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Medicare Supplement members may visit any doctor who accepts Medicare, with no network requirement.

Answer these questions to search options available for your plan:

BCBSNC Member ID Cards with plan name circled

If you're a member, we'd recommend logging in to your Blue Connect account. You'll be able to search for doctors, drugs and pharmacies as well as perform other tasks like getting information on your claims and benefits.

Not sure which plan you would like to buy? Want to learn more about Medicare? Visit our Medicare Plans page.

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(choose a different plan)

You can visit any doctor or facility that accepts Medicare. If you'd like, you can use Find a Doctor below to find doctors and facilities that meet the quality standards for our network. Please be sure to call the doctor or facility first or check their website to confirm that they accept Medicare.

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(choose a different plan)

You can visit any doctor or facility that accepts Medicare. If you'd like, you can use Find a Doctor below to find doctors and facilities that meet the quality standards for our network. Please be sure to call the doctor or facility first or check their website to confirm that they accept Medicare.

This plan does not include prescription drug coverage. If you are interested in prescription drug coverage, visit our Medicare Plans page to view your options.

Find International Providers (external site)

Listings show all locations for the practice group of a listed doctor. But, not all doctors work in all the locations. So, before you choose a particular doctor at a listed location, please check directly with that doctor's office to find out if he or she practices there.

Please note that this directory is subject to change. Even if a particular doctor is currently participating, there is no guarantee that the doctor will continue to participate.



 

Additional Information

Blue Cross and Blue Shield of North Carolina offers three drug formularies (drug lists) so Medicare beneficiaries can have options for their prescription needs.

Blue Medicare HMO Enhanced and Blue Medicare PPO Enhanced share the same Medicare prescription drug list. This list is based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list includes many highly utilized generic drugs and some brand name and specialty drugs. This list also includes a lower cost tier for some maintenance medications related to High Blood Pressure, High Cholesterol and Diabetic conditions.

The Blue Medicare HMO Essential and Blue Medicare Rx (PDP) Standard Plan prescription drug list is also based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list for this plan has many highly utilized generic drugs and some brand name and specialty drugs. Many of the most popular generic prescriptions are included.

The Blue Medicare Rx (PDP) Enhanced prescription drug list is based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list includes more generic, brand name and specialty drugs.

Generic drugs have the same active ingredient formulas as brand name drugs. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. Certain vaccinations, insulin and insulin injection supplies are also covered on all formularies. Over-the-counter drugs are not covered because they are excluded by Medicare.

To encourage the appropriate use of prescription drugs, some quantities are limited and some drugs must be approved before they will be covered. For more information, see prior authorization, step therapy, and quantity limitations.

Like most insurance coverage, our Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx plans have some limitations and exclusions.

The drugs listed below have been removed from the specified formularies (drug lists). Please ask your doctor to prescribe a drug that is on the formulary to treat your condition. Your drug cost will depend on your specific prescription drug plan and the formulary alternative prescribed by your doctor. If you are affected by a change to the formulary, you will receive a written notice regarding the change at least 60 days before the change will take effect.

Blue Medicare Rx Standard

These drugs have been withdrawn or discontinued by the manufacturer:

  • Astramorph
  • Azathioprine injection
  • Elspar
  • Freamine III 8.5%
  • Leukine 500 mcg

The drug manufacturers have discontinued participation in the Coverage Gap Discount Program for these drugs:

  • Krystexxa inj 8mg/ml
  • Oxandrin 2.5mg and 10mg

Blue Medicare HMO/PPO and Blue Medicare Rx Enhanced

These drugs have been withdrawn or discontinued by the manufacturer:

  • Allopurinol injection
  • Astramorph
  • Azathioprine injection
  • Celestone solution 0.6 mg/5 ml
  • Cimetidine injection
  • Elspar
  • Freamine III 8.5%
  • Leukine 500 mcg
  • Onsolis
  • Tobramycin injection 1.2 mg/ml in saline
  • Tyzine 0.1%

The drug manufacturers have discontinued participation in the Coverage Gap Discount Program for these drugs:

  • Krystexxa inj 8mg/ml
  • Oxandrin 2.5mg and 10mg

If you can't find your drug, your drug may not be covered. To verify whether a drug is covered, you may call Customer Service seven days a week from 8 am - 8 pm.

  • Blue Medicare Rx 1-888-247-4142; TTY/TDD 1-888-247-4145
  • Blue Medicare HMO 1-888-310-4110; TTY/TDD 1-888-451-9957
  • Blue Medicare PPO 1-877-494-7647; TTY/TDD 1-888-451-9957

If your drug is not covered, you have the right as a member to request that an exception be made to the formulary or to request a transition supply while you find an appropriate alternative prescription. For instructions on how to request a transition supply or an exception to the formulary and instructions on how to appeal a decision about an exception or to file a grievance if you are dissatisfied for any reason, please review the following documents:

If you discover incorrect information in our Find a Doctor Tool, please call Customer Service at 1-877-258-3334. We'd like to provide our members with the best information possible. Thank you for your assistance.