Managed Care Contracts

WakeMed contracts with a wide variety of managed care plans and insurance companies. Below is a list of those plans currently accepted at all of WakeMed's facilities. In addition, WakeMed generally accepts traditional health insurance plans.

By selecting one of these managed care plans, you can be sure you and your family have access to WakeMed, the health care system that offers you the most comprehensive medical services available in Wake County.

Note - Managed Care Updates:
WakeMed's contract with UnitedHealthcare's Medicare Advantage network will end on August 15, 2010, marking the end of our three-year contract for the following UnitedHealthcare Medicare Advantage plans: Secure Horizons (HMO, PPO & POS plans); AARP Medicare Complete (HMO, PPO & POS plans) and Evercare (HMO, PPO & POS plans). Effective August 15, WakeMed, WFP, WSP and WakeMed Home Health will only accept Medicare Advantage plans for which we are under contract, which will include none of the above. In an emergency, patients can seek care at the closest hospital as emergency care is covered by these plans even if the hospital no longer has a contract. WakeMed will continue to accept traditional Medicare (www.medicare.gov). For a list of accepted insurance plans, visit www.wakemed.org under For Our Patients, then Managed Care Contracts. Or call 350-CARE (2273).

Legend:      Participation Status equals "YES"  (blank)  Participation Status equals "NO"
	WakeMed	WakeMed Faculty Physicians/ Wake Specialty Physicians	WakeMed Home Health
Commercial Managed Care:
AETNA
AMERICAN HEALTH ALLIANCE
ASSURANT HEALTH
ATLANTIC INTEGRATED HEALTH/BEACON COMPANY
BEECH STREET (PPO)
BLUE CROSS BLUE SHIELD
CIGNA HEALTH CARE
COVENTRY NATIONAL
COVENTRY PREFERRED PPO
Duke Select / Duke Basic (for limited services)
EVOLUTIONS HEALTHCARE SYSTEMS
FIRST HEALTH PPO
FOREMOST
GREAT-WEST HEALTHCARE
HEALTH PAYORS ORGANIZATION
HUMANA CHOICECARE NETWORK (PPO)
INCLUSIVE HEALTH
MAMSI LIFE & HEALTH
MEDCOST
MULTIPLAN, INC
NC SMART CHOICE BLUE OPTIONS PPO
NPPN/PLAN VISTA
OneNet PPO (Formerly Alliance (PPO))
PARADIGM HEALTH CORPORATION
PREMIER HEALTH SYSTEMS
PRIMARY PHYSICIAN CARE
PRIVATE HEALTHCARE SYSTEMS
UNITED HEALTHCARE
WELLPATH SELECT
Medicare Managed Care:
BLUE MEDICARE HMO (formerly Partners Medicare Choice)
BLUE MEDICARE PPO (formerly Partners Medicare Choice)
EVERCARE  (no longer in-network as of 8/15/2010)
HUMANA CHOICE PPO
HUMANA GOLD CHOICE  (PFFS)
SECURE HORIZONS AARP MEDICARE COMPLETE POS (no longer in-network as of 8/15/2010)
SECURE HORIZONS AARP MEDICARE COMPLETE PPO (no longer in-network as of 8/15/2010)
AARP MEDICARE SELECT (no longer in-network as of 8/15/10)
Workers Comp Managed Care:
BEECH STREET CORP/CAPP CARE
CORVEL CORPORATION
COMPCARE NETWORK (Key Risk Management Services)
FOCUS HEALTHCARE MANAGEMENT
METRACOMP, INC

If you have questions related to your insurance plan, we encourage you to call the CareLine at (919) 350-2273.  The CareLine is a central resource for any insurance verification and preauthorization issues.  The hours of operation are Monday - Friday, 8 am to 5 pm. 

Updated August 25, 2010.