Resources and Forms
Prior authorization and nonformulary requests includes:- Formulary information
- Prior authorization drug request form
- Nonformulary drug and tier exception request form
- Provider vaccine form (coming soon)
- Intermediary vaccine form (coming soon)
- Request for approval of cataract extraction with intraocular lens implantation
- Diagnostic Imaging Management Program
Provider Manual
The Provider Manual is a complete source for information on working with Blue Medicare HMO and Blue Medicare PPO.
Medicare payer sheets
View or download printable Medicare payer sheets.
Provider newsletters
Download the latest editions of our Provider newsletter.
Silver Sneakers®
One of the nation's leading fitness programs designed specifically for older adults - a fun way to stay in shape and increase social interaction. View an online education course, available via BCBSNC's Education and Learning Center.
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.