1Plan A: BMS A, 02/11, Plan B: BMS B, 02/11, Plan C: BMS C, 02/11, Plan D: BMS D, 02/11, Plan F: BMS F, 02/11, HI
DED Plan F: BMS HDF, 02/11, Plan G: BMS G, 02/11, Plan K: BMS K, 02/11, Plan L: BMS L, 02/11, Plan M: BMS M,
02/11, Plan N: BMS N, 02/11
2 2010 Medicare Supplement Insurance Experience Exhibits filed with the NAIC, as of April 2011.
3 Based on Blue Cross and Blue Shield of North Carolina (BCBSNC) internal data, May 2011.
4 The SilverSneakers program is provided by Healthways, Inc., a third-party vendor independent of BCBSNC. The program
is a value-added program and not part of member policy or benefit. It may change or be discontinued at any time. BCBSNC
does not profit from this program and is not liable in any way for the goods or services received.
5 Blue Values programs may change or be discontinued at any time. Blue Cross and Blue Shield of North Carolina
(BCBSNC) provides these programs for member convenience and is not liable in any way for the goods and services
received. These programs are not part of a member’s policy or benefits, but are value-added discounts available for their
use. BCBSNC does not profit from the Blue Values programs.
6 Guaranteed acceptance is limited to (Plans A and C) for those under age 65 who have Medicare due to disability.
Neither BCBSNC nor its agents are connected with or endorsed by the United States government or the federal Medicare
program. CAUTION: POLICY BENEFITS ARE LIMITED TO THOSE APPROVED BY MEDICARE FOR PAYMENT.
DED Plan F: BMS HDF, 02/11, Plan G: BMS G, 02/11, Plan K: BMS K, 02/11, Plan L: BMS L, 02/11, Plan M: BMS M,
02/11, Plan N: BMS N, 02/11
2 2010 Medicare Supplement Insurance Experience Exhibits filed with the NAIC, as of April 2011.
3 Based on Blue Cross and Blue Shield of North Carolina (BCBSNC) internal data, May 2011.
4 The SilverSneakers program is provided by Healthways, Inc., a third-party vendor independent of BCBSNC. The program
is a value-added program and not part of member policy or benefit. It may change or be discontinued at any time. BCBSNC
does not profit from this program and is not liable in any way for the goods or services received.
5 Blue Values programs may change or be discontinued at any time. Blue Cross and Blue Shield of North Carolina
(BCBSNC) provides these programs for member convenience and is not liable in any way for the goods and services
received. These programs are not part of a member’s policy or benefits, but are value-added discounts available for their
use. BCBSNC does not profit from the Blue Values programs.
6 Guaranteed acceptance is limited to (Plans A and C) for those under age 65 who have Medicare due to disability.
Neither BCBSNC nor its agents are connected with or endorsed by the United States government or the federal Medicare
program. CAUTION: POLICY BENEFITS ARE LIMITED TO THOSE APPROVED BY MEDICARE FOR PAYMENT.
Goebelt Insurance Services, Inc. and David Goebelt are an independent authorized producer/agency licensed to sell and
promote products from Blue Cross and Blue Shield of North Carolina (BCBSNC). The content contained in this site is
maintained by Goebelt Insurance Services, Inc. Blue Cross and Blue Shield of North Carolina is an independent licensee of
the Blue Cross and Blue Shield Association. ®, SM Marks of the Blue Cross and Blue Shield Association. SM1 Mark of
Blue Cross and Blue Shield of North Carolina.
promote products from Blue Cross and Blue Shield of North Carolina (BCBSNC). The content contained in this site is
maintained by Goebelt Insurance Services, Inc. Blue Cross and Blue Shield of North Carolina is an independent licensee of
the Blue Cross and Blue Shield Association. ®, SM Marks of the Blue Cross and Blue Shield Association. SM1 Mark of
Blue Cross and Blue Shield of North Carolina.
Blue Medicare Supplement sm
For North Carolina beneficiaries enrolled in Medicare Part B
For North Carolina beneficiaries enrolled in Medicare Part B
Savings and peace of mind
Medicare only covers some of your medical costs. That’s why Blue Cross and Blue Shield of
North Carolina (BCBSNC) offers dependable Medicare supplement plans for Medicare
beneficiaries, to help lessen the worries over costs that Medicare doesn’t cover. Choose from
our 11 1 Blue Medicare Supplement SM plans to find the plan that best fits your needs and your
budget.
• Wide selection of plans
• Protection against unexpected events
A local company you can trust
We provide Medicare supplement coverage to more North Carolinians than any other insurer in
the state.2 BCBSNC serves more than 125,000 3 North Carolina Medicare beneficiaries with
over 79 years of experience in the health care industry.
• We provide Medicare supplement coverage to more North Carolinians than any
other insurer in the state. 2
• One of the most trusted Medicare supplement plans in the state
See the doctor you want
No matter which Blue Medicare Supplement SM plan you choose, you’re free to select your own
Medicare-participating doctor or visit any Medicare-participating hospital. And in most cases,
your Part A and Part B Medicare claims and supplement claims are handled automatically by
BCBSNC.
• Choice of Medicare-participating doctors
• Easy to use, virtually no claims to file
Value-added discounts
You’ll also have access to Blue Values SM, our value-added discount programs and Silver
Sneakers ® 1 Fitness Program 4 available to you at no extra cost. 5 You’ll be eligible for
discounts on health-related products and services, such as eyeglasses, hearing aids, and more.
• Discounts on eyeglasses, hearing aids and more!
• Discount programs exclusive to BCBSNC members
No waiting periods
If you enroll early, you may be eligible for this plan without waiting periods for pre-existing
conditions. Pre-existing conditions are conditions for which medical advice was given or
treatment was recommended by or received from a physician within six months before the
effective date of coverage. If you wait until after the deadline to enroll, you may have a waiting
period for pre-existing conditions.
• No waiting periods for pre-existing conditions
Guaranteed acceptance by enrolling early
You cannot be turned down for Blue Medicare Supplement SM and may not have to complete a
medical questionnaire if you meet the following:
• You are age 65 or older, or under age 65 and are eligible for Medicare by reason of
disability (Plans A and C, 6)
• You enroll within 6 months of enrolling in Medicare Part B
• You are not covered by certain Medicaid programs
• You are a resident of North Carolina
BCBSNC Blue Medicare Supplement SM Information
Compare Plan Benefits
Get a free rate quote
View the Blue Medicare SupplementSM Outline of Coverage brochure
For more information about Blue Medicare Supplement SM plans, including a free rate quote,
call Authorized Agent David Goebelt at 800-918-1158.
_____________________________________
For costs and further details of the coverage, including exclusions, any reductions or limitations
and terms under which the policy may be continued in force, contact your agent or the
company.
U4093, 3/12
Medicare only covers some of your medical costs. That’s why Blue Cross and Blue Shield of
North Carolina (BCBSNC) offers dependable Medicare supplement plans for Medicare
beneficiaries, to help lessen the worries over costs that Medicare doesn’t cover. Choose from
our 11 1 Blue Medicare Supplement SM plans to find the plan that best fits your needs and your
budget.
• Wide selection of plans
• Protection against unexpected events
A local company you can trust
We provide Medicare supplement coverage to more North Carolinians than any other insurer in
the state.2 BCBSNC serves more than 125,000 3 North Carolina Medicare beneficiaries with
over 79 years of experience in the health care industry.
• We provide Medicare supplement coverage to more North Carolinians than any
other insurer in the state. 2
• One of the most trusted Medicare supplement plans in the state
See the doctor you want
No matter which Blue Medicare Supplement SM plan you choose, you’re free to select your own
Medicare-participating doctor or visit any Medicare-participating hospital. And in most cases,
your Part A and Part B Medicare claims and supplement claims are handled automatically by
BCBSNC.
• Choice of Medicare-participating doctors
• Easy to use, virtually no claims to file
Value-added discounts
You’ll also have access to Blue Values SM, our value-added discount programs and Silver
Sneakers ® 1 Fitness Program 4 available to you at no extra cost. 5 You’ll be eligible for
discounts on health-related products and services, such as eyeglasses, hearing aids, and more.
• Discounts on eyeglasses, hearing aids and more!
• Discount programs exclusive to BCBSNC members
No waiting periods
If you enroll early, you may be eligible for this plan without waiting periods for pre-existing
conditions. Pre-existing conditions are conditions for which medical advice was given or
treatment was recommended by or received from a physician within six months before the
effective date of coverage. If you wait until after the deadline to enroll, you may have a waiting
period for pre-existing conditions.
• No waiting periods for pre-existing conditions
Guaranteed acceptance by enrolling early
You cannot be turned down for Blue Medicare Supplement SM and may not have to complete a
medical questionnaire if you meet the following:
• You are age 65 or older, or under age 65 and are eligible for Medicare by reason of
disability (Plans A and C, 6)
• You enroll within 6 months of enrolling in Medicare Part B
• You are not covered by certain Medicaid programs
• You are a resident of North Carolina
BCBSNC Blue Medicare Supplement SM Information
Compare Plan Benefits
Get a free rate quote
View the Blue Medicare SupplementSM Outline of Coverage brochure
For more information about Blue Medicare Supplement SM plans, including a free rate quote,
call Authorized Agent David Goebelt at 800-918-1158.
_____________________________________
For costs and further details of the coverage, including exclusions, any reductions or limitations
and terms under which the policy may be continued in force, contact your agent or the
company.
U4093, 3/12
 |  |  |  |  |  |
Authorized Agency
| Rate Quotes (under 65) |
| Blue Advantage®, Blue Advantage Saver sm, and Blue Options HSA sm |
| Compare Blue Advantage® Plans A, B, and C |
| Apply Online |
- Choose the plan that’s right for you
- See the doctor you want
- Value-added discounts
- Control of your care
| David Goebelt Authorized NC Agent 800-918-1158 |
| Rate Quotes (Medicare Beneficiaries) |
Goebelt
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