Important Legal Information and Disclaimers

For Medicare Members

Blue Medicare HMO and Blue Medicare PPO

To learn more about Blue Medicare HMO and Blue Medicare PPO plans, please call customer service.

  • Blue Medicare HMO: 1-888-310-4110 (TTY 1-888-451-9957 / 711)
  • Blue Medicare PPO: 1-877-494-7647 (TTY 1-888-451-9957 / 711)
  • Blue Medicare Rx (PDP): 1-888-247-4142 (TTY 1-888-247-4145 / 711)

If you have questions or concerns or just want to give us feedback about your Blue Medicare HMO/PPO or Prescription Drug plan, contact Customer Service.

If we are unable to assist you, you can fill out the Medicare Complaint Form at Medicare.gov.

Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. Please contact Blue Cross NC for details.

The formulary, pharmacy network, and provider network may change at any time. You will receive notice when necessary.

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, sexual orientation or source of payment. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.

Limitations, copayments, and restrictions 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 you would like Medicare Advantage or Part D documents in a different language or format, or your coverage has ended and you need proof of coverage or a Certification of Health Insurance Coverage, you can call us seven (7) days a week, 8 a.m. to 8 p.m. Eastern Standard Time.

Out-of-network/non-contracted providers are under no obligation to treat Blue Cross NC members, except in emergency situations. Please call our Customer Service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Blue Medicare HMO:

1-888-310-4110
(TTY 1-888-451-9957 / 711)

Blue Medicare PPO:

1-877-494-7647
(TTY 1-888-451-9957 / 711)

Blue Medicare Rx (PDP):

1-888-247-4142
(TTY 1-888-247-4145 / 711)