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Open Enrollment 2024


It’s that feeling you get when you know you made the right choice.

Open Enrollment season is here and when it comes to health benefits for you and your family for the coming year, you have an important choice to make. We're here to help. Whether you’re looking at plans through your employer, Medicare Advantage or plans on the health insurance marketplace, be sure to choose a plan that includes WakeMed.

When you choose a plan that includes WakeMed, you get affordable, convenient access to three hospitals, eight emergency departments, the area’s best physicians and surgeons, and specialized care for heart and vascular, brain and spine, physical rehab, orthopaedic, pediatric, maternity and more. WakeMed has more to offer than any other health system – right here, close to you and the very special people in your life.

Your health. Your choice. Choose WakeMed.


Find Your Plan That Includes WakeMed

For In-Network Access to WakeMed, Choose One of the Following Plans:

Commercial Insurance

Medicare 

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

Medicare Advantage 

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

On July 1, 2021, NC Medicaid transitioned to Medicaid Managed Care Health Plans.

As part of this transformation, the majority of Medicaid members are now in a Medicaid Managed Care plan.

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

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) 

What This Means for You

  • Emergency services are covered regardless of your plan at any emergency department.
  • You will be required to seek non-emergency care from specific doctors, hospitals and health care organizations that are in-network with your Medicaid managed care plan.
  • WakeMed must get prior authorization to be paid for almost all services. If WakeMed is out of network, it is unlikely that we will receive authorization. This means you may not be able to receive non-emergency care from WakeMed hospitals and providers.
  • While our hospitals and emergency departments are in-network with the plans listed above, not all of our physician practices accept Medicaid. Please contact your health care provider’s office before scheduling an appointment to confirm your Medicaid plan is accepted.

 

Don't see your insurance listed? Have questions? Call us 919-350-8359. 

Need information on our Workers’ Compensation plans? Access information here.


Insurance plans in the Triangle have gotten more complex over the past year and we know our patients and their families want to maintain access to WakeMed, WakeMed Physician Practices and all the services we have to offer.

WakeMed offers a comprehensive network of inpatient care, outpatient care and physician practices with access, convenience quality and value for you and your family. In case you’ve forgotten all the services that are exclusive to this community, here’s just a few things to think about.

Location, Location, Location

Don’t want to travel to Chapel Hill or Durham for world-class care?

Think WakeMed.

 

We don’t think you should have to travel far from home to access world-class care. Nearly all of our services are located in Wake County. No travel required.

 

Find Our 150+ Convenient Locations

Oh, Baby (x Three)

Looking for choice when deciding where to deliver your baby?

Think WakeMed.

 

Whether your pregnancy is high-risk or routine, WakeMed has the birthing hospital just for you – complete with access to the highest level of neonatal care available in Wake County at our Raleigh Campus.

Three Full Service Birthing Centers

From Our Heart to Yours

Need world-class cardiovascular care?

Think WakeMed.

 

WakeMed Heart Center, home to the leading regional cardiac center in N.C., offers highly-specialized care for heart disease, complex arrhythmia, advanced heart failure, structural heart, vascular disease, cardiovascular and thoracic surgery and more.

World Class Heart & Vascular Care

Kid-Sized Care

Want access to the only comprehensive children’s services in Wake County?

Think WakeMed.

 

Choosing a plan that includes WakeMed means you have access to the only children’s hospital in Wake County, not to mention the only Children’s ER and dozens of pediatric specialty physicians – all right here close to home.

WakeMed Children's

Primary & Specialty Physicians

Need an exceptional physician in just about any medical specialty?

Think WakeMed.

 

The WakeMed Physician Practices network offers access to nearly 300 physicians and features nationally renowned specialists – covering 50+ specialties with more than 100 convenient office locations.

Find Your New Doctor

Physical Rehab & PT

Need physical rehabilitation services?

Think WakeMed.

 

WakeMed is home to the only inpatient rehabilitation hospital in Wake County, not to mention a dozen outpatient rehab and specialty rehab programs. We offer comprehensive rehabilitation for stroke, brain injury, spinal cord injury programs, cardiac rehab and much more.

WakeMed Rehabilitation