3916 Ben Franklin Blvd. Durham, NC 27704

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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 Advantra-Coventry Medicare Advantage
Aetna Aetna Prime or other proprietary networks 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.

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