Blue cross nc members. C. Bookmark it and come back when you have questions, or when you want to remind yourself how something works. Your claim cannot be processed without this information. Try our Find Care search tool to find them. With Teladoc, you get 24/7/365 access to board-certified doctors and on-demand, quality care, including: Blue Cross and Blue Shield of North Carolina Senior Health DBA Blue Cross and Blue Shield of North Carolina is an HMO-POS D-SNP plan with a Medicare contract and a NC State Medicaid Agency Contract (SMAC). PLEASE NOTE: If your other insurance or Medicare policy is primary, you must attach a copy of the Explanation of Benefits from . The Blue Cross NC prescription drug formulary is a list of FDA-approved prescription drugs reviewed and maintained by the Blue Cross NC Pharmacy and Therapeutics (P&T) Committee, comprised of independent physicians and pharmacists. Since 1933, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has been committed to making health care easier to navigate, more affordable and more accessible to all. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. BlueHPN is a national quality-based network that provides members with access to high-quality doctors, hospitals and specialists across the state and country - all while lowering costs. All other trade names are the property of their respective owners. Continuity of Care Form (PDF) Mail: Blue Cross and Blue Shield of North Carolina Care Management PO Box 2291 Durham, NC 27702-2291; Fax: 800-228-0838 Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. Together, we can help the whole person thrive by bringing physical and behavioral health together. Blue Cross NC may contract with independent third-party vendors for the provision of certain aspects of our wellness programs and is not liable in any way for goods or services received from them. 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. Blue e services are available for both the local proprietary format and HIPAA compliant transactions. Meet the leadership team at Blue Cross and Blue Shield of North Carolina (Blue Cross NC) that guides our not-for-profit’s mission. The start of Healthy Blue You can buy a dental insurance plan even if you don't have a Blue Cross NC health insurance plan. Mar 15, 2024 · Care Navigation services are available to Blue Cross and Blue Shield of North Carolina (Blue Cross NC) members 1 of all ages, from children to geriatric members. Blue Cross and Blue Shield of North Carolina, P. YEAR . Estimated out-of-pocket costs for specific providers and services. , and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. The Employer Services portal from Blue Cross and Blue Shield of North Carolina allows you to complete administrative tasks, explore reporting and analytics tools, and access member benefits and claims from one place. These tools are offered for your convenience and should be used only as reference tools. These programs will be available at no additional cost* to eligible members beginning November 2020. This form must be completed and received at Blue Cross and Blue Shield of North Carolina (Blue Cross NC) within 180 days of the date on the notice of the adverse benefit determination. Register for the Blue Connect member portal from Blue Cross NC to get your health, dental and vision insurance plan benefits and resources all in one 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. Follow the course of treatment prescribed by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has created this page to help you understand how your plan works. com, your personalized member services website. How to complete this form: Please complete as much of the form as you can. Get Started Blue Cross and Blue Shield of North Carolina Senior Health DBA Blue Cross and Blue Shield of North Carolina is an HMO-POS D-SNP plan with a Medicare contract and a NC State Medicaid Agency Contract (SMAC). Although Blue Cross NC does not charge for this service, some banks may charge a fee for automatic bank drafts. We'll show you which drugs are covered, as well as which need prior authorization. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has a mail order prescription drug program for individual and family plan members under age 65. that insurer. View an electronic copy of the Blue Cross NC Member Appeal Representation Authorization Form (PDF). In the United States, Puerto Rico and U. ®Registered Marks of the Blue Cross and Blue Shield Association. ®Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc. As a Blue Cross and Blue Shield of North Carolina (Blue Cross NC) member, you have access to benefits to help you plan for a family, address fertility issues, and care for your reproductive health. Jul 9, 2024 · Provider Name Phone Number Address City State Zip MOORE PEDIATRIC THERAPY SERVICES: 704-550-5554: 1021 OLD CHARLOTTE RD: ALBEMARLE: NC 27292 AUTISM IN MOTION CLINICS LLC: 919-589-4523 Members. Take care of your dental health by making the most of your Dental Blue Select℠ plan. It's easy for Blue Cross NC members to manage their plans and access tools, documents and benefits on the go with Blue Connect℠. By choosing Student Blue, you get several important benefits: Shop Plans. College and university students: Now get easy access to Blue Cross NC health insurance forms and documents you need to manage your health and health plan. Sep 14, 2022 · DURHAM, N. 1 Due to legislation changes, Blue Cross NC now covers acupuncture services for Medicare Advantage members. Members. ®, SM Marks of the Blue Cross and Blue Shield Association. PO Box 2291 Durham, NC 27702 Blue Cross and Blue Shield of North Carolina is an HMO, PPO and PDP plan with a Medicare contract Certain Blue Cross NC plans include access to Teladoc®, our comprehensive virtual care platform for select Blue Cross NC employers and members. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is expanding the Blue High Performance Network ℠ (BlueHPN ℠). Blue Cross NC makes health insurance easy. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. U2516, 10/19 Blue Cross NC enters the authorization into its system, please provide the date here: / / MONTH . Virgin Islands. With Blue Connect℠, you have control over how we communicate with you. The Blue Cross NC Contact Preferences Center helps members go paperless with digital health plan documents, and texts and email alerts from the member portal. By working with an advocate, you’ll receive personalized assistance, eligibility information, and help Individual and family members (under age 65) The Blue Cross NC mail order prescription program offers you the convenience of receiving up to a 90-day supply of medication delivered to you with free standard day shipping through Amazon Pharmacy (MedsYourWay ®) and Express Scripts ® Pharmacy (ESI). You can get up to a 90-day supply of medications delivered to you with free standard shipping through Amazon Pharmacy (MedsYourWay ® ) and Express Scripts ® Pharmacy (ESI). Call Blue Cross NC when you have a question or if the material given to you by Blue Cross NC is not clear. As a convenience to me, I hereby request and authorize Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to initiate the charge to my bank account payable to the order of Blue Cross NC. Who should get it: Women ages 45 to 75. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. REGISTER WITH BLUE CONNECT Your guide to online tools and resources Dear Member, This visual guide will help you register for BlueConnectNC. EMAIL: MemberClaimsSubmission@bcbsnc. Box 30055, Durham, NC 27702-3005. Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Read your Blue Cross NC benefit booklet and all other Blue Cross NC member materials. Blue Connect Tools. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. You can also call us to learn more about purchasing a plan. Box 35, Durham, NC 27702. View an electronic copy of the Blue Cross NC Member Appeal Representation Authorization Form in Spanish (PDF). By accepting the agreement below, I am an authorized user of this bank account. If you need to file a paper claim, please mail the claim to: Blue Cross and Blue Shield of North Carolina PO Box 35 Durham, NC 27702 Medical management Mar 17, 2021 · DURHAM, N. Learn more about our non-discrimination policy and no-cost services available to you. REGISTER NOW. The vendor will bill Blue Cross NC directly. Each Blue Cross and Blue Shield of North Carolina (Blue Cross NC) member is billed separately and will receive their own member ID card. Family members can use the same plan or choose different plans. In the event of a declared emergency or disaster in our service area by the President of the United States (national emergency), the governor (emergency), or Secretary of Health and Human Services (public health emergency), Blue Cross and Blue Shield North Carolina (Blue Cross NC) will cover some plan benefits. Up-to-date information about your deductible and coinsurance. . 0 percent in 2019 • Medical claims and expenses rose by $200 million, membership increased to 3. Yes . Get an Enrollment and Change Application from Customer Service (call the number on the back of your member ID card) or through your employer. 6 percent, down from 5. com. Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Your university selected Blue Cross and Blue Shield of North Carolina to offer Student Blue℠ with access to a large provider network and coverage for most services at your campus health center. RETURN THIS AUTHORIZATION TO: Attention: Data Operations . If you choose to complete the form, our Care Navigation team will Members. Better care starts here. Meet the Blue Cross NC board of trustees and executive leadership that guide us as to ethically serve our members and support our local communities. Blue Cross NC has robust search tools to help you find in-network doctors, hospitals, specialty pharmacies and urgent care in your state or across the country. Blue Cross and Blue Shield of North Carolina Senior Health DBA Blue Cross and Blue Shield of North Carolina is an HMO-POS D-SNP plan with a Medicare contract and a NC State Medicaid Agency Contract (SMAC). These tools are offered for your convenience and should be used only as reference tools. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Rates shown expire 12/31/2024. News & World Report's "Best Medicare Advantage Plan Insurances Companies of 2022" Accessed 10/2021. You can find your plan type on your member ID card. Helping you understand COVID-19 coverage If you get health coverage through an employer: Contact your group administrator or HR department to make changes to your account. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross No. 1/24 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. ©2024 Blue Cross and Blue Shield of North Carolina. The products and services described on the this Site are neither offered nor guaranteed under your BCBSNC Blue Cross NC contract with the Medicare program. Blue Cross NC provides this service at no cost to registered Blue Connect ℠ members enrolled in individual and family plans. Blue Cross and Blue Shield of North Carolina . U9201, 9/22 If you need assistance to register for Blue Connect, please call Web Support Blue Cross NC is committed to providing access to gender affirmation surgery and hormone therapy for our transgender and nonbinary members. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) collaborates with Change Healthcare’s My Advocate ® program to help find out if you’re eligible for government programs and Extra Help to reduce your health care costs. Shop Plans. New for 2024: When you enroll in Student Blue℠, you can choose either a new lower-cost Value Plan or our Premium Plan with richer benefits. Register and log in to our exclusive site that offers: Details of plan benefits, claims and plan changes; billing and payment options; access to personalized wellness programs; exclusive online discounts; and more. Use the Blue Cross NC drug search to find your approved medications. Blue Cross NC members can call 800-755-0798 or log in to Blue Connect ℠ and fill out a mental health referral form. From finding accredited diabetes self-management education and support programs (DSMES) to providing you with a variety of wellness resources, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) members get more from their plan. Be advised that certain self-administered drugs have been excluded from Blue Cross NC's medical benefits but are covered under the prescription drug benefit. Blue e is available for direct data entry of claims, claim correction, and inquiries in the Blue Cross NC local proprietary format and will continue to be available for as long as the CMS contingency plan is in place and the local proprietary format can be accepted. Enroll Now Waive Coverage BCBS members can search for doctors, hospitals and dentists. Aug 31, 2021 · Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is offering a unique diabetes prevention program to help members identify, understand and conquer their pre-diabetes condition, thereby preventing a more serious and costly health situation. No . Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross Talk with your authorized Blue Cross NC representative for details. – Blue Cross and Blue Shield of North Carolina (Blue Cross NC) announced that its industry-leading Blue Premier program saved members $130 million in health costs in 2021, reaching a milestone of nearly half a billion dollars in cost savings, according to an analysis from Blue Cross NC. Your family planning journey is unique, and Blue Cross NC wants to make sure you get everything you need, every step of the way. Choose the Medicare coverage you have with Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to learn about your plan's benefits. 100% coverage for preventive care Annual physicals and many other routine screenings and services covered at no additional cost. helps you quickly access: Claims information and online EOBs. Through our history, we’ve grown to better serve our members and meet North Carolina’s biggest health challenges. With MTM, clinical pharmacists can help you identify, prevent and resolve any medication-related problems, from side effects and drug interactions to drug use for non-medical purposes. It is the guide to the tools and information you need to manage your health plan and health care. 2020 saw the highest health care costs in a single month in Blue Cross NC’s history • Continued expansion of industry-leading move-to-value program, Blue Premier Nov 1, 2022 · Providers submitting claims for a member with Brighton-administered benefits will follow the same process as they would for Blue Cross NC members by using Blue e for electronic claims submissions. Oct 20, 2020 · Blue Cross and Blue Shield of North Carolina (Blue Cross NC) announced it is teaming up with Carrot Inc. Join the Blue Cross NC provider network, trusted by doctors, dentists, pharmacists and hospitals across North Carolina for more than 90 years. • Member Information: This information may be found on your Blue Cross NC ID card. FAX: 1-866-990-1385. Your preferences matter. Your Blue Connect℠ member portal gives you access to everything you need to manage your health, vision or dental plan all in one place. O. Mail the completed form and appeal request to: Blue Cross NC, P. and Virta Health to help address two of the largest ongoing health issues facing Americans today - smoking and type 2 diabetes. We're here to support you on your health care and gender-affirming journey. Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. S. DAY . Members with Blue Medicare Choice, Blue Medicare Essential, Blue Medicare Essential Plus, Blue Medicare Enhanced, and Blue Medicare PPO Enhanced can take advantage of $0 copay drugs at preferred retail pharmacies and Express Scripts and Walgreens Mail Service mail-order pharmacies during the deductible, initial coverage and coverage gap phases or a low copay at standard pharmacies. Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. Not all providers offer acupuncture service. To find out what is covered under your BCBSNC Blue Cross NC medical and/or dental insurance policiesplan(s), call Customer Service at the phone number on your member ID card. Stay on top of your health care with helpful member resources. – Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has enrolled its first members in Healthy Blue, its Medicaid managed care plan, and has developed a provider network with more than 48,000 physicians and other practitioners, including most of the state’s hospitals and health systems. Designed to be simple and convenient, Blue Connect Mobile helps customers get up-to-the-minute information about their health plan and helping them manage costs. 86 million • Dec. ® Registered Marks, TM But while Blue Cross NC members are assured coverage at UNC Health facilities, the same can’t be said for most patients with UnitedHealthcare plans. Description: Screening for colon/colorectal cancer in adults age 45 to 75 Effective no later than April 1, 2022, colorectal cancer screening and associated services are covered at 100% for eligible members aged 45 or older. As a Blue Cross and Blue Shield of North Carolina (Blue Cross NC) member, you have access to benefits and extras. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. Linking your Blue Connect account. As a Blue Cross NC member, you should: Present your Blue Cross NC ID card each time you receive a service. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross If a member-specific, dose-specific injectable drug is ordered from a network vendor - do not file a claim with Blue Cross NC for the drug. Individual and family plans (under age 65) Student Blue ℠ from Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides quality health insurance that meets the specific needs of college and university students. Register or log in to Blue Connect to get started. Blue Cross Blue Shield Association (BCBSA) may receive payments from Blue365 vendors. Members are still expected to select a primary care physician (PCP). Proof of prior dental coverage with less than 63 days lapse in coverage is required. Get Started Blue365® offers access to savings on items that student members may purchase directly from independent vendors, which are different from items that are covered under the health insurance policies with Blue Cross and Blue Shield of North Carolina (Blue Cross NC). The benefit of using HealthEquity when you have a Blue Cross NC medical plan is that your account will be fully integrated. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. Blue Cross NC provides medication therapy management (MTM) to members with a Service Benefit Plan. Mar 2, 2021 · • Net Income ratio of 2. Jul 22, 2024 · North Carolina Baptist Hospital: North Carolina Baptist Hospital: General Acute Care Hospital 450 Price St: Mount Airy: NC 27030: North Carolina Baptist Hospital: North Carolina Baptist Hospital: General Acute Care Hospital: 336-713-9800: 1200 N Martin Luther King Jr Dr: Winston Salem: NC 27101: North Carolina Baptist Hospital: North Carolina Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. Allows members and their dependents to continue receiving care from a provider who is no longer in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) network. The Fall 2024 Waive / Enroll Period is now open through September 10, 2024. Who should get it: Age 45 to 75* Description: Screening for colon / colorectal cancer in adults age 45 to 75. If UNC Health and UnitedHealthcare don’t The Fall 2024 Waive / Enroll Period is now open through September 10, 2024. Nov 11, 2019 · HealthEquity is the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) preferred partner for all Fund Management Accounts, including the HSA. CONTINUED ON NEXT PAGE Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Medical procedures: Inpatient admissions (except maternity admissions), elective, planned in advance, or not related to an emergency Blue Cross NC continues to help members stay healthy, get the care they need, and to support doctors, nurses and hospitals in the fight against COVID / COVID-19. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. For Blue Cross NC members, you can check your Benefit Booklet in your Blue Connect ℠ member portal for specific information about your insurance plan. Sep 27, 2021 · Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has launched a value-based care program to ensure Blue Cross NC members with kidney disease have access to better, more affordable health care. Source: U. We want you to think of it as a reference tool. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is working with providers to improve how and when behavioral health concerns are identified and treated. Please view our list of acupuncture providers (PDF) to find providers in your area that may offer acupuncture. *Effective no later than April 1, 2022, colorectal cancer screening and associated services are covered at 100% for eligible members aged 45 and older If applicable, I authorize Blue Cross NC to release alcohol/substance abuse information related to the above request. Enrollment in Blue Cross and Blue Shield of North Carolina Senior Health depends upon contract renewal. Blue Cross NC has a free app that allows members to securely connect to their health plan from a mobile device. Blue365® offers access to savings on items that student members may purchase directly from independent vendors, which are different from items that are covered under the health insurance policies with Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Outside the United States *Select Blue Cross Blue Shield Global™ or GeoBlue if you have additional international coverage and need to find care outside the United States. qdiwmz npwtwuh hywd rcfv ohpca kprr shfylxi tlpcg ohg vifmoo