Blue Care®
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Blue Care®
Blue Care® gives you access to our largest statewide network, with a broad choice of in-network doctors, specialists, and hospitals.
Blue Care® offers:
- A large network, with more than 95% of North Carolina doctors and 98% of North Carolina hospitals in-network1
- A lower monthly premium than our Blue Advantage® PPO plans
- Out-of-state providers are also out-of-network and not covered. When traveling outside of North Carolina or the United States, only emergency services and urgent care will be covered at the in-network benefit level. All other non-emergency services will be out-of-network and not covered.
Blue Care is available on and off Marketplace to residents in all North Carolina counties EXCEPT the following:
- Alamance
- Caswell
- Chatham
- Durham
- Franklin
- Johnston
- Lee
- Orange
- Person
- Wake
If you’d like to check whether your doctor is in this network, or find out if a doctor or hospital you’re considering is in the Blue Cross NC provider network, use Blue Cross NC’s ‘Find a Doctor’ tool. Find a Doctor
*Urgent care and emergency services are covered out-of-network on Blue Care and for medically necessary covered services when an in-network provider is not reasonably available per access to care standards of Blue Cross NC.
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. Please contact the Customer Service number on the back of your ID card for assistance. Blue Cross and Blue Shield of North Carolina (Blue Cross NC)
The Blue Cross and Blue Shield of North Carolina (Blue Cross NC) Utilization Management (UM) program works to ensure you get the care you need in the appropriate health care setting. Find details about our UM processes and how you can appeal a denied service at BlueCrossNC.com/UMdetails. Blue Cross NC works to protect the privacy of your health information every day. Learn how information is protected, what information may be shared externally, rights to approve the release of information and access to medical records at BlueCrossNC.com/PrivacyDetails.
1. Blue Cross NC Provider Internal Data; percentages indicated represent the Blue Cross NC PPO Network as of April 7, 2025.
2. Out-of-network beneft coverage is not available on Blue Care except for emergency services, urgent care, and for medically necessary covered services when an in-network provider is not reasonably available
per access to care standards of Blue Cross NC. Out-of-network urgent care and emergency services are covered at the same cost share level as in-network urgent care and emergency services.
3. Prescription drug deductible must be met before your plan begins to pay for prescriptions, except when indicated otherwise.
4. PCP step down benefts: 3 x $0 copay for PCP ofce visits, followed by standard PCP copay (at the member level).
5. 5 Prescription drug costs are subject to the medical deductible, coinsurance, and out-of-pocket limit.
6. Prescription drug costs are not subject to the deductible.
7. Members on a family HSA plan will have an individual deductible and a family total deductible. Any member of the family will only have to pay the individual amount to meet their deductible.
8. This plan is available of Marketplace only.
®, SM are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. NGFACAHMO-I, 5/25. U10160i, 9/25
Blue Advantage®
