Navigating health insurance can be confusing, especially when you need urgent medical care. At Wake Forest Baptist Health, we strive to make healthcare accessible and understandable. This guide outlines the health insurance plans we generally accept to ensure you can focus on getting the care you need when you need it most.
It’s important to remember that this list is a helpful starting point but is subject to change. To guarantee coverage and participation, always verify directly with your individual insurance plan. Keep in mind that physician and hospital services within the Wake Forest Baptist system are billed separately, and healthcare coverage can vary, meaning some services might not be fully covered.
If your plan isn’t listed or if you have any questions, please don’t hesitate to contact our Customer Service Center at 877-938-7497. Our team is dedicated to assisting you in understanding your insurance and accessing the Premier Urgent Care services you require.
Decoding the Locations
To better understand your coverage, here’s a quick guide to the abbreviations used in the plan list:
WFUHS – Wake Forest University Health Sciences (covering professional physician services)
NCBH – North Carolina Baptist Hospital (which includes Davie Medical Center locations)
LMC – Lexington Medical Center
CHC – Cornerstone Healthcare
Wilkes – Wilkes Regional Medical Center
HPR – High Point Regional
N/A – Services at this facility are Not Applicable or Cornerstone Healthcare
NC – Not Contracted, indicating very low to no service volume for this facility or Cornerstone Healthcare
Wake Forest Baptist Health Managed Care/MA Contracts – April 2024: Insurance Plans Accepted
AETNA CONNECTED NC ACA/Exchange: Accepted across all Wake Forest Baptist Health locations.
AETNA NC PREFERRED+: Accepted at all locations for your convenience.
AETNA (PPO & HMO): Ensuring broad access, accepted at all locations.
AETNA MEDICARE: Medicare patients are welcome at all locations.
AETNA WHOLE HEALTH: Comprehensive coverage accepted system-wide.
ALIGNMENT HEALTHCARE MEDICARE ADVANTAGE: Access premier urgent care with this plan at all locations.
AMBETTER OF NC: Accepted at all locations, providing wide coverage.
AMERIHEALTH CARITAS NEXT ACA/Exchange: Accepted throughout our system.
BCBSNC (PPO & HMO): Blue Cross Blue Shield of North Carolina plans are accepted at all locations.
BCBS HIGH PERFORMANCE (NATIONAL NETWORK): National network access for premier urgent care at all locations.
BLUE LOCAL WITH ATRIUM HEALTH: Accepted at all locations for coordinated care.
BLUE MEDICARE: Medicare members have access at all locations.
BLUE VALUE: Accepted system-wide for value-based care.
CAROLINA BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH, and CHC locations (please note limitations at LMC, Wilkes, and High Point).
CIGNA: CIGNA plans are accepted at all locations within the Wake Forest Baptist Health system.
CIGNA BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH, and High Point locations (not applicable at LMC, CHC, and Wilkes).
CIGNA HEALTHSPRING MEDICARE ADVANTAGE: Accepted at WFUHS, NCBH, LMC, CHC, and High Point locations (limited availability at Wilkes).
CIGNA LIFESOURCE (TRANSPLANTS): For specialized care, accepted at WFUHS and NCBH (not available at LMC, CHC, Wilkes, and High Point).
CRESCENT PPO (ASHEVILLE): Accepted at WFUHS and NCBH (limited volume at LMC, CHC, Wilkes, and High Point).
DEVOTED HEALTH (MEDICARE ADVANTAGE): Accepted at all locations for comprehensive coverage.
DIRECT NET: Accepted at WFUHS, NCBH, LMC, Wilkes, and High Point locations (limited volume at CHC).
FIRST HEALTH NETWORK: Accepted at NCBH, LMC, Wilkes, and High Point locations (limited volume at WFUHS and CHC).
FIRSTCAROLINACARE (PINEHURST, NC): Accepted at NCBH (very limited volume at WFUHS, LMC, CHC, Wilkes, and High Point).
GATEWAY HEALTH ALLIANCE (VIRGINIA): Accepted at WFUHS and NCBH (very limited volume at LMC, CHC, Wilkes, and High Point).
HEALTHGRAM (formerly PRIMARY PHYSICIAN CARE): Accepted at WFUHS, NCBH, and LMC (very limited volume at CHC, Wilkes, and High Point).
HEALTHTEAM ADVANTAGE: Accepted at all locations, ensuring broad access.
HUMANA CHOICECARE: Accepted system-wide for your convenience.
HUMANA MEDICARE ADVANTAGE: Medicare Advantage plans accepted at all locations.
LIBERTY ADVANTAGE (MEDICARE ADVANTAGE): Accepted at WFUHS and NCBH (not applicable at LMC, CHC, Wilkes, and High Point).
MAGELLAN (BEHAVIORAL HEALTH): Accepted at WFUHS, NCBH, and CHC (not applicable at LMC, Wilkes, and High Point).
MEDCOST: Accepted at all Wake Forest Baptist Health 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 (limited volume at WFUHS and Wilkes).
OPTUMHEALTH (TRANSPLANTS – APPLICABLE TO NCBH/WFUHS ONLY): Accepted at WFUHS and NCBH (not applicable at LMC, CHC, Wilkes, and High Point).
PREFERRED CARE OF VA INC: Accepted at WFUHS and NCBH (very limited volume at LMC, CHC, Wilkes, and High Point).
SOUTHERN HEALTH SVCS (COVENTRY-PPO ONLY): Accepted at WFUHS, NCBH, and CHC (very limited volume at LMC, Wilkes, and High Point).
TWIN COUNTY (VIRGINIA): Accepted at WFUHS and NCBH (very limited volume at LMC, CHC, Wilkes, and High Point).
UNITED BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH, CHC, and High Point (not applicable at LMC and Wilkes).
UNITED BEHAVIORAL HEALTH INTENSIVE OUTPATIENT PROGRAM (WFUHS ONLY): Accepted at WFUHS (not applicable at NCBH, LMC, CHC, Wilkes, and High Point).
UNITED HEALTHCARE: Accepted at all locations for broad coverage.
UNITED HEALTHCARE ESSENTIALS ACA/EXCHANGE: Accepted across the system for essential care access.
UNITED HEALTHCARE MEDICARE: Medicare plans from United Healthcare are accepted at all locations.
VA CCN: Accepted at all locations, ensuring veteran access to premier urgent care.
WELLCARE (MEDICARE ADVANTAGE): Accepted at all locations for Medicare Advantage members.
LMC ONLY: Specific contracts for Lexington employer groups, low volume NATIONAL PROVIDER NETWORK/MEDICAL RESOURCES.
CHC ONLY: Specific contracts to support CHC TRICARE.
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
