaCare FirstCarolinaCare Insurance Company.

WEBFor these plans, visit the Health Insurance Marketplace at HealthCare.gov. FirstCarolinaCare Insurance Company's plans are HMO and PPO plans with a Medicare contract. Enrollment in a FirstCarolinaCare Insurance Company plan depends on contract renewal. FirstMedicare Direct and New Hanover Health Advantage are Medicare …

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URL: https://www.firstmedicare.com/

FirstMedicare Direct 2024 Formulary

WEBWhat is the FirstMedicare Direct Formulary? A formulary is a list of covered drugs selected by FirstMedicare Direct in consultation with a team of health

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Diabetes Care – Blood Sugar Controlled Tip Sheet

WEBPHPNHY24-CDCA1csht-1223 Diabetes Care – Blood Sugar Controlled Tip Sheet What is the CMS Star Rating Program? CMS uses a five-star quality rating system to measure the experiences Medicare beneficiaries have with

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Member Rights and Responsibilities

WEB• To understand your health problems and participate in developing mutually-agreed upon treatment goals to the degree possible. • To read and understand your Evidence of Coverage (EOC) and Annual Notice of Changes (ANOC)

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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION …

WEBPublic Health and Safety: We may disclos e your protected health information to a public health authority or other appropriate government authority , which is permitted by law to receive the information , for public health

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Medicare Advantage Provider Directory

WEBFirstMedicare Direct Primary Care Family Medicine 10211 Alm St STE 1100 Raleigh, NC 27617 919-385-1160 Duke Primary Care Aluri, Krishna P, MD Anderson, Christina E, MD

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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION …

WEBOthers Involved in Your Care: Unless you object or law prohibits it, we may disclose certain information to a family member or to someone else who is involved in your medical care or payment for care. This may include telling a family member about the status of a claim or what benefits you are eligible to receive.

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Summary of Benefits and Coverage: What this Plan Covers

WEBSummary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services 2023 POS 3500 Gold Coverage Period: 02/01/2023 - 01/31/2024

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Pharmacy/Medical Drug Prior Authorization Fo rm

WEBFirstCarolinaCare 1930 N. Poplar St., Suite 21 Southern Pines, NC 28387. Important: Use this form when requestingcoverage for all drugs covered under either the pharmacy or medical benefit. Providers are

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Statin Use in Persons with Diabetes (SUPD) Tip Sheet

WEBHealth plans are rated on a scale of 1 to 5 stars, with 5 being the highest. These ratings are then published on the Medicare Plan Finder at medicare.gov to raise the quality of care for Medicare beneficiaries, strengthen beneficiary protections and help consumers compare health plans more easily. Measure Description Weight: 1.

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FirstCarolinaCare FirstCarolinaCare Insurance Company.

WEBAnnouncement: FirstCarolinaCare's New Office Location. FirstCarolinaCare's office has relocated to the following address: 1930 N. Poplar St., Suite 21, Southern Pines, NC 28387.

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Follow Up Within 14 Calendar Days Tip Sheet

WEBWork with inpatient and/or outpatient discharge planners to assist in scheduling timely follow up. visits. Ensure member has no barriers to attending follow up visits (i.e. transportation needs, scheduling. delays, etc.). Care Coordination and Health Coaching is a free benefit for members to assist with wellness goals. and planning post discharge.

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Osteoporosis Management in Women Who Had a Fracture …

WEBPHPNHY24-osteomangsht-1223 Coding and Documentation Tips Exclusions: - Members who had a BMD test during the 730 days (24 months) prior to the fracture.

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2024 Medicare Advantage (MA) and Medicare Advantage …

WEBOMB No. 0938-1378 Expires:7/31/2024 Who can use this form? People with Medicare who want to join a Medicare Advantage Plan or Medicare Prescription Drug Plan

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Waiver of Liability Statement

WEBWaiver of Liability Statement . Enrollee’s Name Enrollee ID Number. Provider Dates of Service . Health Plan . I hereby waive any right to collect payment from the above-mentioned enrollee for the

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Revised: 04/2023 1 Page

WEBPHCCHY23-hipaaauthfm-0423 Y0034_23_112540_C Y0094_23_112541_C Revised: 04/2023 4 | Page TIPS ON COMPLETING THE AUTHORIZATION FORM Where it states, “I hereby authorize my health plan to disclose my protected health information to,” please list

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2022 Medicare Star Ratings

WEBIMPORTANT INFORMATION: 2023 Medicare Star Ratings FirstMedicare Direct - H6306 For 2023, FirstMedicare Direct - H6306 received the following Star Ratings from Medicare:

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