A: Yes. Our easy, quick, and secure online tool requires virtually no paperwork. It takes approximately 15-20 minutes to complete the process and once finished, you can print out a copy of your enrollment form for reference.
A: Once you become a Blue Medicare HMO or Blue Medicare PPO member, you transfer the administration of your Medicare benefits to Blue Medicare HMO or Blue Medicare PPO. This means you maintain your status as a Medicare beneficiary, plus you gain the enhanced coverage available through your Blue Medicare HMO or Blue Medicare PPO health plan. You'll receive a Blue Medicare HMO or Blue Medicare PPO Member ID card that you'll present when using your Blue Medicare HMO or PPO benefits. You should present your Blue Medicare HMO or PPO ID card when using your pharmacy benefits.
A: Yes, Blue Medicare HMO and Blue Medicare PPO recognize the importance of preventive care and encourage routine health examinations for all members.
A: If you have a medical emergency, go to the nearest medical facility or call 911. Blue Medicare HMO and Blue Medicare PPO plans cover emergency services for you in or out of the service area. Please contact your primary care physician or Blue Medicare HMO or Blue Medicare PPO Customer Service within 48 hours so your PCP can coordinate follow-up care. Emergency services require a copayment, but it will be waived if you are admitted to the hospital on an inpatient basis within 48 hours.
A: Yes. Once you join Blue Medicare HMO or Blue Medicare PPO, you can continue to use your military benefits at military facilities and your Blue Medicare HMO or Blue Medicare PPO benefits outside of the military system.
A: If you have Medicare and Medicaid, you already qualify for low income assistance. If you don’t qualify for Medicaid, you may still qualify for some assistance. The amount of assistance will depend on your income and resources and will be applied to the cost of the Medicare prescription drug coverage portion of your Blue Medicare HMO or PPO plan. You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call 1-800-MEDICARE (1-800-633-4227). Hearing and speech impaired users should call 1-877-486-2048 (TTY/TDD), 24 hours a day/7 days a week or The Social Security Administration at 1-800-772-1213 between 7:00 a.m. and 7:00 p.m., Monday - Friday. Hearing and speech impaired users should call 1-800-325-0778 (TTY/TDD) or your State Medicaid Office.
If you do qualify for additional assistance for your Medicare prescription drug coverage costs, the amount of your premium and cost at the pharmacy will be lower. Once you have enrolled in a Blue Medicare HMO or Blue Medicare PPO plan, Medicare will tell us how much assistance you are receiving and we will send you information on the amount you will pay.
Monthly Plan Premium for People who get Extra Help from Medicare to
Help Pay for their Prescription Drug Costs
|Your level of extra help||Monthly Premium for Blue Medicare HMO Standard*||Monthly Premium for Blue Medicare HMO Enhanced*||Monthly Premium for Blue Medicare PPO Enhanced*||Monthly Premium for Blue Medicare PPO Enhanced Freedom*|
*This does not include any Medicare Part B premium you may have to pay.
A: Yes, but if you enroll in a Medicare Advantage plan and want Medicare prescription drug coverage, you must enroll in a Medicare Advantage prescription drug plan - one that includes both medical and prescription drug benefits.
A: No. If you choose to enroll in the Blue Medicare HMO Medical only plan that does not include prescription drug coverage, federal regulations prohibit you from purchasing a separate Medicare prescription drug plan as a separate policy or from another company.
A: No. Only drugs purchased in the United States are eligible for Medicare prescription drug coverage.
For Medicare Advantage and Part D plans, benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. For Medicare supplement plans, the changes occur on June 1 of each year. Please contact BCBSNC for details.
BCBSNC is a Medicare Advantage organization with a Medicare contract. BCBSNC is a Medicare-approved Part D sponsor. BCBSNC does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All BCBSNC items and services are available to all eligible beneficiaries in the service area. Limitations, copayments, and restrictions may apply. You must be entitled to Medicare Part A and enrolled in Medicare Part B and must reside in CMS-approved service area. You must continue to pay your Medicare Part B premium.
If you would like Medicare Advantage or Part D documents in a different language or format, or your coverage has ended and you need proof of coverage or a Certification of Health Insurance Coverage, you can call us 7 days a week, 8 a.m. to 8 p.m.
The information on this page is current as of 1/5/2013.
Y0079_6107 CMS Approved 01082013