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Blue Medicare HMO Blue Medicare PPO

Provider resources and information


Resources and forms

Prior authorization and nonformulary requests includes:

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.

Network Management Field Offices
Find contact information for the network management field office in your area.


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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.