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
PAYERPRODUCT TYPEPRODUCT RESTRICTIONS
Advantra-CoventryAdvantra-CoventryMedicare Advantage
AetnaAetnaPrime or other proprietary networksPrime or other proprietary networks
Blind CommissionBlind CommissionNC Only
Blue Cross Blue ShieldBlue Cross Blue ShieldPPO, HMOBlue Local
Bridge HealthBridge HealthBundled Orthopedic ServicesNone
CignaCignaPPO, HMONone
CorvelCorvelPPO & WCNone
Coventry (First Health, Wellpath, SouthCare)Coventry (First Health, Wellpath, SouthCare)PPO, MCR Advantage -AdvantraNo HMO, DUKE SELECT
Employers Choice NetworkEmployers Choice NetworkWCNone
FocusFocusWCNone
Gateway Health Plans Medicare Assurance Advantage PlansGateway Health Plans Medicare Assurance Advantage PlansHMO
HumanaHumanaPPO & MCR Advantage (GOLD)No HMO Commercial
MedcostMedcostPPONone
Medicaid - NC TracksMedicaid - NC TracksNC MCD ONLY
MedicareMedicareNone
MultiplanMultiplanAll, including W/C & AutoPHCS Network is not part of our contract with Multiplan
Primary Physicians CarePrimary Physicians CarePPONo HMO
Prime Health Services Inc.Prime Health Services Inc.WC/GRP HEALTH, AUTO, INDIGENT CARE (PRISONERS)No Medicare Advantage Products (no membership in NC)
PrudentialPrudentialPPONone
Three Rivers Provider NetworkThree Rivers Provider NetworkPPONone
TRICARETRICAREPPONo HMO
United Healthcare/OPTUMUnited Healthcare/OPTUMPPO onlyNo HMO or MCR Advantage - Benefit would have to offer out-of-network benefits or allow GAP authorization to go out of assigned network.
VOCAVOCANC 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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