Water aerobics

Imagine the possibilities

of what we can do together.

 
Walk in the park

When healthcare & health insurance connect,

everything changes for good.


Your healthy life begins with a plan to empower it.

Selecting the right health coverage is vital to ensure that you are empowered to live your best life. It’s important to understand what options are available to you as a Medicare beneficiary. We encourage you to take the time to become acquainted with our Medicare Advantage plans. These plans, also called Medicare Parts C & D, are offered by FirstCarolinaCare Insurance Company, in partnership with Healthy State.

FirstMedicare Direct HMO plans are rated 3 ½ stars for calendar year 2019 by Centers for Medicare and Medicare Services (CMS) click here for more information.


Runners Chatting

Our Medicare Advantage Solutions.

  • FirstMedicare Direct Healthy State HMO Prime (HMO)

  • FirstMedicare Direct Healthy State HMO Plus (HMO)

  • Want to learn more about our Medicare Advantage Solutions? We encourage you to download our Summary of Benefits for more details. This booklet will help you explore the benefits of becoming a member.

       GET THE 2019 MEDICARE ADVANTAGE BOOKLET

    Forms*

    *You will be redirected to our partner’s website FirstCarolinaCare Insurance Company’s FirstMedicare Direct.

    Documents*

    *You will be redirected to our partner’s website FirstCarolinaCare Insurance Company’s FirstMedicare Direct.

    We're In Your Community.

    Our North Carolina Medicare Advantage Service Area

    Our service area includes the following counties: Buncombe, Henderson, Madison, McDowell, Transylvania, and Yancey.

    Pharmacy Tech

    5 Reasons to Choose Our Medicare Advantage Plans.

    The right health coverage helps ensure that you can live your best life. Find out why your friends and neighbors are choosing our Medicare Advantage plans.

    $0 Copay for Preventive Care


    Pharmacy Directory and Formulary*

    *You will be redirected to our partner’s website FirstCarolinaCare Insurance Company’s FirstMedicare Direct.

    Prevention and Wellness Programs


    YMCA Fitness & Wellness Membership Included!*

    *You will be redirected to the YMCA website.

    Trusted health professionals through Mission Health Partners, a local, nationally recognized network


    Find a Provider!

    Access the Provider Directory*
    Directory
    * You will be redirected to our partner’s website FirstCarolinaCare Insurance Company’s FirstMedicare Direct.

    Want to Learn More or Enroll?

    Learn More

    1.877.279.1732

    Enroll Now

    Don’t miss the opportunity to participate in plans that will help you stay healthy.

    Offered by FirstCarolinaCare Insurance Company, in partnership with Healthy State, together we focus on caring for you.

    Initial Enrollment Period (IEP)
    This period is 7 months long and includes:
    • The 3 months before the month you turn 65
    • The month you turn 65
    • The 3 months after the month you turn 65
    Annual Election Period (AEP): October 15 – December 7
    Every year, open enrollment falls between October 15th - December 7th. During this period, you can change or enroll in a new Medicare Advantage or Part D Prescription drug plan. Plan choices you make during this period become effective on January 1 of the following year unless you qualify for the special enrollment period.

    Open Enrollment Period (OEP): January 1 – March 31
    During this period, you have a one-time opportunity to:
    • Switch to a different Medicare Advantage plan
    • Drop your Medicare Advantage plan and return to Original Medicare, Part A and Part B
    • Sign up for a stand-alone Medicare Part D Prescription Drug Plan (if you return to Original Medicare)
    • Drop your stand-alone Medicare Part D Prescription Drug Plan

    Special Election Period (SEP)
    Special Election Period allows you to make changes to your plan when certain events happen in your life, such as if you move or you lose other insurance coverage. Rules vary for each SEP.

    Contact Us

    MEMBERS
    1.844.201.4957 (toll-free) or
    (TTY: 711)

    MEDICARE ADVANTAGE SALES
    1.877.279.1732
    or sales@healthystate.us

    Healthy State
    1940 Hendersonville Road
    Asheville, NC 28803

    www.firstmedicare.com You will be redirected to our partner’s website FirstCarolinaCare Insurance Company’s FirstMedicare Direct.

    Organization Determinations, Appeals and Grievances You will be redirected to our partner’s website FirstCarolinaCare Insurance Company’s FirstMedicare Direct.

    Medicare beneficiaries may also enroll through CMS Medicare Online Enrollment Center located at www.medicare.gov.

    ATTENTION: If English is not your native language, we offer language assistance services at no cost. Call 1-844-201-4957 (TTY: 711).

    ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-201-4957 (TTY: 711).

    注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-844-201-4957 (TTY: 711).


    These plans, also called Medicare Parts C and D, are offered by FirstCarolinaCare Insurance Company, in partnership with Healthy State – an organization affiliated with Mission Health System. FirstCarolinaCare Insurance Company’s FirstMedicare Direct plans are HMO and PPO health plans with Medicare contracts. Enrollment in First Medicare Direct depends on contract renewal.

    The benefit information provided herein is a brief summary, not a comprehensive description of benefits. You must continue to pay your Part B premium. Limitations, copayments, and restrictions may apply. For more information, contact the plan. Other pharmacies, physicians and providers are available in our network. Benefits may change on January 1st of each year.

    Contact the plan for more information at 1-844-201-4957 (TTY 711). 8:00 a.m. to 8 p.m. Eastern, 7 days a week (except Thanksgiving and Christmas) from October 1 through March 31 and Monday through Friday (except holidays) from April 1 through September 30.

    For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

    Page Last Updated: Friday, January 4, 2019 11:44:01 AM
    H6306_19311_M accepted 09/30/2018