Blue Cross and Blue Shield of North Carolina (Blue Cross NC), has a contract with the Centers for Medicare & Medicaid Services (CMS) to provide a Medicare Advantage prescription drug plan (MAPD). Blue Cross NC is also a Medicare-approved Part D sponsor. CMS is the government agency that runs Medicare. This contract renews each calendar year. Each year the contract is reviewed, and either Blue Cross NC or CMS can decide to end it. Members will get 90 days advance, written notice if the contract will not be renewed in this situation. It is also possible for our contract to end at some other time. If the contract is going to end, we will generally tell members 90 days in advance. Advance notice may be as little as 30 days or even fewer days if CMS ends our contract in the middle of the year. In this notice, we would provide a written description of alternatives available for obtaining qualified prescription drug coverage in North Carolina. We are also required to notify the general public of a contract termination via local newspapers.
If Blue Cross NC decides to stop offering Blue Medicare HMO, Blue Medicare PPO or Blue Medicare Rx coverage, or change the service area so that it no longer includes the area where you live, membership in Blue Medicare HMO, Blue Medicare PPO or Blue Medicare Rx affected by that change will end for everyone in the affected plan within that service area, and members will have to change to a different Medicare Advantage or Medicare drug plan, return to Original Medicare or select a Medicare Supplement plan, if needed. Blue Medicare HMO, Blue Medicare PPO or Blue Medicare Rx will provide coverage until the contract ends.