Privacy and Legal

Blue Cross and Blue Shield of North Carolina (BCBSNC) is committed to protecting the privacy of the medical information and other personal information we keep regarding our members. We have included several privacy policies below for your review:

General Privacy Notice

Members Rights and Responsibilities

Web Privacy Policy and Usage Agreement

Member PHI Authorization Request Form

Appeals and Grievances

Blue Medicare Rx

Med RX Out of Network Coverage

Med RX Coverage determinations, appeals and grievances

Med RX QA Policies and Procedures

Med RX Transition Process

Med RX Notice of Possible Contract Termination

Med RX Member Rights and Responsibilities

Blue Medicare HMO and Blue Medicare PPO

HMO/PPO Coverage Determinations

HMO/PPO QA Policies and Procedures

HMO/PPO Grievances

HMO/PPO Notice of Possible Contract Termination

HMO/PPO Member Rights and Responsibilities

HMO/PPO Out of Network Coverage

HMO/PPO Transition Process

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.