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.