Blue Medicare Resources and Forms

Resources and Forms

Prior authorization and nonformulary requests includes:

Provider Manual
The Provider Manual is a complete source for information on working with Blue Medicare HMO and Blue Medicare PPO.

Medicare payer sheets
View or download printable Medicare payer sheets.

Diabetes Prevention Program PDF Icon
Download a Patient Referral Form to record your patient’s current lab results. Submit these to Solera Health to enroll a patient in this program.

 

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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.