Your plan can do a lot for you. If you have questions about your health or a condition that requires special care, we can help.
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Chronic health issue management
If you have a chronic health issue like asthma, diabetes or heart disease, you may be eligible for Healthy Endeavors℠. With Healthy Endeavors, you can talk with a trained nurse health coach at no extra cost to you.
Case management program
If you’ve been diagnosed with a complex health condition, our nurse case managers can teach you about your condition, give you reading materials to learn more, coordinate your care with your doctor, and help create a preventive care plan for healthier living. There's no extra cost to you.
Free mobile health app
Wellframe® is a free mobile application that connects you to a confidential and supportive health care team.1 Wellframe can give you personalized daily care plans, appointment reminders, and encouragement and support, and health checklists tailored to you. Call the Federal Employee Customer Service line to learn more.
Medication therapy management
Blue Cross NC provides medication therapy management (MTM) to members with a Service Benefit Plan. With MTM, clinical pharmacists can help you identify, prevent and resolve any medication-related problems, from side effects and drug interactions to drug use for non-medical purposes. Call to get one-on-one counseling from a clinical pharmacist.
Some prescription medications require pre-approval from Blue Cross NC. Before you buy, you can check to see if your prescriptions need pre-approval by visiting the FEP Blue pharmacy page. You can also call the Retail Pharmacy Program at 800-624-5060, or check your plan brochure for more information.
Some procedures and services require pre-approval from Blue Cross NC. Services that may require pre-approval include:
- Hospice care
- Inpatient hospital admission
- Organ and tissue transplants
- Behavioral health (mental health and substance use disorder)
Before you make your appointment for these services, have your doctor or provider call us at 800-222-4739. Your doctor can also find pre-approval forms on our provider prior authorization page.
We have a suite of programs designed to meet the needs of your workforce.
Whether it’s a question about health insurance, a chronic condition or something else, we can connect you with someone who has the answers. Call 800-222-4739 for assistance.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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