Blue Medicare Advantage

Your Blue Medicare PPO℠ and HMO℠ medical benefits include:

• Inpatient hospital care and outpatient services, including mental health facilities
• Primary care provider and specialist visits
  
• Preventive care
• Emergency care
• Diagnostic tests and radiological services
• Vision, dental, and hearing services¹

Your Evidence of Coverage (EOC) includes details about your coverage, including what you pay for services. Read your plan's EOC to learn about your coverage and payment details.

As a Blue Medicare PPO or HMO member, you may have access to more than 60,000 providers² state-wide.

Our provider network includes:

• Hospital systems like Atrium, Cone Health, Duke Health, Mission Health, Novant, and UNC Health Care.
• Independent providers.
• Advanced Primary Care providers Carelon Health and Galileo Health.
• Outpatient Hospital Facilities and Ambulatory Surgical Centers.
• Skilled Nursing Facilities.

You can learn more about each provider, including their hours, languages spoken, and office accessibility, on our Provider Search Tool. 

If you have a Blue Medicare PPO℠ or HMO℠ with Prescription Drug coverage, you can learn more about what's covered on our Medicare prescription drugs page.

Your Evidence of Coverage (EOC) includes details about your coverage, including what you pay for drugs. Read your plan's EOC to learn about your drug coverage and payment details.

Your Formulary (or drug list) also includes important information about your prescription drug coverage. Visit the Forms Library to view your plan's Formulary Guide.

FitOn Health³ is a fitness and health platform that gives you access to 13,000+ gyms and studios, including popular gyms like O2, Life Time, YMCAs and more.⁴With $112 per month to spend, we’re giving you the flexibility to choose the best fitness options for you. Use the funds on:

• The gym(s) of your choice (even if it’s not in the FitOn network)
• In-person classes
• Premium FitOn equipment like yoga mats, dumbbells and more

Plus, enjoy unlimited use of the digital platform with live and on-demand classes from expert instructors, activity tracking, nutrition programs and more.

Buy your health and wellness items from the over-the-counter (OTC) catalog or use your Blue FlexCard in-store at in-network retailers, including Harris Teeter, Walmart, and more.⁵ Order online, by phone, or mail.

Many of our Medicare Advantage plans make it easy to get to and from doctor appointments.⁶ With the non-emergency medical transportation benefit, you'll get:

• Flexible options to book a ride in advance or on demand
• Wheelchair-accessible vans and non-emergency ambulances as needed

Many of our Medicare plans come with support for both members and their caregivers:

• Tools and resources about senior living, in-home care, finances, and more
• Secure ways to store and share important documents, calendars, and medication information
• A team of care advocates available by phone, email, or chat to provide one-on-one support and guidance

Get extra help with daily tasks in your home with a pre-screened network of professional caregivers.⁶  Depending on your plan, you may have access to:

• Dedicated staff who can work with you to understand your needs, including your schedule and caregiver preferences
• Personalized caregiver matching within 1 to 2 weeks
• A variety of in-home support services, such as help with meal preparation, bathing, medication reminders, and more

Get help with the push of a button. Your plan may include a wearable device that will connect you with a call center that will get you the emergency services you need. Most devices also include fall detection, GPS tracking and an app to alert family or caregivers.

After being discharged from an inpatient stay at a hospital or other medical facility, your plan may cover a meal program. You won’t have to worry about cooking meals for the covered timeframe.

If your plan covers this benefit and you qualify to use it after discharge from an inpatient stay, a case manager will contact you to ask if you want to use the benefit.

If you say yes, your case manager will send a referral to our meal vendor, who will call you to set up delivery.

Each year, you can receive two home safety devices at no cost to you. Home safety devices include night lights, grab bars, anti-slip mats and more. Order your two devices from our Home Safety Device catalog online, by phone or mail order. Devices must be ordered from the approved list using the designated provider.

Blue Medicare PPO and Blue Medicare HMO members are covered for emergency services in the US and around the world. 

Traveling within the US or to Puerto Rico? Members may have access to the networks of other participating Blue Cross and Blue Shield Medicare Advantage PPO plans.