Annual Compliance Attestation Form
FDR Medicare Compliance Program Guide
FCC Offshore Services Attestation Form
Please complete the form in its entirety, and print, sign, and date the attestation.
Mail the completed form to :
FirstCarolinaCare Insurance Company ATTN: Compliance 42 Memorial Drive Pinehurst, NC 28374
If you have any questions, please call FirstCarolinaCare Insurance Company at (910) 715-8152.
Thank you for your continued cooperation.
FirstCarolinaCare Insurance Company’s FirstMedicare Direct plans are HMO and PPO plans with a Medicare contract. Enrollment in a FirstMedicare Direct plan depends on contract renewal.This is a required statement by CMS. FirstCarolinaCare has filed and been approved to offer an HMO and a PPO Medicare Advantage Prescription Drug plan for 2020.
Page Last Updated: Friday, October 02, 2020 10:15:18 AM