Emergency services are covered regardless of your plan at any emergency department.This means we are only in-network with these three plans. Of the five Medicaid managed care plans in our region, WakeMed currently has a contract with the following: On July 1, 2021, NC Medicaid transitioned to Medicaid Managed Care Health Plans.Īs part of this transformation, the majority of Medicaid members are now in a Medicaid Managed Care plan. WakeMed is a participant in NC Medicaid & NC Health Choice. See the NC Department of Health & Human Services website for more information. To avoid any gaps in coverage, please make sure your local DSS has your current mailing address, phone number, email or other contact information. Local Department of Social Services (DSS) offices will mail beneficiaries a letter if they need to complete a renewal form. North Carolina began the renewal process for Medicaid beneficiaries on April 1, 2023. United Healthcare Medicare (HMO, POS, PPO) – including AARP Medicare Complete and United HealthCare Dual Complete (excluding Medicare Select and Medicare Advantage private fee-for-service and medical savings account benefit plans).FirstMedicare Direct SmartHMO (Wake County residents only).Blue Medicare HMO, POS, PPO (in-state and out-of-state).Alignment Health Heart & Diabetes (HMO C-SNP).WakeMed is pleased to participate in the following Medicare & Medicare Advantage Plans. WakeMed and WakeMed Physician Practices are out-of-network for Blue Cross Blue Shield Blue Home, Blue Local and Blue Value.UnitedHealthcare (excluding Charter Benefit Plans, Doctors Plan Benefit Plans and Healthcare Marketplace/Exchange plans).Paradigm Health Corporation *Out of Network for WakeMed Physician Practices.NPPN/Plan Vista *Out of Network for WakeMed Physician Practices.NC State Employee Health Plan (benefit levels may be lower for patients enrolled in the Clear Pricing Project).Evolutions Healthcare Systems *Out of Network for WakeMed Physician Practices.Duke Select / Duke Basic (for limited services).Cigna Health Care (excluding Cigna Surefit). Bright Health (Bright Health will not be an option on the Healthcare Marketplace/Exchange for 2023).Blue Cross Blue Shield - (excluding Blue Home, Blue Local and Blue Value).Atlantic Integrated Health/Beacon Company.
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