2009 Plan details

Blue Medicare HMO gives you coverage within our network of doctors and specialists. Our Enhanced plan includes our most robust medical benefits and is available with or without Medicare prescription drug benefits. We also offer a Standard plan that offers basic prescription drug coverage.

Available in select counties

Blue Medicare HMO is available in the following counties:

Alamance	Catawba	Guilford	Northampton	Stokes
Alexander	Chatham	Halifax	Onslow	Surry
Alleghany	Cumberland	Hertford	Orange	Wake
Ashe	Davidson	Hoke	Perquimans	Watauga
Avery	Davie	Iredell	Person	Wayne
Bertie	Durham	Johnston	Pitt	Wilkes
Brunswick	Edgecombe	Lee	Randolph	Yadkin
Cabarrus	Forsyth	Martin	Richmond
Caldwell	Gaston	Mecklenburg	Rockingham
Carteret	Gates	Nash	Rowan
Caswell	Greene	New Hanover	Stanly

Network of doctors

With Blue Medicare HMO, you can select a primary care provider (PCP) from within the Blue Medicare HMO network to coordinate your care. There's no penalty for visiting a network specialist on your own without a referral from your PCP.

If you see a doctor outside the network without prior approval from PARTNERS (except in an emergency, an urgent care situation or for out-of-area renal dialysis care), neither Medicare nor PARTNERS are responsible for the costs involved.

Network of pharmacies

You can fill your prescriptions at participating pharmacies throughout the state. Most of the major chain pharmacies are part of our network, so you can fill your prescriptions at any of their locations nationwide. You can also fill prescriptions through our mail order prescription program.

Blue Medicare HMO and Blue Medicare PPO plans are offered by PARTNERS National Health Plans of North Carolina, Inc. (PARTNERS), a subsidiary of Blue Cross and Blue Shield of North Carolina (BCBSNC). PARTNERS is a Medicare Advantage organization with a Medicare contract to provide HMO and PPO plans. Plans are administered by BCBSNC. BCBSNC and PARTNERS do not discriminate based on color, gender, religion, national origin, age, race, disability, handicap, sexual orientation, genetic information, source of payment or health status as defined by the Centers for Medicare & Medicaid Services (CMS). All qualified Medicare beneficiaries may apply. You must be entitled to Medicare Part A and enrolled in Medicare Part B and must reside in the CMS-approved service area. You must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or another third party. BCBSNC and PARTNERS are independent licensees of the Blue Cross and Blue Shield Association.

The information on this page is current as of 10/16/08.