FirstMedicare Direct  
 

Find a Provider

IMPORTANT NOTICE ABOUT YOUR PLAN --If you are enrolled in FirstMedicare Direct HMO Plus or HMO Standard, you must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor FirstMedicare Direct HMO Plus or HMO Standard will be responsible for the costs.

FirstMedicare Direct PPO Plus members may use an out-of-network providers but may pay more than if you use a network provider, except in the case of emergencies or urgent care. You do not need prior authorization to use out-of-network providers. If an out-of-network provider sends you a bill for covered services, submit the bill to us for processing.

FirstMedicare Direct PPO Premier, NEW FOR 2020, members may use an out-of-network providers but may pay more than if you use a network provider, except in the case of emergencies or urgent care. You do not need prior authorization to use out-of-network providers. If an out-of-network provider sends you a bill for covered services, submit the bill to us for processing.

For a searchable PDF listing of all FirstMedicare Direct Providers statewide, click on the appropriate link below:

2020 Provider Directory PDF

2021 Provider Directory PDF

If you would like to request a print Provider Directory, complete the form here.

The online directory is designed to be easy to use, but if you need help please check out our handy instructionsPDF .

IMPORTANT NOTICE ABOUT YOUR PLAN -- You are enrolled in an HMO which means you must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor FirstMedicare Direct HMO Plus or HMO Prime will be responsible for the costs.

2020 Provider Directory PDF

2021 Provider Directory PDF

If you would like to request a print Provider Directory, complete the form here.

Click HERE to open the Find a Provider Portal. Please note that the search form will open in a new browser window. *Please choose FirstMedicare Direct in the "Type of Coverage" drop-down menu on the form.

IMPORTANT NOTICE ABOUT YOUR PLAN --If you are enrolled in FirstMedicare Direct smartHMO you must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor FirstMedicare Direct smartHMO will be responsible for the costs.

2020 Provider Directory PDF

2021 Provider Directory PDF

If you would like to request a print Provider Directory, complete the form here

Click HERE to open the Find a Provider Portal. Please note that the search form will open in a new browser window. *Please choose FirstMedicare Direct in the "Type of Coverage" drop-down menu on the form.

^ Back to the Top

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:
Wednesday, June 2, 2021 4:42:52 PM