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Member LoginForgot user name or password Don’t have an account? Register now *In addition to staying in network, you or your doctor may need to get benefit approval or “prior authorization” before you get treatment for certain services for them to be covered. Please check your benefit booklet or your plan's terms if you are unsure. Surprise billing laws may prevent you from being charged out-of-network rates under certain circumstances. Guest SearchEven if you’re not a member, you can search for doctors, hospitals and other providers. If you need help, we’ve created these helpful guides: Step-by-Step PDF Search as a GuestSection hidden in CSS: https://www.bluecrossnc.com/admin/appearance/settings/bcbsnc
Behavioral Health Services
Blue Cross NC wants to make sure you have the most accurate and up-to-date information. But, because we often add new providers to our network, we can’t guarantee all the information in your search will be current. Call our customer service number on the back of your ID card to report information that is wrong. The Blue Cross and Blue Shield Association nor its licensees are liable for losses, damages, or charges as a result of using our provider search or from receiving provider care. You can refer to your Member Guide for information on if a service is covered on your plan. Quartet Health is an independent company providing behavioral health care support services on behalf of Blue Cross NC. Quartet Health does not offer Blue Cross or Blue Shield products or services. Additional Plan InformationDrug List OverviewBlue Cross and Blue Shield of North Carolina offers three drug formularies (drug lists) so Medicare beneficiaries can have options for their prescription needs. Blue Medicare HMO Enhanced, HMO Essential and Blue Medicare PPO Enhanced share the same Medicare prescription drug list. This list is based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list includes many highly utilized generic drugs and some brand name and specialty drugs. This list also includes a lower cost tier for some maintenance medications related to High Blood Pressure, High Cholesterol and Diabetic conditions. Blue Medicare Rx (PDP) Standard Plan prescription drug list is also based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list for this plan has many highly utilized generic drugs and some brand name and specialty drugs. Many of the most popular generic prescriptions are included. The Blue Medicare Rx (PDP) Enhanced prescription drug list is based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list includes more generic, brand name and specialty drugs. Generic drugs have the same active ingredient formulas as brand name drugs. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. Certain vaccinations, insulin and insulin injection supplies are also covered on all formularies. Over-the-counter drugs are not covered because they are excluded by Medicare. To encourage the appropriate use of prescription drugs, some quantities are limited and some drugs must be approved before they will be covered. For more information, see prior authorization, step therapy, and quantity limitations. Like most insurance coverage, our Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx plans have some limitations and exclusions. Recent Drug List ChangesThe drugs listed below have been removed from the specified formularies (drug lists). Please ask your doctor to prescribe a drug that is on the formulary to treat your condition. Your drug cost will depend on your specific prescription drug plan and the formulary alternative prescribed by your doctor. If you are affected by a change to the formulary, you will receive a written notice regarding the change at least 60 days before the change will take effect. Blue Medicare Rx Standard These drugs have been withdrawn or discontinued by the manufacturer:
The drug manufacturers have discontinued participation in the Coverage Gap Discount Program for these drugs:
Blue Medicare HMO/PPO and Blue Medicare Rx Enhanced These drugs have been withdrawn or discontinued by the manufacturer:
The drug manufacturers have discontinued participation in the Coverage Gap Discount Program for these drugs:
Questions about Drug CoverageIf you can't find your drug, your drug may not be covered. To verify whether a drug is covered, you may call Customer Service seven days a week from 8 am - 8 pm.
If your drug is not covered, you have the right as a member to request that an exception be made to the formulary or to request a transition supply while you find an appropriate alternative prescription. For instructions on how to request a transition supply or an exception to the formulary and instructions on how to appeal a decision about an exception or to file a grievance if you are dissatisfied for any reason, please review the following documents:
How do I find a new doctor in NYC?Call 311 to find out how to get medical or dental care at a public hospital, child health clinic, or community health clinic. The doctor you see for most of your medical care is called a primary care provider.
What hospitals take Blue Cross Blue Shield NYC?Empire Blue Cross Blue Shield (BCBS). NYC Health + Hospitals/Bellevue.. NYC Health + Hospitals/Elmhurst.. NYC Health + Hospitals/Harlem.. NYC Health + Hospitals/Jacobi.. NYC Health + Hospitals/Kings County.. NYC Health + Hospitals/Lincoln.. NYC Health + Hospitals/Metropolitan.. NYC Health + Hospitals/North Central Bronx.. What is the best website to find a doctor?The following sites make it easy to find a great doctor by location and specialty.. CareDash. ... . Castle Connolly. ... . Healthgrades. ... . RateMDs. ... . RealSelf. ... . U.S. News Doctor Rankings. ... . Vitals. ... . WebMD Physician Directory.. How do I find the best doctor?7 tips for choosing a primary care doctor. Ask around. The first step to finding a great provider: Talk to your family and friends about their provider. ... . Make sure you've got coverage. ... . Do a quality check. ... . Place a cold call. ... . Ask about logistics … ... . Keep your needs in mind. ... . Trust your gut.. |