Medical management programs and services
Learn more about the programs and services Blue Medicare HMO and Blue Medicare PPO plans have implemented to maintain the high quality care for members.
Policies, guides and codes
Responsibilities of primary care physicians (PCP)
Effective 1/1/2008, Blue Medicare HMO and Blue Medicare PPO members have the freedom to choose in-network providers and specialists without a referral. Members are still expected to select a primary care physician (PCP). Members are encouraged to visit their PCP before seeing a specialist. In this way, Blue Medicare HMO and Blue Medicare PPO PCPs are still able to coordinate generally for the overall care management for their patients.
- Family practice/general practice doctors provide care for infants, children, adolescents and adults in the areas of community medicine, internal medicine, obstetrics and gynecology, pediatrics, psychiatry and surgery.
- Internists (internal medicine) provide service for treatment of diseases in adults. Normally, they do not deliver babies, treat children or perform surgery.
- Pediatricians typically treat children from birth up to the age of sixteen.
- Geriatric doctors provide care for older adults.
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.
© 2023 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.