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Working with a variety of commercial health insurance providers

To ensure you can get the care you need, Novant Health participates in a wide range of health plans and accepts most major insurance providers; however, it is important that you contact your insurance provider before receiving treatment to verify that you have full coverage. You should also determine your individual plan requirements regarding referrals, authorizations and co-pay/deductible amounts.

Health plan options

The health plan list below represents the commercial health insurance, workers' compensation, Medicaid and Medicare options for our facilities and doctors. Please verify plan acceptance and participation with your provider – your doctor, hospital or other health service provider. To inquire about a health plan option, use the contact information below.

Charlotte area

Novant Health Presbyterian Hospital, Novant Health Huntersville Medical Center, Novant Health Matthews Medical Center, Novant Health Charlotte Orthopedic Hospital
704-384-CARE (2273)

Winston-Salem area

Novant Health Forsyth Medical Center, Novant Health Medical Park Hospital, Novant Health Thomasville Medical Center, Novant Health Kernersville Medical Center
336-718-2100

Brunswick

Novant Health Brunswick Medical Center
Toll-free at 1-877-664-4076

Rowan

Novant Health Rowan Medical Center
704-210-5230

Franklin

Novant Health Franklin Medical Center
919-497-8055

Gaffney

Novant Health Gaffney Medical Center
864-487-1521

Northern Virginia

Novant Health Prince William Medical Center, Novant Health Heathcote Health Center, Novant Health Haymarket Medical Center [opening spring 2014]
703-369-8020
Please note: In addition to the plans listed below, facilities in northern Virginia also accept Blue Cross Blue Shield Virginia, Carefirst, Cigna, Coventry, Kaiser, Tricare, United Healthcare (Medicare) and Virginia Health Network. For Medicaid, in addition to the below listing, northern Virginia facilities also accept Virginia Medicaid, Premier of Virginia, InTotal of Virginia, HealthKeepers Plus of Virginia, Maryland Medicaid and Amerigroup of Maryland.

Health plan list

Please verify plan acceptance and participation with your provider – your doctor, hospital or other health service provider.

 Insurance Plan
  Charlotte Area
  Winston- Salem Area
  Brunswick
  Rowan
  Franklin Medical Center
  Gaffney Medical Center
  Northern Virginia
Aetna
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
Beechstreet, A Viant Network
  No
  No   No
  Hospital Only
  Hospital Only
  No
  Yes
BlueCross BlueShield of North Carolina
  Yes
  Yes   Yes
  Yes
  Yes
  Yes
BlueCard
  Yes w/ BlueCard
BlueCross BlueShield of South Carolina
  Yes W/
BlueCard
  Yes W/
BlueCard
  Yes W/
BlueCard
  Yes W/
BlueCard
  Yes W/
BlueCard
  Yes
  Yes w/ BlueCard
Carolina Behavioral Health Alliance
  Yes
  Yes   Yes
  Yes
  No
  No
  No
CenterPoint Human Services
  No
  Hospital Only
  No
  No
  No
  No
  No
CIGNA Healthcare of North Carolina
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  No
CIGNA Behavioral Health
  Yes
  Yes
  No
  Yes
  No
  No
  Yes
Coventry Health Care
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
First Health
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
Healthnet (Anthem Alliance, Humana Military Healthcare Services - Tricare Prime & Extra)
  Yes
  Yes
  Yes
  Yes
  Yes
  No
  Yes
Humana (ChoiceCare) Network
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
LifeSynch Behavioral Health   Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  No
Magellan Behavioral Health
  Yes
  Yes
  No
  Yes
  No
  No
  Yes
MedCost
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  No
Medical Mutual of Ohion (SuperMed)   Yes, through PHCS   Yes, through PHCS   Yes, through PHCS   Yes, through PHCS   Yes, through PHCS   Yes   Yes, through PHCS
Multiplan
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  No
NC Teachers and State Employees Health Plan (BCBS PPO)
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes W/OON
  No
OneNet (formerly Alliance PPO/MAMSI)
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
Primary Physician Care
  Yes
  Yes
  Yes
  Yes
  Yes
  No
  No
Private Healthcare Systems, Inc. (PHCS)
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
Provider Select
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  No
United Healthcare
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
United Behavioral Health
  Yes
  Yes
  No
  Yes
  No
  No
  Yes

Medicare

For people age 65 or older and eligible disabled individuals, Novant Health providers accept all Medicare supplemental insurance policies. Check with your doctor to see if s/he accepts one of the following Medicare HMOs:

 Medicare
  Charlotte Area
  Winston- Salem Area
  Brunswick
  Rowan
  Franklin Medical Center
  Gaffney Medical Center
  Northern Virginia
Aetna   Yes   Yes   Yes   Yes   Yes   Yes   Yes
BlueCross and BlueShield of North Carolina - Blue Medicare HMO and Blue Medicare PPO   Yes
  Yes
  Yes
  Yes
  Yes
  No
  No
Coventry Advantra    No   No   No   No   Yes   No   No
Evercare   Yes
  Yes   Yes
  Yes
  Yes
  Yes
  No
HealthSpring Medicare Advantage   Yes   Yes   Yes   Yes   Yes   Yes   Yes
Humana GOLD Medicare Advantage PPO, HMO, PFFS   Yes   Yes   Yes   Yes   Yes   Yes   Yes
Humana Medicare Employer PPO   Yes   Yes   Yes   Yes   Yes   Yes   Yes
United Healthcare of North Carolina HMO and PPO   Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  No
Universal America/Today's Option   Yes
  Yes   Yes
  Yes
  Yes   Yes   No

Novant Health facilities participate per the terms and conditions of Private Fee for Service Medicare plans. However, confirm the status of the facility's participation upon registration and scheduling with your individual physician.

Workers' Compensation

If you are injured on the job or have a job-related illness, you will want to receive treatment with a Novant Health provider. We accept almost all Workers' Compensation Insurance carriers and will bill your employer's carrier after treating your on-the-job injury. Some Workers' Compensation Insurance carriers provide designated physician and hospital networks for the treatment of work-related injuries. Your employer can tell you if these designated Workers' Compensation networks pertain to you.

 Workers'
 Compensation
  Charlotte Area
  Winston- Salem Area
  Brunswick
  Rowan
  Franklin Medical Center
  Gaffney Medical Center
  Northern Virginia
Aetna   Hospital Only
  Hospital Only
  Hospital Only
  Hospital Only   Hospital Only
  Hospital Only
  Yes
CorVel   Hospital Only
  Hospital Only   Hospital Only   Hospital Only
  Hospital Only   Hospital Only   Yes
CompCare (Key Risk Management Services)   Hospital Only
  Hospital Only   Hospital Only   Hospital Only   No
  No
  Yes
Employer's Choice Network   Yes
  Yes
  Yes
  Yes
  Yes
  Yes
  Yes
First Health   Yes
  Yes   Yes
  Yes
  Yes
  Yes
  No
Multiplan (formerly BCE Emergis, Up & Up, ProAmerica)   No
  No
  No
  No
  No
  No
  No
USA Worker's Injury
  Facilities Only
  Facilities Only   Facilities Only
  Facilities Only
  Facilities Only
  Facilities Only
  No

Medicaid

Most Novant Health providers accept Medicaid and participate in these designated Medicaid provider networks:

 Medicaid
  Charlotte Area
  Winston- Salem Area
  Brunswick
  Rowan
  Franklin Medical Center
  Gaffney Medical Center
  Northern Virginia
Alliance Behavioral Health
  Yes   Yes   No   Yes   Yes   No   No
Carolina ACCESS   Yes
  Yes
  Yes
  Yes
  Yes
  No
  No
Carolina ACCESS II & III   Yes
  Yes
  Yes
  Yes
  Yes
  No
  No
EastPointe Behavioral Health   Yes   Yes   No   Yes   Yes   No   No
MecLink   Yes   Yes
  Yes

Yes   Yes   No   No
Pace of the Southern Piedmont, Inc.   Yes   Yes   Yes   Yes   Yes   No   No
Partners Behavioral Health Management   Yes   Yes   Yes   Yes   Yes   No   No
Piedmont Behavioral Health   No
  No
  No
  Yes
  No
  No
  No
Select Health of SC   No
  No
  No
  No
  No
  Yes
  No

Health Insurance Marketplace

(also known as the Health Exchange)

Novant Health is contracted with and in-network for many Health Insurance Marketplace plans. Learn more about the Health Insurance Marketplace, including eligibility requirements and enrollment opportunities.

View a list of which Health Insurance Marketplace plans are accepted at Novant Health facilities »