Navigating Your Insurance Coverage at Cornerstone Family Medicine and Wake Forest Baptist Health

Understanding your health insurance coverage is crucial when choosing a healthcare provider. At Wake Forest Baptist Health, including Cornerstone Family Medicine, we strive to make this process as clear and সহজ as possible. We accept a wide variety of insurance plans to ensure you have access to the healthcare services you need. This guide outlines the insurance plans we currently accept, helping you navigate your coverage within our network.

Wake Forest Baptist Health is comprised of numerous physician groups and hospital facilities, including Cornerstone Family Medicine. It’s important to understand that physician services and hospital services are billed separately. While we participate with many insurance plans, coverage can vary significantly. Therefore, we strongly encourage you to verify your specific plan details to confirm participation and the extent of your coverage.

Accepted Insurance Plans at Wake Forest Baptist Health (as of April 2024)

Below is a comprehensive list of the major health insurance plans accepted across Wake Forest Baptist Health locations. Please note that this list is subject to change, and certain plans may have specific network restrictions or coverage limitations depending on the location (e.g., Cornerstone Healthcare, Lexington Medical Center, etc.). Always verify your individual plan for the most accurate information.

  • AETNA:
    • AETNA CONNECTED NC ACA/Exchange: Accepted at all locations
    • AETNA NC PREFERRED+: Accepted at all locations
    • AETNA (PPO & HMO): Accepted at all locations
    • AETNA MEDICARE: Accepted at all locations
    • AETNA WHOLE HEALTH: Accepted at all locations
  • ALIGNMENT HEALTHCARE MEDICARE ADVANTAGE: Accepted at all locations
  • AMBETTER OF NC: Accepted at all locations
  • AMERIHEALTH CARITAS NEXT ACA/Exchange: Accepted at all locations
  • BCBSNC (Blue Cross Blue Shield of North Carolina):
    • BCBSNC (PPO & HMO): Accepted at all locations
    • BCBS HIGH PERFORMANCE (NATIONAL NETWORK): Accepted at all locations
    • BLUE LOCAL WITH ATRIUM HEALTH: Accepted at all locations
    • BLUE MEDICARE: Accepted at all locations
    • BLUE VALUE: Accepted at all locations
  • CAROLINA BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH and CHC
  • CIGNA:
    • CIGNA: Accepted at all locations
    • CIGNA BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH, and High Point
    • CIGNA HEALTHSPRING MEDICARE ADVANTAGE: Accepted at WFUHS, NCBH, LMC, CHC, and High Point
    • CIGNA LIFESOURCE (TRANSPLANTS): Accepted at WFUHS and NCBH
  • CRESCENT PPO (ASHEVILLE): Accepted at WFUHS and NCBH
  • DEVOTED HEALTH (MEDICARE ADVANTAGE): Accepted at all locations
  • DIRECT NET: Accepted at WFUHS, NCBH, LMC, Wilkes and High Point
  • FIRST HEALTH NETWORK: Accepted at NCBH, LMC, Wilkes and High Point
  • FIRSTCAROLINACARE (PINEHURST, NC): Accepted at NCBH
  • GATEWAY HEALTH ALLIANCE (VIRGINIA): Accepted at WFUHS and NCBH
  • HEALTHGRAM (formerly PRIMARY PHYSICIAN CARE): Accepted at WFUHS, NCBH and LMC
  • HEALTHTEAM ADVANTAGE: Accepted at all locations
  • HUMANA:
    • HUMANA CHOICECARE: Accepted at all locations
    • HUMANA MEDICARE ADVANTAGE: Accepted at all locations
  • LIBERTY ADVANTAGE (MEDICARE ADVANTAGE): Accepted at WFUHS and NCBH
  • MAGELLAN (BEHAVIORAL HEALTH): Accepted at WFUHS, NCBH and CHC
  • MEDCOST: Accepted at all locations
  • MEDCOST ULTRA: Accepted at WFUHS, NCBH, LMC, Wilkes and High Point
  • PHCS/MULTIPLAN: Accepted at NCBH, CHC, LMC and High Point
  • OPTUMHEALTH (TRANSPLANTS – APPLICABLE TO NCBH/WFUHS ONLY): Accepted at WFUHS and NCBH
  • PREFERRED CARE OF VA INC: Accepted at WFUHS and NCBH
  • SOUTHERN HEALTH SVCS (COVENTRY-PPO ONLY): Accepted at WFUHS, NCBH and CHC
  • TWIN COUNTY (VIRGINIA): Accepted at WFUHS and NCBH
  • UNITED HEALTHCARE:
    • UNITED BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH, CHC and High Point
    • UNITED BEHAVIORAL HEALTH INTENSIVE OUTPATIENT PROGRAM (WFUHS ONLY): Accepted at WFUHS
    • UNITED HEALTHCARE: Accepted at all locations
    • UNITED HEALTHCARE ESSENTIALS ACA/EXCHANGE: Accepted at all locations
    • UNITED HEALTHCARE MEDICARE: Accepted at all locations
  • VA CCN: Accepted at all locations
  • WELLCARE (MEDICARE ADVANTAGE): Accepted at all locations
  • LMC ONLY: Contracts specific to support Lexington employer groups, low volume NATIONAL PROVIDER NETWORK/MEDICAL RESOURCES
  • CHC ONLY: Contracts specific to support CHC TRICARE

Understanding Location Keys:

To better understand the locations referenced in the insurance plan list, please refer to the key below:

  • WFUHS – Wake Forest University Health Sciences (professional services)
  • NCBH – North Carolina Baptist Hospital (Includes Davie)
  • LMC – Lexington Medical Center
  • CHC – Cornerstone Healthcare
  • Wilkes – Wilkes Regional Medical Center
  • HPR – High Point Regional
  • N/A – Not applicable to services provided at facility and/or CHC
  • NC – Not Contracted, very low to no volume for facility and/or CHC

Have Questions About Your Plan?

If you do not see your insurance plan listed or have any questions regarding coverage at Cornerstone Family Medicine or any Wake Forest Baptist Health location, please don’t hesitate to contact our Customer Service Center at 877-938-7497. Our dedicated team is here to assist you and clarify any concerns you may have about your insurance and accessing the care you need. We are committed to working with you and your insurance provider to ensure a smooth and understandable healthcare experience.

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