Additional Resources
Medicare products involve many details. The links on this page provide those details to help you learn more about our products and make better-informed decisions about your Medicare needs.
Enrollment Instructions and Forms
Information on how to enroll via paper and online.
How to Enroll in Blue Medicare HMO
How to Enroll in Blue Medicare PPO
How to Enroll in Blue Medicare Rx (PDP)
Summary of Benefits
Answers to common questions about our plans and an overview of available benefits.
Blue Medicare HMO and Blue Medicare PPO Summary of Benefits
Blue Medicare Rx (PDP) Summary of Benefits
Prescription Drugs
Details on how prescription drugs are covered under our Medicare products.
Medicare Prescription Drug Plan Finder
Blue Medicare HMO and Blue Medicare PPO
Quality Assurance Policies and Procedures
Transition Process for New Enrollees
Blue Medicare Rx (PDP)
Coverage Determinations/Appeals and Grievances
Quality Assurance Policies and Procedures
Transition Process for New Enrollees
Other Policies and Procedures
Additional information about our Medicare plans.
Low-Income Subsidy and Best Available Evidence
Medical and Drug Plan Ratings for Blue Medicare HMO
Medical and Drug Plan Ratings for Blue Medicare PPO
Drug Plan Ratings for Blue Medicare RX
Blue Medicare HMO and Blue Medicare PPO
Notice of Possible Contract Termination
Blue Medicare Rx (PDP)
Notice of Possible Contract Termination
Privacy Information, Member Rights and Responsibilities
We're committed to protecting your privacy and your personal health information.
Web Privacy Policy and Usage Agreement
Member PHI Authorization Request Form
Members Rights and Responsibilities - Blue Medicare HMO and Blue Medicare PPO
Member Rights and Responsibilities – Blue Medicare Rx (PDP)
To view PDF documents you need Adobe Acrobat Reader.
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 4/01/2013.
Y0079_6154 CMS Approved 04162013
© , Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.