Open Enrollment

Commercial Insurance

• Aetna (including Aetna Connected) Aetna Connected Exchange plan will be discontinued in North Carolina on December 31, 2025.
• Ambetter
• American Health Alliance
• Assurant Health
• Atlantic Integrated Health/Beacon Company
• Beech Street
• Blue Cross Blue Shield - (excluding Blue Home, Blue Local, Blue Value, and Blue High Performance Network (HPN)
• Cigna Health Care (including Cigna Connect, excluding Cigna Surefit)
• Coventry National
• Coventry Preferred PPO
• Duke Select / Duke Basic (For limited services. Contact Aetna Member Services to confirm participation.)
• Evolutions Healthcare Systems *Out of Network for WakeMed Physician Practices
• First Health PPO
• Great-West Healthcare
• MEDCOST
• Multiplan, Inc.
• NC State Employee Health Plan (administered by Aetna, excludes the Clear Pricing Project)
• 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)

 WakeMed’s contract with UnitedHealthcare expired on November 15, 2025. Learn more about our ongoing negotiations and the options for our patients.

Feel Confident in Your Coverage for 2026

We understand that navigating Medicare can be challenging. That’s why we are pleased to offer our patients a trusted educational resource through Chapter, an independent Medicare advisor. Chapter’s Medicare Advisors can help you understand your options and choose the Medicare plan that meets your health and wellness needs. This optional service is available at no cost to you. Make the most of Medicare and ensure you can continue to receive the same care you’ve come to expect from WakeMed. To learn more, call 919-421-7997 or visit askchapter.org/wakemed.

Medicare Advantage 

• Medicare Part A & B

Supplemental Medicare coverage is provided through private insurance companies.

Medicare Advantage 

• AARP Medicare Advantage by UnitedHealthcare HMO, POS, PPO
• Aetna Medicare HMO, POS, PPO
• Alignment Health HMO, POS, PPO
• Blue Medicare HMO, POS, PPO (in-state and out-of-state)
• ExperienceHealth HMO (excludes WakePET services)
• FirstMedicare Direct SmartHMO (Wake County residents only)
• Healthy Blue + Medicare Dual Eligible Special Needs Plan
• Liberty Medicare Advantage HMO
• PruittHealth Premier HMO (North Carolina and South Carolina PruittHealth Premier enrollees only)
• Wellcare Medicare HMO, PPO (North Carolina residents only)

WakeMed is not participating with the following area Medicare Advantage plans: 

• Cigna Medicare HMO, PPO
• Humana Medicare HMO, PPO for non-State retiree (STRS) members

 WakeMed’s contract with UnitedHealthcare expired on November 15, 2025. Learn more about our ongoing negotiations and the options for our patients.

WakeMed is a participant in NC Medicaid & NC Health Choice.

WakeMed currently has a contract with the following Medicaid managed care plans in our region:

• Amerihealth Caritas
• Healthy Blue
• Carolina Complete Health
• UnitedHealthcare Community Plan
• WellCare Health Plans, Inc.

Medicaid Tailored Plans

North Carolina launched the Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan on July 1, 2024. Tailored Plans cover specific Medicaid enrollees who are currently members of NC Medicaid Direct. 

• Alliance Health Tailored Plan (includes only WakeMed Raleigh facility, WakeBrook facility and limited WakeMed Physician Practice locations)