Accepted insurance
The following list represents commercial health insurance and Medicaid plans accepted:
The list below contains most, but not all, of the managed care organizations administering health plans accepted by Novant Health clinics. Please contact your health plan's administrator if you have questions about where you can receive care.
Note: Not ALL NMG providers participate in all plans. Please verify provider participation in your health care benefit plan when you contact the clinic for an appointment.
Managed care plans
Carrier
|
Type of plan
|
Aetna
|
HMO, POS, PPO
|
Aetna Behavioral Health
(Psychiatric Providers Only)
|
Behavioral Health
|
Anthem BCBS
(Virginia Practices Only)
|
HMO, POS, PPO
|
BCBS for NC Teachers and State Employees
(NC Practices Only)
|
|
BCBS for SC Teachers and State Employees
(SC Practices Only)
|
|
Beech Street
(Women's Care - Charlotte Locations Only)
|
PPO
|
Blue Choice of South Carolina
(SC Practices Only)
|
HMO
|
Blue Cross Blue Shield of North Carolina
(NC Practices Only)
|
HMO, POS, PPO
|
Blue Cross Blue Shield of South Carolina
(SC Practices Only)
|
POS, PPO
|
CareFirst BCBS
(Virginia Practices Only)
|
HMO, POS, PPO
|
Carolina Behavioral Health Alliance
(Psychiatric Providers Only)
|
Behavioral Health
|
Cigna Behavioral Health
(Psychiatric Providers Only)
|
Behavioral Health
|
CIGNA Healthcare
|
HMO, POS, PPO
|
Duke University Self Insured/Duke Select -thru WellPath
(Durham Internal Medicine Only)
|
Employer Specific
|
First Health
|
PPO
|
Great West
|
POS, PPO
|
Healthgram (formerly Primary Physician Care)
|
PPO
|
HUMANA National POS - Open Access -aka Kanawha Benefit
Solutions
|
POS, PPO
|
Kaiser Permanente
(NICS Prince William Only)
|
HMO, POS, PPO
|
Magellan Behavioral Health
(Psychiatric Providers Only)
|
Behavioral Health
|
MedCost
|
PPO
|
MultiPlan, Inc
|
PPO
|
NC Health Choice
|
|
PHCS
|
PPO
|
Provider Select, Inc.
|
PPO
|
SC State Health Plan
(SC Practices Only)
|
|
Three Rivers Provider Network
|
PPO
|
Tyson Preferred Network for Tyson Foods
|
PPO
|
United HealthCare
|
HMO, POS, PPO
|
WellPath -also known as Coventry
|
HMO, POS, PPO
|
Workers compensation
Novant Medical Group urgent care and some orthopaedic locations accept many workers compensation insurance carriers, and will bill your employer's carrier after treatment of your on-the-job injury.
Some workers compensation insurance carriers provider "designated" physician and hospital networks for the treatment of work-related injuries. Your Employer should let you know if these designated workers compensation networks pertain to you.
Government programs
Carrier
|
Type of plan
|
Carolina Access
|
Government |
Carolina Access II
|
Government |
Medicare -all States
|
Government
|
Railroad Medicare
|
Government |
SC Medicaid
(Greater Charlotte, South Carolina & Coastal Practices Only)
|
Government |
Tricare Prime
(North Carolina & Virginia Clinics Only)
|
Government |
Tricare Reserve Select -TRS
|
Government |
Tricare Standard -formerly Champus
|
Government |
VA Medicaid
(Greater Winston, Triangle & Virginia Practices Only)
|
Government |
Medicare replacement plans
Carrier
|
Type of plan
|
Aetna Medicare HMO/PPO
|
Medicare HMO, PPO
|
Aetna Medicare Open Plus
|
Medicare PFFS
|
Blue Medicare HMO Enhanced -North Carolina
(NC Practices Only)
|
Medicare HMO, PPO
|
Blue Medicare HMO Medical -North Carolina
(NC Practices Only)
|
Medicare HMO, PPO
|
Blue Medicare HMO Standard -North Carolina
(NC Practices Only)
|
Medicare HMO, PPO
|
Blue Medicare PPO Enhanced -North Carolina
(NC Practices Only)
|
Medicare HMO, PPO
|
Blue Medicare PPO Enhanced Freedom -North Carolina
(NC Practices Only)
|
Medicare HMO, PPO
|
Cigna Healthspring
|
Medicare HMO
|
Humana Medicare
|
Medicare HMO, PPO, PFFS
|
Today's Options
|
Medicare PFFS
|
Today's Options Value/Premier
|
Medicare HMO, PPO
|
UHC Medicare Solutions (formerly AARP Medicare Complete/Essential or EverCare)
|
Medicare HMO, PPO
|
Medicaid HMO plans
Some of our South Carolina practices accept the following Medicaid HMO plans; please contact the practice to confirm your plan is accepted.
Carrier
|
Type of plan
|
Absolute Total Care
|
Medicaid HMO
|
Advicare (formerly Palmetto Physician Care)
|
Medicaid HMO
|
Molina Healthcare (formerly South Carolina Solutions)
|
Medicaid HMO |
Select Health - First Choice
|
Medicaid HMO
|