FirstMedicare Direct  
 
FirstMedicare Direct HMO plans are rated 4 out of 5 Stars for calendar year 2020 by Centers for Medicare and Medicaid Services (CMS).
Click HERE for 2020 Stars information.
Click HERE for 2019 Stars information.

 

Report Fraud, Waste and Abuse

FirstCarolinaCare Insurance Company (“FCC”) is committed to maintaining a culture that promotes the prevention, detection and resolution of issues or conduct that fails to adhere to its policies, procedures and Medicare rules and regulations

FCC requests that its employees, Medicare members, First Tier, Downstream and Related Entities (FDRs) and their employees and other vendors promptly report any suspected / actual instances of Fraud, Waste or Abuse (FWA) or any violation of Federal, State or Medicare rules to its Compliance Department.

To assist with this requirement, FCC’s Compliance Department has established a secure Compliance Helpline. This Helpline provides an avenue for callers to report any activity in a confidential manner. All calls to the Compliance Helpline are treated as private and there is no retaliation for any confidential calls made in good faith. 

COMPLIANCE HELPLINE: (855) 367- 8184 (toll free)

If you are not comfortable with or unable to make a report via the Compliance Helpline, please send a written report by mail or email to:

Director of Compliance
FirstCarolinaCare Insurance Company
42 Memorial Drive
Pinehurst, NC 28374
compliance@firstcarolinacare.com

View What is Fraud, Waste and Abuse?
View Who commits Fraud, Waste and Abuse?
View Types of FWA schemes
View Other Fraud, Waste & Abuse Reporting Avenues
FCC Compliance Helpline Poster PDF
FCC FWA Prevention & Detection policy PDF

 

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.

 
Y0094_20042M_Accepted_10/01/2019

Page Last Updated:
Friday, October 02, 2020 10:15:20 AM