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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 | Prime or other proprietary networks | 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.
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