Our Medicare Plans

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Here's a list of our Medicare plans for 2012.

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).

Plan Name Premium Prescription Drug Coverage Out-of-Network Provider Office Visit (Primary/Specialist)
Blue Medicare HMO
HMO Standard $0 Standard Not covered* $10/$35 Enroll
HMO Enhanced $16.40 Enhanced Not covered* $5/$35 Enroll
HMO Medical Only $0 None Not covered* $5/$20 Enroll
Blue Medicare PPO
PPO Enhanced $47.20 Standard Generally 20% $15/$40 In-network Enroll
PPO Enhanced Freedom $99.90 Enhanced Generally same cost as In-network $20/$40 In-network Enroll
Blue Medicare Rx Prescription Drug Plan
Enhanced $92.50 Enhanced N/A N/A Enroll
Standard $66.10 Standard N/A N/A Enroll
Blue Medicare Supplement
Learn more and apply online.


Blue Medicare HMO and Blue Medicare PPO are available in the following counties:

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

* Out-of-network benefits not covered except for emergencies.

The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. This is an advertisement; for more information contact the plan.

For Medicare Advantage and Part D plans, benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1, 2013. 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.

Blue Medicare HMO:
1-888-310-4110 (TDD/TYY 1-888-451-9957)
Blue Medicare PPO:
1-877-494-7647 (TDD/TYY 1-888-451-9957)
Blue Medicare Rx (PDP):
1-888-247-4142 (TDD/TYY 1-888-247-4145)
Blue Medicare Supplement:
1-800-672-6584

®, 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 10/01/2011.

Y0079_5325 CMS Approved 10192011