Insurance

Insurance Information at N.C. Specialty Hospital

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.

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 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	Medicare Advantage
Aetna	PPO and HMO & Medicare Advantage	Prime or other proprietary networks
Blind Commission	NC Only
Blue Cross Blue Shield	PPO, HMO	Blue Local
Bridge Health	Bundled Orthopedic Services	None
Cigna	PPO, HMO	None
Corvel	PPO & WC	None
Coventry (First Health, Wellpath, SouthCare)	PPO, MCR Advantage -Advantra	No HMO, DUKE SELECT
Employers Choice Network	WC	None
Focus	WC	None
Gateway Health Plans Medicare Assurance Advantage Plans	HMO
Humana	PPO & MCR Advantage (GOLD)	No HMO Commercial
Medcost	PPO	None
Medicaid - NC Tracks		NC MCD ONLY
Medicare		None
Multiplan	All, including W/C & Auto	PHCS Network is not part of our contract with Multiplan
Primary Physicians Care	PPO	No HMO
Prime Health Services Inc.	WC/GRP HEALTH, AUTO, INDIGENT CARE (PRISONERS)	No Medicare Advantage Products (no membership in NC)
Prudential	PPO	None
Three Rivers Provider Network	PPO	None
TRICARE	PPO	No HMO
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		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.