Learn about your medical coverage, plus resources and benefits available to you as a Blue Medicare Advantage℠ member.
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will host community events throughout the state from October - December. Medicare members can learn more about their plans, get certain screenings, and enjoy engaging activities.
Your Blue Medicare PPO℠ and HMO℠ medical benefits include:
- Inpatient hospital care and outpatient services, including mental health facilities
- Primary care provider and specialist visits
- Preventive care
- Emergency care
- Diagnostic tests and radiological services
- Vision, dental, and hearing services1
Your Evidence of Coverage (EOC) includes details about your coverage, including what you pay for services. Read your plan's EOC to learn about your coverage and payment details.
As a Blue Medicare PPO or HMO member, you may have access to more than 80,000 providers2 state-wide.
Our provider network includes:
- Hospital systems like Atrium, Cone Health, Duke Health, Mission Health, Novant, and UNC Health Care
- Independent providers
- Advanced Primary Care providers Carelon Health and Galileo Health
- Outpatient hospital facilities and ambulatory surgical centers
- Skilled nursing facilities
When you search for an in-network provider, you can find out details about the practice like hours, languages spoken, and office accessibility.
If you have a Blue Medicare PPO or HMO with prescription drug coverage, or a Blue Medicare Rx PDP plan, you can learn more about what's covered on our Medicare prescription drugs page.
Your Evidence of Coverage (EOC) includes details about your coverage, including what you pay for drugs. Read your plan's EOC to learn about your drug coverage and payment details.
Your Formulary (or drug list) also includes important information about your prescription drug coverage. Visit the Forms Library to view your plan's Formulary.
Blue Medicare Advantage℠ and Blue Medicare Rx℠ members can go to any pharmacy in our network to pick up a prescription drug. Our pharmacy network includes:
- retail
- long-term care
- home infusion
- Indian Health Service/Tribal/Urban Indian Health Program (I/T/U)
- specialty
- mail-order through Amazon Pharmacy
Your costs for some drugs may be less at pharmacies that offer preferred cost-sharing.
Medicare Advantage members have access to a fitness and health platform with access to gyms, studios, and online classes.
Members can enjoy unlimited use of the digital platform with live and on-demand classes from expert instructors, activity tracking, nutrition programs and more.
Learn more about FitOn Health,3 available for 2025 Medicare Advantage plans.
Learn more about SilverSneakers,3 available for 2026 Medicare Advantage plans.
Buy your health and wellness items from the over-the-counter (OTC) catalog or use your Blue FlexCard in-store at in-network retailers, including Harris Teeter, Walmart, and more.1 4 Order online, by phone, or mail.
The amount available to spend each year varies by plan. 1 Visit the Forms Library to view your EOC and learn more.
Log in to Blue Connect to activate your Blue FlexCard.
Many of our Medicare Advantage plans make it easy to get to and from doctor appointments or the pharmacy to pick up prescriptions.1 With the non-emergency medical transportation benefit, you'll get:
- Flexible options to book a ride in advance or on demand
- Wheelchair-accessible vans and non-emergency ambulances as needed
Support for members and their caregivers includes:1
- Tools and resources about senior living, in-home care, finances, and more
- Secure ways to store and share important documents, calendars, and medication information
- A team of care advocates available by phone, email, or chat to provide one-on-one support and guidance
- Dedicated staff who can work with you to understand your needs, including your schedule and caregiver preferences
- Personalized caregiver matching within one to two weeks
- A variety of in-home support services, such as help with meal preparation, bathing, medication reminders, and more
Get help with the push of a button. Your plan includes a wearable device that will connect you with a call center that will get you the emergency services you need. Most devices also include fall detection, GPS tracking and an app to alert family or caregivers.
After being discharged from an inpatient stay at a hospital or other medical facility, your plan may cover a meal program. You won’t have to worry about cooking meals for the covered timeframe.
If your plan covers this benefit and you qualify to use it after discharge from an inpatient stay, a case manager will contact you to ask if you want to use the benefit.
If you say yes, your case manager will send a referral to our meal vendor, who will call you to set up delivery.
Blue Medicare PPO and Blue Medicare HMO members are covered for emergency services in the US and around the world.1
Traveling within the US or to Puerto Rico? Members may have access to the networks of other participating Blue Cross and Blue Shield Medicare Advantage PPO plans.
If this is your first time having a Medicare Advantage plan, let us guide you through the next steps to get the most out of your plan.
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.
With all Medicare Advantage plans, you must continue to pay your Part B premium. With some Medicare Advantage plans, you'll receive a portion of this premium back as a rebate in your Social Security check, or you will be billed a lower Part B premium, depending on how you pay.5 You will begin seeing your rebate or premium reduction within two months of enrollment.6
If you need help with your premium payments, there are assistance programs available.
With a Medicare Advantage plan, you can save time by using Advanced Primary Care (APC). APC puts you in the driver's seat by allowing you to schedule primary care appointments and most specialty care needs at the same place.
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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