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Health insurance acceptance

Insurance & contracted managed care plans

The list below is for reference purposes only and is subject to change. Check with your health plan to confirm that Novant Health is included. Novant Health may participate in some, but not all, products offered by a health plan. Coverage limitations are dependent on individual group contracts. For questions about insurance coverage and specific plan products including plans that include a narrow or limited network, please contact your insurance carrier directly.

Questions regarding your insurance?

If you have any questions regarding your insurance, please call toll-free 844-2Novant (1-844-266-8268) to speak with a Customer Service Representative to answer questions, schedule an appointment with your doctor, or pre-register for a service. For New Hanover inquiries, please call (888) 588-9680 for more information. You can also make an appointment or pre-register online here.

 North Carolina

Aetna
URL: www.aetna.com
Novant Health is in-network with all Aetna networks, except Aetna’s National Advantage Program (NAP). However, there may be tier differentiation and provider limitations in certain markets, including for products labeled APCN or Aetna Whole Health.

Behavioral Health Systems
URL: www.behavioralhealthsystems.com
Novant Health's behavioral health facilities providers are in-network.

BlueCross and BlueShield of North Carolina
URL: www.bcbsnc.com
Novant Health is in-network with all BCBSNC networks with the exception of the Blue Local product.

Bright Health Plans by Bright Health Company of NC
URL: brighthealthplan.com
Novant Health is in-network with Bright Health Plan.

Carolina Behavioral Health Alliance
URL: www.cbhallc.com
Novant Health's behavioral health providers are in-network.

CIGNA Behavioral Health
URL: cignabehavioral.com
Novant Health's behavioral health providers are in-network.

CIGNA Healthcare of North Carolina
URL: www.cigna.com

First Health
URL: firsthealth.coventryhealthcare.com

Humana (Tricare Prime & Extra)
URL: www.humanamilitary.com

Humana (ChoiceCare) Network
URL: www.humana.com

Humana Behavioral Health
URL: www.humana.com
Novant Health's behavioral health facilities providers are in-network.

Magellan Behavioral Health
URL: www.magellanhealth.com
Novant Health's behavioral health providers are in-network.

MedCost
URL: www.medcost.com
Novant Health is in-network with all MedCost networks with the exception of the MedCost Ultra product in which Novant Health is a "tier 2" provider.

Multiplan
URL: www.multiplan.com

Primary Physician Care
URL: www.healthgram.com

Private Healthcare Systems, Inc. (PHCS)
URL: www.multiplan.com

Provider Select
URL: www.psippo.net
All Novant Health providers are in-network with Provider Select with the exception of our MedQuest imaging facilities.

Three Rivers Provider Network
URL: trpnppo.com

Tricare (See HealthNet above)
URL: www.hnfs.com

United Behavioral Health
URL: www.liveandworkwell.com/public/
Novant Health's behavioral health providers are in-network.

United Healthcare
URL: www.uhc.com

Veteran's Affairs Community Care Network (VACCN) (through Optum/UnitedHealthcare)
URL: www.vacommunitycare.com
Eligible Veterans must contact VACCN to obtain authorization for all care under the VACCN. Not all Novant Health providers participate in VACCN.

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 South Carolina

Aetna
URL: www.aetna.com
Novant Health is in-network with all Aetna networks, except Aetna’s National Advantage Program (NAP).

Blue Choice of South Carolina
URL: www.southcarolinablues.com

Novant Health does not participate in the BCBSSC Exchange plans: BlueEssentials Plan and the Blue Option Plan.

BlueCross and BlueShield of South Carolina
URL: www.southcarolinablues.com
Novant Health does not participate in the BCBSSC Exchange plans: BlueEssentials Plan and the Blue Option Plan.

CIGNA Behavioral Health
URL: cignabehavioral.com
Novant Health's behavioral health providers are in-network.

CIGNA Healthcare
URL: www.cigna.com

First Health
URL: firsthealth.coventryhealthcare.com

Humana Military (Tricare Prime & Extra)
URL: www.humanamilitary.com

Humana (ChoiceCare) Network
URL: www.humana.com

Humana Behavioral Health
URL: www.humana.com
Novant Health's behavioral health facilities providers are in-network.

MedCost
URL: www.medcost.com

Multiplan
URL: www.multiplan.com

Primary Physician Care
URL: www.healthgram.com

Private Healthcare Systems, Inc. (PHCS)
URL: www.multiplan.com

Provider Select
URL: www.psippo.net
All Novant Health providers are in-network with Provider Select with the exception of our MedQuest imaging facilities.

Three Rivers Provider Network
URL: trpnppo.com

United Behavioral Health
URL: www.liveandworkwell.com/public/
Novant Health's behavioral health providers are in-network.

UnitedHealthcare
URL: www.uhc.com

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 North Carolina - Medicare/Medicaid

Medicare


Medicaid


Medicare

Aetna Medicare HMO/PPO
URL: www.aetnamedicare.com
Novant Health participates in all of Aetna's Medicare Advantage plans but is out of network with Aetna Medicare Prime HMO.

Blue Medicare
URL: www.bcbsnc.com/medicare/

Cigna Medicare Advantage
URL: www.cigna.com/
All Novant Health providers are in-network with Cigna HealthSpring Medicare Advantage.

Humana Medicare Advantage
URL: www.humana.com

Liberty Advantage ISNP
URL: libertyadvantageplan.com

New Hanover Health Advantage
URL: firstmedicare.com

PACE of the Southern Piedmont
URL: pacesp.com

AARP Medicare Plans from UnitedHealthcare (formerly known as AARP Medicare Complete Evercare Secure Horizons)
URL: www.aarpmedicareplans.com

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Medicaid

Alliance Behavioral Healthcare
URL: www.alliancebhc.org
Novant Health's behavioral health facilities are contracted with Alliance Behavioral Healthcare but our physicians are not directly contracted.

AmeriHealth Caritas
URL: www.amerihealthcaritasnc.com
Novant Health's facilities and physicians are contracted with AmeriHealth Caritas.

Cardinal Innovations (formerly Piedmont Behavioral Health)
URL: www.cardinalinnovations.org
Novant Health's behavioral health providers are in-network.

Carolina Complete Health
URL: www.carolinacompletehealth.com
Novant Health's facilities and physicians are contracted with Carolina Complete Care.

Carolina ACCESS I, II, III
URL: www.communitycarenc.com

EastPointe Behavioral Health
URL: www.eastpointe.net
Novant Health's behavioral health facilities are contracted with EastPointe Behavioral Health but our physicians are not directly contracted.

HealthyBlue
URL: www.healthybluenc.com
Novant Health's facilities and physicians are contracted with HealthyBlue.

Partners Behavioral Health Management
URL: www.partnersbhm.org
Novant Health's behavioral health facilities are contracted with Partners Behavioral Health Management.

Sandhills LME MCO
Novant Health's behavioral health facilities are contracted with Sandhills LME MCO but our physicians are not directly contracted.

UnitedHealthcare Community Plan
URL: https://www.uhccommunityplan.com/nc/medicaid/medicaid-uhc-community-plan
Novant Health's facilities and physicians are contracted with UnitedHealthcare Community Plan.

Vaya Health
URL: http://vayahealth.com/
Novant Health's behavioral health facilities are contracted with Vaya Health but our physicians are not directly contracted.

WellCare
URL: http://www.wellcare.com/nc
Novant Health's facilities and physicians are contracted with WellCare.

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 South Carolina - Medicare/Medicaid

Medicare


Medicaid


Medicare

Aetna Medicare HMO/PPO
URL: www.aetnamedicare.com
Novant Health participates in all of Aetna's Medicare Advantage plans but is out of network with Aetna Medicare Prime HMO.

Humana Medicare Advantage
URL: www.humana.com

AARP Medicare Plans from UnitedHealthcare (formerly known as AARP Medicare Complete Evercare Secure Horizons)
URL: www.aarpmedicareplans.com

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Medicaid

Absolute Total Care
URL: www.absolutetotalcare.com
Novant Health's South Carolina health providers are in-network.


Molina Healthcare of South Carolina
URL: www.molinahealthcare.com
Novant Health's South Carolina health providers are in-network.

First Choice by Select Health of South Carolina
URL: www.selecthealthofsc.com
Novant Health's South Carolina health providers are in-network.

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Health plan list

Medicare & Medicaid plan list 

 NHRMC Medicare

Medicare

We will need a copy of your Medicare card to verify eligibility and process your Medicare claim. You should be aware that the Medicare program specifically excludes payment for certain items and services, such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations and many preventive and diagnostic procedures. Deductibles and co-payments also are the responsibility of the patient and due at the time of service.

The NHRMC Physician Group now accepts Blue Cross Blue Shield of North Carolina - Blue Medicare and the following Medicare plans: traditional Medicare Parts A & B, Advantra - Coventry Healthcare, AETNA Health, Humana Medicare Advantage, Medicare Advantage Standard, NC Health Risk Pool (Inclusive Health), Partners Blue Medicare, and United Healthcare Medicare Solutions.

Medicaid

We will need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items.

For more information about insurance plans accepted by Novant Health New Hanover Regional Medical Center and Pender Memorial Hospital please visit NHRMC.org.


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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 »

 New Hanover

NHRMC accepts many major insurance plans including:

  • Aetna NC Preferred
  • Aetna PPO
  • Blue Cross Blue Shield North Carolina and FEP
  • BCCCP & Pink Ribbon
  • Cigna
  • First Health Coventry
  • Humana
  • Humana - State Health Plan Retirees
  • NC Medicaid
  • Medicare
  • Medicare Advantage BCBS
  • Medicare Advantage Humana
  • MedCost
  • Multiplan PHCS
  • New Hanover Health Advantage, a partnership with FirstMedicare Direct
  • Tricare (Health Net Federal Services)
  • Trillium Health Resources (LME/MCO)
  • United Health Care
  • VA and ChampVA

For more information about insurance plans accepted by Novant Health New Hanover Regional Medical Center and Pender Memorial Hospital please visit NHRMC.org.

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