Please view North Carolina Specialty Hospital’s Restrictions/COVID-19 Page for any changes.
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.
|PAYER||PRODUCT TYPE||PRODUCT RESTRICTIONS|
|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|
|Corvel||PPO & WC||None|
|Coventry (First Health, Wellpath, SouthCare)||PPO, MCR Advantage -Advantra||No HMO, DUKE SELECT|
|Employers Choice Network||WC||None|
|Gateway Health Plans Medicare Assurance Advantage Plans||HMO|
|Humana||PPO & MCR Advantage (GOLD)||No HMO Commercial|
|Medicaid - NC Tracks||NC MCD ONLY|
|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)|
|Three Rivers Provider Network||PPO||None|
|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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