Choosing the right health insurance plan is a crucial step in ensuring access to quality healthcare for your family. At Wake Forest Baptist Health, we understand the importance of accessible and Premier Family Medicine. We strive to work with a wide range of insurance providers to make your healthcare experience as smooth and worry-free as possible. This guide outlines the health insurance plans we currently accept, helping you understand your coverage options when seeking family medical care within our network.
Understanding how billing works within the Wake Forest Baptist Health system is important. Physician services and hospital services are billed separately due to the different physician groups and hospitals within our network. While we participate with many insurance plans, coverage can vary significantly. It’s essential to verify your individual plan’s details to confirm participation and the extent of your coverage for specific services. This proactive step can help you avoid unexpected costs and ensure you receive the premier family medicine care you deserve.
Below is a list of the major insurance plans accepted at Wake Forest Baptist Health facilities as of April 2024. Please remember that this list is subject to change, and it is always best to confirm directly with your insurance provider and our Customer Service Center for the most up-to-date information regarding your specific plan and premier family medicine services.
Accepted Insurance Plans – 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:
- ALIGNMENT HEALTHCARE MEDICARE ADVANTAGE: Accepted at all locations
- Ambetter:
- AMBETTER OF NC: Accepted at all locations
- AmeriHealth Caritas:
- AMERIHEALTH CARITAS NEXT ACA/Exchange: Accepted at all locations
- Blue Cross Blue Shield of North Carolina (BCBSNC):
- 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:
- 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)
- UnitedHealthcare:
- 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
Facility Key for Insurance Plan Acceptance:
- 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 for premier family medicine services at Wake Forest Baptist Health, please do not hesitate to contact our Customer Service Center at 877-938-7497. Our dedicated team is here to assist you in understanding your insurance benefits and ensuring you can access the high-quality family medical care you expect and deserve. We are committed to working with you and your insurance plan to facilitate a seamless and positive healthcare experience.
