Blue Medicare HMO Blue Medicare PPO

Responsibilities of Primary Care Physicians (PCP) in 2008

Effective 1/1/2008, Blue Medicare HMO and Blue Medicare PPO members have the freedom to choose in-network providers and specialists without a referral. Members are still expected to select a primary care physician (PCP). Members are encouraged to visit their PCP before seeing a specialist. In this way, Blue Medicare HMO and Blue Medicare PPO PCPs are still able to coordinate generally for the overall care management for their patients.

  • Family practice/General practice doctors provide care for infants, children, adolescents and adults in the areas of community medicine, internal medicine, obstetrics and gynecology, pediatrics, psychiatry and surgery.
  • Internists (Internal medicine) provide service for treatment of diseases in adults. Normally, they do not deliver babies, treat children or perform surgery.
  • Pediatricians typically treat children from birth up to the age of sixteen.
  • Geriatric doctors provide care for older adults.

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Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina 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 Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.