Physicians/Specialists
Facilities/Hospitals
Ancillary
Publication Date: 
2020-01-06

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is changing the prior approval requirement for Medicare members' durable medical equipment (DME).

Starting January 1, 2020, prior approval is required only if:

  • The equipment is rented
  • Maintenance is required on DME
  • The item's purchase price is greater than $1,200 (the previous limit was $600)

To request prior approval for Medicare members' DME, please:

  • Fax your request to 336-794-1556 OR
  • Call Triage at 888-296-9790