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Important Legal Information and Disclaimers

Blue Medicare HMO, Blue Medicare PPO, and Blue Medicare Rx (PDP) Members

My Benefits

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Benefits Overview
  • Newly covered Services
    Please click here to see a list of new benefits.
  • Visiting the Doctor and Other Providers
    Your primary care physician (PCP) will coordinate your health care. You're not required to see your PCP before visiting a specialist, but it's strongly recommended so that your PCP is fully aware of the medical care you're receiving. Learn more about choosing a PCP and how to access your health care.
    • For Blue Medicare HMO, 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 Blue Medicare HMO are responsible for the costs.
    • Member liability with Blue Medicare PPO may be greater for services received out of network than services received in network. Many out-of-network services are subject to coinsurance, which is based on the Medicare allowed amount and not on the potentially lower contract amount. With the exception of emergency or urgent care, it may cost more to get care from non-plan or non-preferred providers.
  • Using Medicare Prescription Drug Coverage
    If your plan includes Medicare prescription drug coverage, learn how easy it is to fill your prescriptions at a local pharmacy or through mail order. In order to obtain the greatest savings on your prescription medications, please visit one of our preferred network providers (CVS, Rite Aid, Walgreens, Walmart and Epic pharmacies). For more information visit our Rx (PDP) site.
  • Star Ratings
Available in Select Counties

HMO and Blue Medicare PPO Service Area. See also table of Service Area Coverage by County.

Alamance Carteret Forsyth Hyde New Hanover Rockingham Washington
Alexander Caswell Franklin Iredell Northampton Rowan Watauga
Alleghany Catawba Gaston Johnston Onslow Sampson Wayne
Anson Chatham Gates Jones Orange Scotland Wilkes
Ashe Chowan Granville Lee Pamlico Stanly Wilson
Avery Cleveland Greene Lincoln Pender Stokes Yadkin
Beaufort Columbus Guilford Madison Perquimans Surry Yancey
Bertie Cumberland Halifax Martin Person Transylvania
Bladen Davidson Harnett Mcdowell Pitt Tyrrell
Brunswick Davie Haywood Mecklenburg Polk Union
Buncombe Duplin Henderson Mitchell Randolph Vance
Cabarrus Durham Hertford Montgomery Richmond Wake
Caldwell Edgecombe Hoke Nash Robeson Warren

Important Legal Information and Disclaimers

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®, SM Marks of the Blue Cross and Blue Shield Association. SM1 Mark of Blue Cross and Blue Shield of North Carolina.

The information on this page is current as of 10/1/2014.

Y0079_7170 CMS Approved 08042015