How to Enroll
As with any Medicare Advantage plan, members may enroll only during specific times of the year. Details about when you may enroll in Medicare Advantage plans are available at medicare.gov or by calling 1-800-665-8037, 8 a.m. - 8 p.m., seven days a week. (TDD/TYY 1-800-922-3140).
To learn more about our Blue Medicare PPO coverage, download and print the following documents for future reference:
- Medical and Drug Plan Ratings for Blue Medicare PPO
- Product Brochure - Includes Summary of Benefits, enrollment instructions, grievances and appeals procedures, plan non-renewal notice, and Low Income Assistance information.
- Multi-Language Insert
Electronic Enrollment
Our online enrollment tool makes entering and submitting your information directly to us quick, safe and easy. There's virtually no paperwork involved!
Paper Enrollment
If you prefer to enroll by paper, download the enrollment form, print it out, fill it in and either fax the form or mail it to us.
Fax:
1-336-659-2957
Mail:
Blue Medicare PPO Enrollment
P.O. Box 17168
Winston-Salem, NC 27116
If you prefer to request an enrollment form over the phone, or you have questions about enrollment limitations and eligibility, give us a call at 1-800-665-8037, seven days a week, 8 a.m. – 8 p.m., or 1-800-922-3140 (TTY/TDD).
We will mail you an enrollment kit that includes an enrollment form, Summary of Benefits and additional information about our plans.
Medicare beneficiaries may also enroll in Blue Medicare PPO Enhanced or Blue Medicare PPO Enhanced Freedom through the CMS Medicare Online Enrollment Center located at medicare.gov.
Interested in Dental Coverage?
- Includes coverage for basic services like routine fillings and extractions and major services like crowns and dentures
- You pay no deductible for preventive services
Learn more about Dental Blue.
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Members may enroll in the plan only during specific times of the year. Contact BCBSNC for more information.
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 10/01/2012.
Y0079_5875 CMS Approved 10012012
© , Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.