FAQs
Customer Service
How do I get additional information
about my plan or benefits?
How and when can I contact
my health plan?
How do I change my name or
address?
What are your Customer Service
hours?
How do I get a provider directory?
How do I get a list of preferred
drugs (formulary information)?
Q: How do I get additional
information about my plan or benefits?
A: BCBSNC will provide a comprehensive
Member Guide, which will be mailed to your home after
you enroll. The Member Guide includes detailed information
about your specific benefits and covered services.
You may also receive additional information about your
plan by contacting Customer Service toll-free at 1-800-914-4220,
Monday through Friday from 8:00 a.m. to 6:00 p.m.
Additionally, BCBSNC provides valuable information and
services on this Web site. You can either surf the site
for the information you need or log on to eMember Services
to access and change your member information instantly.
With eMember Services, you can accomplish the following:
- Request up to two new ID cards
- Update your policy's contact information
- Review your claim status
- Check eligibility for benefits for you and your family members
included on your policy
- Access a brief benefit summary that includes copayment
amounts, coinsurance percentages, deductible amounts
and how much of your deductible has been paid
Q: How and when can
I contact my health plan?
A: BCBSNC's Customer Service representatives
are available to answer calls at 1-800-914-4220, Monday
through Friday from 8:00 a.m. to 6:00 p.m.
For greater speed and convenience, visit eMember Services.
This online service allows you to access and change your
member information without having to call Customer Service.
Through eMember Services, you can:
- Request up to two new ID cards
- Update your policy's contact information when your address, phone number or e-mail address changes
- Review your claim status
- Check eligibility for benefits for you and your family members
included on your policy
- Access a brief benefit summary that includes copayment
amounts, coinsurance percentages, deductible amounts
and how much of your deductible has been paid
Q: How do I change
my name or address?
A: You can change your name or address
in several ways:
- Complete Sections A & B of an Enrollment and Change
Application available through Customer Service or your employer
- Contact Customer Service at 1-800-914-4220.
- Log on to our Web site at bcbsnc.com and access eMember
Services (With eMember Services you can request
up to two new ID cards or update your policy's contact
information when your address, phone number
or e-mail address changes.)
Q: What are your Customer
Service hours?
A: BCBSNC's Customer Service representatives
are available to answer calls at 1-800-914-4220, Monday
through Friday from 8:00 a.m. to 6:00 p.m. or log on to
eMember Services to complete a number of Customer Service
transactions.
Q: How do I get a
provider directory?
A: For the most up-to-date provider information,
access our online Provider Search. Here, providers are located
by name, specialty, county or zip code. The Provider Search
information is updated weekly.
You can also contact Customer Service at 1-800-914-4220
for assistance in locating a provider or to obtain a paper
copy of a directory. Many employers stock directories in
their Benefits Department.
Q: How do I get a
list of preferred drugs (formulary information)?
A: Your prescription drug benefit offers
an open formulary, which means no drugs are considered non-formulary.
If your prescription drug benefit is based on copayments,
the formulary can help you determine your copayment for
a specific drug. It also provides a list of possible therapeutic
alternatives that may be available at a lower copayment.
If your prescription drug benefit is based on coinsurance,
the formulary can help you identify any low cost generic
drugs that are available. For more formulary information,
visit our Prescription Drug Search.
If you would like an updated copy of the formulary, free
of charge, please call Customer Service at 1-800-914-4220.
Don't forget, you should bring your copy of the formulary
when you visit the doctor.
(In some cases, employer groups carve out the prescription
drug benefit and contract with a vendor separately. Please
refer to your Member Guide to confirm that your pharmacy
benefits are offered through BCBSNC.)
