2010 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	Chatham	Greene	Mecklenburg	Rockingham
Alexander	Chowan	Guilford	Nash	Rowan
Alleghany	Columbus	Halifax	New Hanover	Sampson
Ashe	Cumberland	Harnett	Northampton	Stanly
Avery	Davidson	Haywood	Onslow	Stokes
Beaufort	Davie	Henderson	Orange	Surry
Bertie	Duplin	Hertford	Pender	Tyrrell
Bladen	Durham	Hoke	Perquimans	Wake
Brunswick	Edgecombe	Hyde	Person	Warren
Cabarus	Forsyth	Iredell	Pitt	Washington
Caldwell	Franklin	Johnston	Polk	Watauga
Carteret	Gaston	Lee	Randolph	Wayne
Caswell	Gates	Lincoln	Richmond	Wilkes
Catawba	Granville	Martin	Robeson	Yadkin

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.

You must use plan providers except in emergency/urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor PARTNERS will be responsible for the costs.

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.

The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a descision about your coverage. This is an advertisement; for more information contact the plan.

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 10/01/2009.