Spring 2010 - FirstCarolinaCare Insurance Company

HealthMessenger
Presort Standard
US Postage
PAID
Permit No. 289
Southern Pines, NC
42 Memorial Drive, Suite 1
Pinehurst, NC 28374
HealthMessenger
Spring 2010
In this issue:
Worksite Health Screening
It’s Vacation Time!
Accessing Care and
Coverage
Allergy Season Relief:
Claritin, Claritin-D and
Zyrtec OTC, Zyrtec-D OTC
on FCC Formulary
FCC
Identification
Card
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FCC Providers Offering
Extended Hours: Moore,
Please note that your FCC identification card (“ID card”)
is used for both medical and pharmacy providers. Be sure
to present your ID card when you drop off a prescription
because the pharmacy needs information on the card in
order to process your prescriptions properly.
Richmond, Harnett &
Scotland Counties
FCC Identification Card
Each dependent covered under your plan receives his or
her own ID card that contains his or her unique member
number. It is very important to provide the correct ID
card when a dependent’s prescription is being filled at
your pharmacy.
If you need a new card for you or someone in your
family, please call Member Services at (800) 574-8556
to request a replacement card.
325-173-10
FCC Member Says Worksite
Health Screening Was
Lifesaving
Like so many of us, Vicki Golden saw no need to make regular visits to the
doctor’s office. She felt fine and had no indication that something could be wrong.
So, when her employer hosted a worksite health screening event, Golden didn’t plan
to take part.
Golden works for National Volkswagen in Jacksonville,
N.C., where the health screenings were being provided by
FirstCarolinaCare Insurance Company (FCC).
“I was extremely hesitant to participate in the health
screening,” she says. “I think, in the back of my mind, I
thought I would rather not know if something was wrong.”
Fortunately, something changed her mind, and at the last
minute, she made the decision to join her co-workers and have
a blood pressure, cholesterol and glucose screening during the
worksite event.
FCC nurse Mary Mabe, R.N., took Golden’s blood pressure and a quick finger
prick to determine her cholesterol and glucose (blood sugar) levels.
Golden was shocked to learn that her cholesterol and glucose levels were above
normal ranges and her blood pressure was dangerously high at 226/110. Normal
blood pressure is 120/80 or less.
“Mary didn’t alarm me, but she strongly encouraged me to see my doctor right
away,” says Golden.
She says her “eyes were opened to so many things” after the screening.
“I could have dropped over dead as a result of my high blood pressure,” she says.
“I had no symptoms or warning signs that I was heading toward such danger.”
After more than 10 years of avoiding the doctor’s office, Golden took nurse
Mabe’s advice and made an appointment to see her physician that same day. She was
prescribed medications to help lower her cholesterol, glucose and blood pressure. She
doesn’t want to continue to take medications for the rest of her life, though, so she’s
focusing on losing weight and eating right.
“For every pound I lose, I’m that much closer to getting off of my medicines,” she says.
Since September, Golden has lost more than 30 pounds and she’s committed to
meeting her goal of 25 more. Mabe continues to check in with her, offering advice and
encouragement.
“I feel so much better, and I have more energy,” Golden says. “I really believe this
screening saved my life.”
It’s Vacation Time Again
Accessing Care and Coverage Concerns
As the busy vacation season approaches, many of you will be traveling outside the FCC service area.
While we hope none of you will need medical care while on vacation, we know that many of you have
concerns about how to access care while away from home. Below are some frequently asked questions
about what to do when you are away from home.
What do I do if my child is running a high fever?
If possible, you should call your child’s Primary Care Provider (PCP) for advice. Your PCP may be
able to handle your child’s needs over the phone or may direct you to seek services at the nearest urgent
care or emergency facility. If you are unable to speak with your child’s PCP or if you feel that your child’s
condition is an emergency, you should take your child to the nearest emergency facility. Once you return
home, notify your PCP.
What will it cost me if I have to go to the emergency department when I’m on
vacation?
A visit to an urgent care or emergency facility is the same, regardless of where it is located. Check your
schedule of medical benefits to determine your plan’s cost. You may be asked to pay for the visit before
you leave, especially at an urgent care center. If this happens, get an itemized bill from the facility when you
check out. You will need to file this claim when you return home. Both your human resources department
and FCC have the claim forms available and will be happy to assist you in completing them.
If I am out of the area and get sick and a family member’s physician can see me, can I
see that physician or should I just go to the emergency room?
Yes, you may see your family member’s physician. It will be treated the same as an urgent care visit.
You must file this claim with FCC for the claim to be paid correctly. Either mail the claim with an
explanation to FirstCarolinaCare Insurance Company, 42 Memorial Drive, Pinehurst, NC, 28374, or bring it
by our office located at the same address.
Please be sure to carry your ID cards for all members of your family who are covered by FCC with you
at all times, especially when traveling.
If you have any questions, please call Member Services at (800) 811-3298.
Have a safe and healthy vacation!
Allergy Season Relief: Claritin, Claritin-D and
Zyrtec OTC, Zyrtec-D OTC* on FCC Formulary
With allergy season upon us, it is important to remember that over-the-counter
(OTC) Claritin®, Claritin-D®, Zyrtec OTC® and Zyrtec-D OTC®* are covered on the
FCC formulary for a generic co-payment.
In order for FCC to cover Zyrtec-D OTC®, Zyrtec OTC®, Claritin®, or Claritin-D®
at the generic co-payment level, you MUST have a prescription from your physician
and have it filled at your pharmacy.
*Zyrtec and Claritin liquid gels and eye drops, and Zyrtec perfect measure and
chewable tablets are excluded from coverage.
FCC Providers Offering Extended Hours: Moore, Richmond,
Harnett & Scotland Counties
Moore County:
Harnett County:
Pinehurst Family Care Center
(910) 215-5555
10 Aviemore Drive
Pinehurst, NC 28374
Saturday acute care, established
patients only
Boone Trail Medical Center
(910) 893-3063
1000 Medical Center Road,
Mamers, NC 27552
Thursdays 11:30 a.m.-8 p.m.
Sandhills Urgent Care
(910) 692-5555
Hwy 1, Southern Pines, NC 28387
Open evenings until 6 p.m.,
Saturdays 9 a.m.-2 p.m.
Pinehurst Medical Clinic
(910) 295-5511
205 Page Rd., Pinehurst, NC 28374
Saturdays 8 a.m. to noon,
established patients only,
first-come, first-served
Premier Pediatrics
(910) 246-2229
135 Turner St.
Southern Pines, NC 28387
Saturday sick visit, 9 a.m.-1 p.m.,
established patients only
Sandhills Pediatrics
(910) -692-2444
195 W. Illinois Ave.,
Southern Pines, NC 28387
Evenings 6 to 8 and Saturday
mornings; sick visits only
Southern Pines Women’s Health
Center (910) 692-7928
145 Applecross Road,
Southern Pines, NC 28387
Open some evenings, days vary
Richmond County:
First Choice Medical Group
(910) 895-6042
East Broad Street
Rockingham, NC 28379
Tuesdays and Thursdays open
until 6 p.m.
FirstHealth-Carolina Family
Medicine (910) 895-1989
104 Physicians Park Drive,
Rockingham, NC 28379
Tuesdays, established patients
only, time depends on Dr. Hall’s
schedule
FirstHealth Family Care-Richmond
(910) 417-3850
921 Long Drive, Suite 101,
Rockingham, NC 28379
Open until 6 p.m.
Monday-Friday
Pines Quick Care & Family
Medicine (910) 895-0444
308 S. Lawrence St.,
Rockingham, NC 28379
Open Saturdays & Sundays at 10:30
a.m., first-come, first-served
Richmond OB/GYN
(910) 417-3477
921 Long Drive,
Rockingham, NC 28379
Open until 6 p.m. Monday-Friday
Universal Medical Associates, PLLC
(910) 639-9001
511 N. Raleigh St.,
Angier, NC 27501
Mondays 8:30 a.m.-6 p.m.
FirstHealth Richmond Family
Medicine
Steven T. Alexander, M.D.
Kimberley Sierra Lingler, M.D.
Pinehurst Family Care Center, PA
Emily G. Parker, P.A.
Robeson Health Care Corporation
Michelle Nicholson-Wilson, M.D.
Sanford Medical Group
Murali D. Pisharody, M.D.
Edgewater Medical Center &
Urgent Care (910)893-4111
100 S. 10th St., Lillington, NC 27546
Tuesdays 7:30 a.m.-6 p.m.
Saturdays 9 a.m.-noon
Sundays noon-5 p.m.
FirstHealth of the Carolinas
Outpatient Cancer Center
Charles S. Kuzma, M.D.
Scotland County:
Internal Medicine
Scotland Urgent Care
(910) 277-8300
500 Lauchwood Drive,
Laurinburg, NC 28352
Tuesdays 7:30 a.m.-6 p.m.
Saturdays 9 a.m.-noon
Sundays noon-5 p.m.
FirstHealth Richmond Medical
Group Internal Medicine
Lauren J. Alter, M.D.
New Providers
Allergy/Immunology
Allergy Partners, PA
Diane Krane Laber, M.D.
Behavioral
Powers Counseling Service
Casey N. Powers, LPC
Pembroke Center for Wellness
Dawn G. Douglas, LCSW
Ella O. Lynch, N.P.
Trinity Innovative Programming
Services
Maurice J. Berryhill, LCAS
Tamara M. Carter, LCSW
Regina Kelly, LCSW
Annette McDaniel, LCAS
Cardiology
Pinehurst Medical Clinic
Steven J. Filby, M.D.
Chiropractic
Moore County Chiropractic
Sharon A. Wright, D.C.
Endocrinology
Pinehurst Medical Clinic
Olga V. Ostmann, M.D.
Family Medicine
CNC Family Medicine, PLLC
David N. Russell, M.D.
First Choice Community Health
Centers
Amritpal Manes, M.D.
Hematology/Oncology
Neurology
Raleigh Neurology Associates
Margaret J. Feinson, N.P.
Olivia M. Queern, N.P.
Obstetrics & Gynecology
FirstHealth Richmond Medical
Group Women’s Center
Yolanda M. Newton, M.D.
Physical Medicine & Rehabilitation
Central Carolina Orthopedic
Associates
John H. Jimenez-Medina, M.D.
Physical Therapy
Performance Rehabilitation Corp.
Samantha F. Fulton, P.T.
Jennifer N. Thompson, DPT
Raleigh Neurology Associates
Heather M. Davenport, P.T.
Susan M. Salter, P.T.
Podiatry
Triangle Foot and Ankle Specialist
Jeremy M. Thomas, DPM
Psychiatry
FirstHealth of the Carolinas
Behavioral Health Services
Scott M. Klenzak, M.D.
Pulmonary Diseases
John T. Atkins, M.D.
Rheumatology/Immunology
Shanahan Rheumatology and
Immunotherapy
Joseph C. Shanahan, M.D.
Randolph Women’s Health Care
Kim C. Brooks, M.D.
Tosha L. Rogers-Jones, D.O.
Speech Therapy
Occupational Therapy
Raleigh Neurology Associates
Tina E. Gronewald, SLP
Raleigh Neurology Associates
Karen M. Buckmiller, O.T.
Optometry
Carolina Family Vision
Adam B. Bryan, O.D.
Eye Care Associates
Alvah C. Clayton III, O.D.
Midland Optometric
Eric R. Fogleman, O.D.
Spectrum Family Eye Centers
Optometric
Michele P. Keel, O.D.
Orthopaedic Surgery
S. David Ciliberto, M.D.
Stanly Medical Services
John D. Hill, M.D.
Pediatrics
Anson Pediatrics
Olivia E. Peters, M.D.
Legacy Pediatrics
Ana C. Hodges, M.D.
Robert W. Patterson, M.D., PA
Leah Weeks, N.P.
Sandhills Pediatrics
Sarah R. Locklear, M.D.
Pediatric Developmental Therapy
Sara C. Graham, SLP
Speech Connections
Kendra L. Earwood, SLP
Urgent Care Medicine
Port City Urgent Care
Gary D. Ochs, P.A.-C
Urology
Pinehurst Surgical
Manilo Adam Goetzl, M.D.
Vascular Surgery
Pinehurst Surgical
Joel A. Berman, M.D.
Lorraine Mayer-Wolpert Berman, M.D.
Sanford Sandhills Emergency
Physicians
Franklin Hargett, M.D.