Navigating the complexities of health insurance can be daunting, especially when you’re focused on the well-being of your family. At Mt Airy Family Practice, a part of the Wake Forest Baptist Health network, we understand the importance of accessible and affordable healthcare. This guide is designed to help you understand the insurance plans accepted at our facility, ensuring you can access the quality care you deserve without unnecessary financial stress.
Wake Forest Baptist Health is committed to working with a wide range of insurance providers to maximize coverage for our patients. As a valued part of this system, Mt Airy Family Practice upholds this commitment. We accept numerous health insurance plans, striving to make healthcare services as accessible as possible for our community.
It’s important to note that healthcare billing within the Wake Forest Baptist Health system is structured to ensure clarity and accuracy. Physician services and hospital services are billed separately due to the involvement of different physician groups and hospitals within the network. While this might seem complex, it’s a standard practice designed to reflect the distinct services provided. Remember, insurance coverage can vary significantly from plan to plan, and even within the same provider, different plans may have different levels of coverage. Therefore, verifying your specific plan details is always the most prudent step.
To provide a clearer picture, we’ve compiled a list of the most common health insurance plans accepted across Wake Forest Baptist Health as of April 2024. This list includes plans accepted at Mt Airy Family Practice and other locations within the system. However, insurance plans can change, and coverage can vary depending on your specific policy and the location of service. Therefore, this list is for informational purposes and should not replace direct verification with your insurance provider.
Accepted Insurance Plans at Wake Forest Baptist Health & Mt Airy Family Practice (as of April 2024):
- 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 (not applicable to services provided at LMC, Wilkes and High Point)
- CIGNA:
- CIGNA: Accepted at all locations
- CIGNA BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH and High Point (not applicable to services provided at LMC, CHC and Wilkes)
- CIGNA HEALTHSPRING MEDICARE ADVANTAGE: Accepted at WFUHS, NCBH, LMC, CHC and High Point (not applicable to services provided at Wilkes)
- CIGNA LIFESOURCE (TRANSPLANTS): Accepted at WFUHS and NCBH (not applicable to services provided at LMC, CHC, Wilkes and High Point)
- CRESCENT PPO (ASHEVILLE): Accepted at WFUHS and NCBH (not contracted, very low to no volume for LMC, CHC, Wilkes and High Point)
- DEVOTED HEALTH (MEDICARE ADVANTAGE): Accepted at all locations
- DIRECT NET: Accepted at WFUHS, NCBH, LMC, Wilkes and High Point (not contracted, very low to no volume for CHC)
- FIRST HEALTH NETWORK: Accepted at NCBH, LMC, Wilkes and High Point (not contracted, very low to no volume for WFUHS and CHC)
- FIRSTCAROLINACARE (PINEHURST, NC): Accepted at NCBH (not contracted, very low to no volume for WFUHS, LMC, CHC, Wilkes and High Point)
- GATEWAY HEALTH ALLIANCE (VIRGINIA): Accepted at WFUHS and NCBH (not contracted, very low to no volume for LMC, CHC, Wilkes and High Point)
- HEALTHGRAM (formerly PRIMARY PHYSICIAN CARE): Accepted at WFUHS, NCBH and LMC (not contracted, very low to no volume for CHC, Wilkes and High Point)
- 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 (not applicable to services provided at LMC, CHC, Wilkes and High Point)
- MAGELLAN (BEHAVIORAL HEALTH): Accepted at WFUHS, NCBH and CHC (not applicable to services provided at LMC, Wilkes and High Point)
- MEDCOST: Accepted at all locations
- MEDCOST ULTRA: Accepted at WFUHS, NCBH, LMC, Wilkes and High Point (not applicable at CHC)
- PHCS/MULTIPLAN: Accepted at NCBH, CHC, LMC and High Point (not contracted, very low to no volume for WFUHS and Wilkes)
- OPTUMHEALTH (TRANSPLANTS – APPLICABLE TO NCBH/WFUHS ONLY): Accepted at WFUHS and NCBH (not applicable to services provided at LMC, CHC, Wilkes and High Point)
- PREFERRED CARE OF VA INC: Accepted at WFUHS and NCBH (not contracted, very low to no volume for LMC, CHC, Wilkes and High Point)
- SOUTHERN HEALTH SVCS (COVENTRY-PPO ONLY): Accepted at WFUHS, NCBH and CHC (not contracted, very low to no volume for LMC, Wilkes and High Point)
- TWIN COUNTY (VIRGINIA): Accepted at WFUHS and NCBH (not contracted, very low to no volume for LMC, CHC, Wilkes and High Point)
- UNITED BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH, CHC and High Point (not applicable to services provided at LMC and Wilkes)
- UNITED BEHAVIORAL HEALTH INTENSIVE OUTPATIENT PROGRAM (WFUHS ONLY): Accepted at WFUHS (not applicable for services provided at NCBH, LMC, CHC, Wilkes and High Point)
- UNITED HEALTHCARE:
- 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 the Locations Key:
To better understand the locations mentioned in the list, here’s a key:
- 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
Verify Your Coverage for Peace of Mind
While Mt Airy Family Practice and Wake Forest Baptist Health strive to accept a broad spectrum of insurance plans, the best way to ensure your coverage is to verify directly with your insurance provider. We also encourage you to contact our Customer Service Center at 877-938-7497 if you have any questions or don’t see your plan listed. Our dedicated team is here to assist you in understanding your insurance options and ensuring you can access the care you need at Mt Airy Family Practice. We are committed to working with you and your insurance plan to make your healthcare experience as smooth and stress-free as possible.
