Policies and Responsibilities
This section provides information about policies and responsibilities that Blue Medicare HMO and Blue Medicare PPO plans have implemented to maintain the high quality care for its members.
- Responsibilities of primary care physicians (PCPs)
- Hold harmless policy
- Credentialing and contracting
- Prior authorization
- Specialty networks
- Post-Service Provider Appeals
To view PDF documents you need Adobe Acrobat Reader.
Blue Cross and Blue Shield of North Carolina (BCBSNC) is a Medicare Advantage organization with a Medicare contract to provide HMO and PPO plans. BCBSNC does not discriminate based on color, gender, religion, national origin, age, race, disability, handicap, sexual orientation, genetic information, source of payment or health status as defined by the Centers for Medicare & Medicaid Services (CMS). All qualified Medicare beneficiaries may apply. You must be entitled to Medicare Part A and enrolled in Medicare Part B and must reside in the CMS-approved service area. You must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or another third party. BCBSNC is an independent licensee of the Blue Cross and Blue Shield Association.