Blue cross nc members. Take care of your dental health by making the most of your Dental Blue Select℠ plan. 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. Healthy Blue is a Medicaid plan offered by Blue Cross and Blue Shield of North Carolina. YEAR . 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. You might need to submit a claim to Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to get reimbursed or paid back for covered services you received 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. ©2024 Blue Cross and Blue Shield of North Carolina. 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. 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. Although Blue Cross NC does not charge for this service, some banks may charge a fee for automatic bank drafts. Need your member ID card? With My Health Toolkit ®, you always have one handy. Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. helps you quickly access: Claims information and online EOBs. Mail this form AND a voided check to, Address: Blue Cross NC Individual Membership PO Box 30010 Durham, NC 27702 Blue Cross and Blue Shield of North Carolina 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). Blue Cross and Blue Shield of North Carolina, P. 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. 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). 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 Due to legislation changes, Blue Cross NC now covers acupuncture services for Medicare Advantage members. 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. As a Blue Medicare PPO or HMO member, you may have access to more than 60,000 providers 1 state-wide. Members. View an electronic copy of the Blue Cross NC Member Appeal Representation Authorization Form in Spanish (PDF). Get Started 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 is an independent licensee of the Blue Cross Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has created this page to help you understand how your plan works. Blue Cross NC makes health insurance easy. Our provider network includes: Hospital systems like Atrium, Cone Health, Duke Health, Mission Health, Novant, and UNC Health Care. Blue Cross NC members have access to wellness resources, information about their health insurance plan, dedicated customer service support and more. Blue Cross NC provides this service at no cost to registered Blue Connect ℠ members enrolled in individual and family plans. EMAIL: MemberClaimsSubmission@bcbsnc. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) only covers two brands of diabetes test strips for Medicare Advantage Prescription Drug Plan members: Lifescan (OneTouch) and Ascensia (Contour). Yes, Blue Cross NC may waive or reduce any applicable dental waiting period by the number of months of prior dental coverage. Jul 12, 2024 · 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). 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. The Blue Connect member portal allows you to manage your plan, stay on top of your health care experience, and discover extra perks. To confirm eligibility and help select the medical alert system that best supports your lifestyle, please call 877-909-4179 or complete the form below. With Blue Connect℠, you have control over how we communicate with you. View an electronic copy of the Blue Cross NC Member Appeal Representation Authorization Form (PDF). Blue Cross NC enters the authorization into its system, please provide the date here: / / MONTH . Welcome to the Blue Connect and Blue Cross of North Carolina Member Self-Service Portal. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Proof of prior dental coverage with less than 63 days lapse in coverage is required. PLEASE NOTE: If your other insurance or Medicare policy is primary, you must attach a copy of the Explanation of Benefits from . Box 35, Durham, NC 27702. 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). Individual and family plans (under age 65) Have questions? Call or write us! Member Services: 844-594-5070 (TTY 711) Already a member? Log in to your account and send us a message. With Teladoc, you get 24/7/365 access to board-certified doctors and on-demand, quality care, including: Learn about Experience Health, a new and innovative insurance company owned by Blue Cross NC. Register or log in to Blue Connect to get started. Or download the mobile app and you’ll have your digital ID card right in your pocket any time you need it. ID Card. 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. Shop Plans. 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. Not all providers offer acupuncture service. News & World Report's "Best Medicare Advantage Plan Insurances Companies of 2022" Accessed 10/2021. Blue Cross and Blue Shield of North Carolina . Up-to-date information about your deductible and coinsurance. Your Blue Connect℠ member portal gives you access to everything you need to manage your health, vision or dental plan all in one place. The Fall 2024 Waive / Enroll Period is now open through September 10, 2024. Find resources for Blue Cross NC Providers in- and out-of-network to manage patient claims and appeals, eligibility, prior authorization and more. Discover employer, individual, family, Medicare & Medicaid plans from Blue Cross NC. RETURN THIS AUTHORIZATION TO: Attention: Data Operations . The allowed amount includes any Blue Cross NC payment to the provider, plus any deductible, coinsurance, or copayment. To be covered, the medical or dental service you receive must be given at an in-network doctor or facility, filed by your doctor as preventive care, and identified as preventive care under the Affordable Care Act (ACA). Your family planning journey is unique, and Blue Cross NC wants to make sure you get everything you need, every step of the way. These tools are offered for your convenience and should be used only as reference tools. com. 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. 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. 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. 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 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). Your preferences matter. 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. S. How to complete this form: Please complete as much of the form as you can. By working with an advocate, you’ll receive personalized assistance, eligibility information, and help Members. 100% coverage for preventive care Annual physicals and many other routine screenings and services covered at no additional cost. Bookmark it and come back when you have questions, or when you want to remind yourself how something works. Source: U. 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. Call us to get answers to your Blue Cross and Blue Shield of North Carolina (Blue Cross NC) plan, bill or claims questions. Who should get it: Women ages 45 to 75. 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. 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. Better care starts here. • Member Information: This information may be found on your Blue Cross NC ID card. 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). Verify Your Membership. 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. that insurer. Enrollment in Blue Cross and Blue Shield of North Carolina Senior Health depends upon contract renewal. 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 Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. By choosing Student Blue, you get several important benefits: 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. 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. Blue Cross NC provides medication therapy management (MTM) to members with a Service Benefit Plan. Estimated out-of-pocket costs for specific providers and services. FAX: 1-866-990-1385. This policy describes the types of information we may collect from you or that you may provide when you visit or use our Website, including any subdomains (“Website”), our Blue Connect ℠ Member Portal (“Member Portal Mail the completed form and appeal request to: Blue Cross NC, P. As a Blue Cross and Blue Shield of North Carolina (Blue Cross NC) member, you have access to benefits and extras. See important dates, forms, resources, policies and more. Blue Connect. Linking your Blue Connect account. No. We want you to think of it as a reference tool. Blue Cross and Blue Shield of North Carolina is an HMO, HMO-POS, PPO and PDP plan with a Medicare contract. It's easy for Blue Cross NC members to manage their plans and access tools, documents and benefits on the go with Blue Connect℠. 1 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. Many preventive care services are covered at 100% – meaning your plan covers them at no extra cost to you. Stay on top of your health care with helpful member resources. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross Blue Cross NC members can visit any licensed dentist they choose but can save money using in-network providers. Forgot username or password? Need Help? Call (888)-705-7050 (TTY Dial 711). May 10, 2024 · Blue Cross and Blue Shield of North Carolina (“Blue Cross NC,” "Company," "We," “Our” or “Us”) respects your privacy and is committed to protecting it. Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. You can also call us to learn more about purchasing a plan. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides free aids to service people with disabilities as well as free language services for people whose primary language is not English. 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. Blue Cross Blue Shield Association (BCBSA) may receive payments from Blue365 vendors. 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. On the overview page you’ll find the highlights of your EOB, including your name, subscriber ID, name of your health plan, service date, and general claims details. DAY . . Try our Find Care search tool to find them. REGISTER NOW. Box 30055, Durham, NC 27702-3005. For members: the maximum amount that Blue Cross and Blue Shield of North Carolina (Blue Cross NC) determines is reasonable for covered services provided to a member. Log in to My Health Toolkit online to view, print or share your member ID card any time you need it. Please view our list of acupuncture providers (PDF) to find providers in your area that may offer acupuncture. If your claim includes a reason code, you’ll find it here with a red icon pointing you to more information about the alert. Please contact 888-206-4697 ( TTY : 711) for assistance. These tools are offered for your convenience and should be used only as reference tools. Your claim cannot be processed without this information. Through our history, we’ve grown to better serve our members and meet North Carolina’s biggest health challenges. O. xabkpyy mxqx nilvg cahlu xok tvxvn nzo ghpe yfsty esz