Medicare

Unlock the full value of your Healthy Blue + Medicare plan

Find helpful information, resources, and services that help you make the most of your benefits.
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Explore your 2026 benefits

Healthy Blue + Medicare (HMO-POS D-SNP) makes it easier for you to get the care you need, when you need it, at a low cost. You get full Medicare and Medicaid benefits, plus extra services like care coordination and food support.1

With your Healthy Blue + Medicare plan you have access to:

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$0 out-of-pocket costs
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  • $0 monthly premiums2 3
  • $0 primary care physician and specialist copays4
  • $0 routine vision, dental, and hearing4 5 6
  • $0 preventive care
  • $0 copays for some Medicare Part D drugs at in-network pharmacies7
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Case management
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Managing your health care alone can be hard, especially if you have multiple health problems.

You'll have a case manager who will work with you and your doctors to make sure you get the right care. These case managers are nurses, social workers, and mental health clinicians.

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Learn More About Case Management
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Cost-saving benefits
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You get access to extra benefits that can help you meet your health goals. Benefits include:

  • $250 per month for over-the-counter products, healthy foods, and household items1 8
  • $3,000 combined allowance for preventive and comprehensive dental services6
  • $0 Advanced hearing aids. TruHearing® covers one hearing aid per ear, every three years.5
  • Fitness benefit through SilverSneakers9
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Transportation services
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SafeRide℠ Health makes it easy to get to and from doctor appointments, your pharmacy, and the grocery store.1SafeRide matches you with the transportation type that meets your needs, including wheelchair accessible vans and non-emergency ambulances. You can book in advance or up to two hours before your appointment. This benefit includes 48 non-emergency, one-way rides per year.5

To schedule a ride or find out how many rides you have left for the year (ride balance), please call 888-617-0271 (TTY 711).

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Additional benefits
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If you have severe chronic conditions or are at risk for hospitalization, you may qualify to receive extra, non-medical benefits called Special Supplemental Benefits for the Chronically Ill (SSBCI).1

These benefits are available for members who qualify, and can include extras like groceries, transportation, and more.

To learn if you are eligible for SSBCI, call us at 833-713-1078 (TTY 711), 8 AM to 8 PM ET, seven days a week.

Read your plan's Evidence of Coverage (EOC) (PDF) to learn about your coverage, including what you pay for services.

If you are a caregiver for a member with Healthy Blue + Medicare, Blue Cross NC has resources available to help. Visit our Caregiver Resources page for more information.

Member tools and resources

Explore helpful tools, documents, and forms for using your Healthy Blue + Medicare plan with ease.
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Member ID card
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Discover how your member ID card helps you use your plan and benefits.
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Find general Medicare documents.
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Medicare policies
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Learn more about your rights and responsibilities and how to appeal a coverage decision.
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Important documents for your Healthy Blue + Medicare plan

Does someone help you with your health care needs? Or are you a caregiver assisting a member? If so, please complete this form.

Protected Health Information (PHI) Member Authorization Request Form (PDF) Or, log in to your member portal to submit your request.

Learn more about resources for caregivers.

Your formulary is a list of covered medications. Your formulary includes details on medication coverage and restrictions.

Log in to your member portal and select "Find a Medication" to view estimated costs, drug limitations or requirements, and other covered drugs. or, select your Formulary PDF.

2026 Formulary Healthy Blue + Medicare (HMO-POS D-SNP) (PDF)

The Pharmacy Directory lists our network pharmacies. To locate a pharmacy in your area, log in to your member portal or select your Pharmacy Directory PDF.

2026 Pharmacy Directory Healthy Blue + Medicare (HMO-POS D-SNP) (PDF)

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) must approve a prior review before your plan will help cover the cost of certain medical procedures or health care services. View Blue Medicare medical prior authorization guidelines.

Prior authorization, step therapy, and quantity limits are types of restrictions on prescription drug coverage. Learn more about limits on prescription drug coverage.

Connect with a Healthy Blue + Medicare expert

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Member customer service
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Call 833-713-1078 (TTY 711)
8 AM to 8 PM ET, seven days a week
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Interested in enrolling?
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Call 800-400-8745 (TTY 711)
Monday through Sunday from 8 AM to 8 PM ET
Or contact your local authorized agent.
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