Yes, under many Blue Cross and Blue Shield (NC) health plans, preventive services can often be accessed without a referral. This is in line with the guidelines provided by the Affordable Care Act, which mandates that certain preventive services, such as vaccinations, screenings, and annual wellness visits, are available to members at no cost when delivered by in-network providers. However, it is important for members to be familiar with their specific plan details, as coverage may vary based on the individual insurance policy. For those unsure about what preventive services are covered or the process for accessing them, it may be helpful to consult the list of covered services available on the official Blue Cross NC website. This would provide detailed information about what preventive services are included and the need for referrals, if applicable, under different plan options.