Health Plan Update

On February 25, 2025, Health Alliance Medical Plans (“Health Alliance”) and FirstCarolinaCare (“FCC”) shared with you that Carle Health (“Carle”) had decided to cease health plan operations for its Health Alliance and FCC commercial lines of business as of January 1, 2026, while still evaluating its Medicare Advantage line of business.

After careful review of the healthcare and insurance landscape, Carle Health has made the difficult decision to discontinue Medicare Advantage lines of business effective December 31, 2025. Like many provider-owned health plans across the country, we’ve faced increasing challenges in continuing to offer Medicare Advantage coverage in a way that is sustainable long term.

Medicare Advantage members will continue to receive full access to benefits and services through the end of the year. As our trusted partner we also want to assure you that there will be no changes for the remainder of the year. You can continue to provide high-quality care to our members across all product lines.

Health Alliance and FCC remain dedicated and committed to providing high-quality health insurance services to members, employers, providers, and community agencies through this transition.

To this end, Health Alliance and FCC will assure adequate levels of operations after 2025, to support claims processing and to meet ongoing business needs, regulatory mandates and contractual obligations relating to the provision of health care services initiated and/or completed prior to January 1, 2026.

Our team members at every level are here to support you with information, training, education and any other assistance you may need to care for our members. Our Provider Relations teams are available to help with claims inquiries, access to the provider portal and other operational matters. We hope this communication will help you prepare to meet your patient’s needs.