Insurance

We Currently Accept the Following Insurance:

  • Aetna
  • Blue Cross Blue Shield (BCBS)
  • Cigna
  • Medcost
  • Medicaid
  • Tricare (Military)
  • United Healthcare PPO
  • Medicare
  • Worker’s Compensation

If North Carolina Specialty Hospital is not a participating member of your insurance plan we will be happy to work with your insurance company in making arrangements for coverage and/or acceptance of their plan. If you have any questions about our insurance policies or whether your insurance is accepted at NCSH please don’t hesitate to contact us at 919-595-8454.

North Carolina Specialty Hospital - Contract Insurances

PAYER PRODUCT TYPE PRODUCT RESTRICTIONS

Advantra-Coventry

Advantra-Coventry
Medicare Advantage

Aetna

Aetna
PPO and HMO & Medicare Advantage Prime or other proprietary networks

Blind Commission

Blind Commission
NC Only

Blue Cross Blue Shield

Blue Cross Blue Shield
PPO, HMO Blue Local

Bridge Health

Bridge Health
Bundled Orthopedic Services None

Cigna

Cigna
PPO, HMO None

Corvel

Corvel
PPO & WC None

Coventry (First Health, Wellpath, SouthCare)

Coventry (First Health, Wellpath, SouthCare)
PPO, MCR Advantage -Advantra No HMO, DUKE SELECT

Employers Choice Network

Employers Choice Network
WC None

Focus

Focus
WC None

Gateway Health Plans Medicare Assurance Advantage Plans

Gateway Health Plans Medicare Assurance Advantage Plans
HMO

Humana

Humana
PPO & MCR Advantage (GOLD) No HMO Commercial

Medcost

Medcost
PPO None

Medicaid - NC Tracks

Medicaid - NC Tracks
NC MCD ONLY

Medicare

Medicare
None

Multiplan

Multiplan
All, including W/C & Auto PHCS Network is not part of our contract with Multiplan

Primary Physicians Care

Primary Physicians Care
PPO No HMO

Prime Health Services Inc.

Prime Health Services Inc.
WC/GRP HEALTH, AUTO, INDIGENT CARE (PRISONERS) No Medicare Advantage Products (no membership in NC)

Prudential

Prudential
PPO None

Three Rivers Provider Network

Three Rivers Provider Network
PPO None

TRICARE

TRICARE
PPO No HMO

United Healthcare/OPTUM

United Healthcare/OPTUM
PPO only No HMO or MCR Advantage - Benefit would have to offer out-of-network benefits or allow GAP authorization to go out of assigned network.

VOCA

VOCA
NC VOCA Only
All other insurances - Please check for out-of-network coverage and benefits with the individual insurance payer to clarify if service is covered at NCHS. If you have further questions please contact the Business Office - (919) 595-8454.