Insurance We Accept

WakeMed contracts with a wide variety of managed care plans and insurance companies. Below is a list of those plans currently accepted at all of WakeMed's facilities.

By selecting one of these managed care plans, you can be sure you and your family have access to WakeMed, the health care system that offers you the most comprehensive medical services available in Wake County.

Managed Care & Medicare Advantage Changes for 2017

In 2017, there will be a few changes to our commercial managed care list.  As you are selecting your 2017 health plan, please take the following information into consideration:

  • WakeMed hospitals, home health and WakeMed Physician Practices will not be participating in Cigna’s Connect plans in 2017
  • We are currently in negotiations with North Carolina Blue Cross and Blue Shield (BCBS) for participation in their Blue Value and Blue Select products in 2017.  If we are unable to reach an agreement, WakeMed hospitals, home health, and WakeMed Physician Practices will be:
    • Out-of-network for BCBS Blue Value, but members will still have full access to WakeMed for emergency services.
    • A tier 2 provider for BCBS Blue Select.  Members will have access to all WakeMed services, but deductibles and/or coinsurance amounts for care will be higher than tier 1 providers.

Additionally, WakeMed will be out of network for the following Medicare Advantage plans:

  • Advantra Gold (PPO)
  • FirstMedicare Direct preferredPLUS (HMO)
  • FirstMedicare Direct smartHMO (HMO)
  • Gateway Health Medicare Assured Prime (HMO)
  • Gateway Health Medicare Assured Select (HMO)
  • Humana Gold Plus H1036-233 (HMO)
  • Fresenius Total Health (HMO SNP)
  • Gateway Health Medicare Assured Diamond (HMO SNP)
  • Gateway Health Medicare Assured Ruby (HMO SNP)

If you have any questions related to the plans we currently accept or will accept in 2017, please do not hesitate to call Customer Service at 919-350-8359. 

To learn more about our the insurance products we accept, click to expand the appropriate section.  Thank you for choosing WakeMed.

WakeMed Hospitals – Medicare Managed Care

WakeMed Physician Practices  – Medicare Managed Care

WakeMed Home Health – Medicare Managed Care

If you have questions related to your insurance plan, we encourage you to call Customer Service 919-350-8359.  The CareLine is a central resource for any insurance verification and preauthorization issues.  The hours of operation are Monday - Friday, 8 am to 5 pm.

Updated November, 2016.