Blue Medicare HMO
Blue Medicare PPO
Healthy Blue + Medicare (D-SNP)
Resources and Forms
Get essential resources for Medicare providers, including Medicare payer sheets, online provider manual and newsletters.
Healthy Blue + Medicare (D-SNP)
D-SNP resources, training and contact information.
Formulary
Search for a drug in Blue Cross NC's Medicare formulary.
Medical Management Programs and Services
Get information on the programs and services designed to help maintain high quality care for Blue Medicare PPO and Blue Medicare HMO members.
Medical Policies
Search for a medical policy or guideline for Medicare providers.
Reimbursement Policies
Search for a reimbursement policy for Medicare providers.
Policies and Responsibilities
Review Blue Cross NC's Blue Medicare PPO and Blue Medicare HMO policies and provider responsibilities to our Medicare members.
Prior Plan Approval
Find out which services need prior plan approval and how to request it.
Provider Appeals
Get details and instructions for filing a post-service provider appeal.
Provider Appeal FAQs
Get answers to common questions about Medicare provider appeals.
Electronic Commerce
Connect with other providers online to research claims, benefits and eligibility information.
Contact Us
Questions about providing care for Blue Medicare PPO and Blue Medicare HMO members? Contact us for answers.
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 or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.
Blue Connect