In both cases, the participating supplier is advised that it must depreciate the costs of unse certified or uncovered services and that the member must be financially unscathed in accordance with the terms of the contract. Blue Cross and Blue Shield of North Carolina is an HMO, PPO and PDP plan with Medicare contract. Registration for Blue Cross and Blue Shield of North Carolina depends on the contract extension. Blue Cross and Blue Shield of North Carolina do not discriminate on the basis of race, ethnicity, religion, sex, sex, age, mental or physical disability, health status, injury experience, medical history, genetic information, evidence of insurability or geographic location within the watershed. All items and services from Blue Cross and Blue Shield of North Carolina are available to all eligible beneficiaries in the watershed. The member is not held financially responsible for the costs of the services covered, with the exception of the applicable co-payment, co-payment or deductible if ALL the following are true: members are held responsible for non-certified services if the member receives an organizational provision from Blue Cross NC that refuses insurance coverage before the services are provided. To view PDF documents, you need Adobe Acrobat Reader. This directive also applies where the plan is the secondary payer of the receivables. . Ancillary services provided in conjunction with non-certified services are also not payable by the plan, unless the operator is not a participating provider.