Insurance We Accept

Commercial Insurance

• Aetna
• Ambetter
• American Health Alliance
• Assurant Health
• Atlantic Integrated Health/Beacon Company
• Beech Street
• Blue Cross Blue Shield (excluding BlueValue)
• Cigna Health Care (excluding Cigna Connect and Cigna Surefit)
• Coventry National
• Coventry Preferred PPO
• Duke Select / Duke Basic (for limited services)
• Evolutions Healthcare Systems *Out of Network for WakeMed Physician Practices
• First Health PPO
• Great-West Healthcare
• Humana ChoiceCare Network
• MEDCOST
• Multiplan, Inc.
• NC State Health Plan
• NPPN/Plan Vista *Out of Network for WakeMed Physician Practices
• OneNet PPO
• Paradigm Health Corporation *Out of Network for WakeMed Physician Practices
• Primary Physicians Care
• Private Healthcare Systems (PHCS)
• United Healthcare

Medicare

• Medicare Part A & B

Medicare Advantage

• AARP Medicare Complete (HMO)
• Aetna Medicare Value Plan (HMO)
• Aetna Medicare Prime Plan (HMO)
• Aetna Medicare Essential Plan (PPO)
• Aetna Medicare Premier Plan (PPO)
• Blue Medicare HMO, POS, PPO (in-state and out-of-state)
• FirstMedicare Direct preferred PLUS (HMO) *Out of Network for WakeMed Physician Practices - Primary Care
• FirstMedicare Direct smartHMO (HMO) *Out of Network for WakeMed Physician Practices - Primary Care
• Humana Choice PPO
• Humana Gold Choice (HMO)
• Humana Gold Plus (HMO) *Out of Network for WakeMed Physician Practices - Primary Care
• PruittHealth Premier
• United Healthcare Medicare (HMO, POS, PPO) – including AARP Medicare Complete and United HealthCare Dual Complete

Worker’s Comp

• Beech Street Corp/Capp Care
• Corvel Corporation
• Compcare Network (Key Risk Management Services)
• Multiplan, Inc.

Commercial Insurance (Employer-Sponsored Plans)

If your employer offers multiple plan options, be sure to choose one that provides in-network benefits for WakeMed. These plans include:

• Aetna
• American Health Alliance
• Assurant Health
• Atlantic Integrated Health/Beacon Company
• Beech Street
• Blue Cross Blue Shield -(excluding BlueValue)
• Cigna Health Care (excluding Cigna Connect and Cigna Surefit)
• Coventry National
• Coventry Preferred PPO
• Duke Select / Duke Basic (for limited services)
• Evolutions Healthcare Systems *Out of Network for WakeMed Physician Practices
• First Health PPO
• Great-West Healthcare
• Humana ChoiceCare Network
• MEDCOST
• Multiplan, Inc.
• NC State Health Plan
• NPPN/Plan Vista *Out of Network for WakeMed Physician Practices
• OneNet PPO
• Paradigm Health Corporation *Out of Network for WakeMed Physician Practices
• Primary Physicians Care
• Private Healthcare Systems (PHCS)
• United Healthcare

Questions about Blue Cross Blue Shield BlueLocal?Get Them Answered Here

Medicare

WakeMed is pleased to participate in the following Medicare & Medicare Advantage Plans.

• Medicare Part A & B

Medicare Advantage

• AARP Medicare Complete (HMO)
• Aetna Medicare Value Plan (HMO)
• Aetna Medicare Prime Plan (HMO)
• Aetna Medicare Essential Plan (PPO)
• Aetna Medicare Premier Plan (PPO)
• Blue Medicare HMO, POS, PPO (in-state and out-of-state)
• Experience Health (HMO)
• FirstMedicare Direct preferred PLUS (HMO) *Out of Network for WakeMed Physician Practices - Primary Care
• FirstMedicare Direct smartHMO (HMO) *Out of Network for WakeMed Physician Practices - Primary Care
• Humana Choice PPO
• Humana Gold Choice (HMO)
• Humana Gold Plus (HMO) *Out of Network for WakeMed Physician Practices - Primary Care
• PruittHealth Premier
• United Healthcare Medicare (HMO, POS, PPO) – including AARP Medicare Complete and United HealthCare Dual Complete

Ambetter

• We encourage anyone who wants in-network access to WakeMed to choose Ambetter of North Carolina - the only health insurance marketplace plan sold in Wake and Durham counties that provides in-network access to both WakeMed and Duke Health. Pricing is competitive with all other local federal exchange plans and is the only plan that offers access to the unique services that only WakeMed offers here in Wake County.

  Note: Ambetter has a dedicated member services line for NC residents who would like to know more about this plan – please call 833-512-3857. Open Enrollment for the Federal Exchange began November 1 and will run through December 15.