Network Exception

Medicare Advantage
Policy Number: MA-X-054  

Last Updated: Dec. 16, 2024

In most cases, Blue Cross and Blue Shield of Nebraska (BCBSNE) Medicare Advantage HMO members do not have coverage for services or items received from an out-of-network provider within the service area. Providers have the option of requesting a network exception for specialized services when there is limited or no access to BCBSNE Medicare Advantage network providers. 

To request a network exception, submit your request in writing by mail or fax to: 

Nebraska providers Blue Cross and Blue Shield of Nebraska Medicare Advantage 
Grievance & Appeals 
P.O. Box 3248 
Omaha, NE 68180-0001 
Fax: 866-648-0757

Exceptions: Emergency care, urgently needed services when the network is not available and out-of-area dialysis services.