Find in-network doctors, pharmacies, services, and drugs covered by your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) Medicare plan.
Blue Medicare Advantage PPO℠ and HMO℠ medical benefits include:
- Primary care provider and specialist visits
- Inpatient hospital care and outpatient services, including mental health facilities
- Preventive care
- Emergency care
- Diagnostic tests and radiological services
- Vision, dental, and hearing services1
Blue Medicare Advantage℠ and Blue Medicare Rx℠ members can go to any pharmacy in our network to pick up a prescription drug. Our network includes retail, long-term care, home infusion, Indian Health Service/Tribal/Urban Indian Health Program (I/T/U), specialty, and mail-order pharmacies.
Flu shot alert: Not all pharmacies can process a flu shot under your medical benefits and may require an upfront payment. Please check prior to receiving your flu shot.
Your Medicare Advantage plan includes an annual visit at no cost to you — here's how to make the most of it.
During your Annual Preventive Care Visit, your doctor will screen and assess you to help detect potential health issues early. Taking care of issues before they get worse helps improve your health outcomes and quality of life.
You can get a $50 reward for completing your visit.
Some Blue Medicare plans come with more than just your typical medical coverage. You'll find extra benefits that support your overall health and help you save money along the way.
With Blue Connect℠, you can manage your plan, track claims, estimate your drug costs, get a copy of your member ID card, find a pharmacy, and so much more.
Your Blue Medicare plan is designed to help you achieve your health goals. Understanding how to use your plan can save you time, money, and stress. Explore tips that will help you navigate your care with confidence.
Whether you're new to Medicare or are looking for a refresher on your plan, explore everything your Blue Medicare Advantage plan can do for you.
From how to choose a pharmacy to navigating your formulary, learn what you need to know to make the most of your pharmacy benefits.
When you need medical care, it can be confusing to know where to go to get the right treatment.
Telehealth, urgent care, the emergency room, and your doctor's office all serve different purposes. Because each facility provides different kinds of care based on severity, the cost and visit time differ with each.
Knowing the right place to go can save you time and money and provide much-needed peace of mind.
| Primary care doctor (PCP) | Telehealth | Urgent care | Emergency room | |
|---|---|---|---|---|
| Services | Primary care physicians provide complete, overall care. They can perform regular check-ups, manage routine labs, and address minor health issues such as sprains, earaches, colds, and strep throat. | Telehealth is best for when you don't need a physical exam. An appointment can help with minor health issues like aches, bug bites, and colds. | An urgent care facility can treat moderate illnesses and injuries like asthma attacks or cuts that need to be stitched. They can also conduct diagnostic testing. | Emergency rooms specialize in providing immediate, critical care for life-threatening conditions and injuries like major broken bones, loss of consciousness, head trauma, and seizures. |
| Average visit time | 18 minutes2 | 17 minutes3 | 60 minutes4 | 3 hours5 |
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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