Sarah K. Gauger, FNP
Family Medicine Nurse Practitioner, Primary Care Nurse Practitioner
Duke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below. Before scheduling your appointment, we strongly recommend you contact your insurance company to verify that the Duke Health location or provider you plan to visit is included in your network. Your insurance company will also be able to inform you of any co-payments, co–insurances, or deductibles that will be your responsibility. If you proceed in scheduling an appointment and your health insurance benefits do not participate with Duke, your out of pocket liability may be higher. We will contact you regarding your coverage and patient liability. If you are uninsured, learn more about our financial assistance policy.
Below are the plans currently accepted in 2018. There are some changes to the plans accepted beginning January 1, 2019. More information will become available on PlanForDuke.com.
- Aetna
- Aetna Choice POS, Aetna Choice POS II
- Aetna Elect Choice HMO, Aetna Open Access Elect Choice
- Aetna Health Network Only, Aetna Health Network Option
- Aetna HMO
- Aetna Limited Benefit Insurance PPO
- Aetna Managed Choice POS
- Aetna Medicare HMO Open Access
- Aetna Medicare Plan (HMO, PPO)
- Aetna Medicare Premier Plan (PPO)
- Aetna Medicare Prime Plan (HMO, PPO)
- Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Select, Aetna Open Access Managed Choice
- Aetna Open Choice PPO
- Aetna PCP Coordinated POS Plan
- Aetna Quality Point of Service (QPOS)
- Aetna Select HMO
- Aetna Traditional Choice
- Aetna Voluntary Indemnity Group Plan
- Aetna Whole Health – Duke WakeMed WKCC
- Blue Cross Blue Shield of NC
- Blue Advantage
- Blue Local with Duke Health and WakeMed*
- Blue Medicare (HMO, PPO)**
- Blue Options (123, PPO, HSA)
- Blue Select
- NC State Employees Health Plan
- *BCBSNC will no longer offer Blue Local with Duke Health & WakeMed in 2019. Action may be needed on your part. Visit planforduke.com to learn more.
- **Duke HomeCare and Hospice does not participate in the plan.
- CIGNA
- Cigna Choice Plus
- Cigna Open Access
- Cigna Open Access Plus
- Coventry Healthcare
- Coventry Advantra Freedom (PPO)
- Coventry Advantra Gold (HMO)
- Dual Option of AWH or PPO
- Duke Group Plans
- Duke Basic
- Duke Select
- First Health
- Gateway Health Alliance
- Gateway Health Plan
- Gateway Health Medicare Assured Prime (HMO)
- Gateway Health Medicare Assured Select (HMO)
- Halifax Physician-Hospital Organization
- Healthgram
- Humana
- Humana Choice (PPO)
- Humana ChoiceCare (PPO)
- Humana Gold Choice (PFFS)
- Humana Gold Plus (HMO)
- MedCost
- Medicare
- First Medicare Direct*
- Medicare Part A
- Medicare Part B
- *This is for Wake County only.
- MultiPlan / Private Healthcare Systems
- NC Medicaid
- NC Medicaid*
- * Not all Duke locations and doctors participate in this plan. Please contact the location you will be visiting to determine what is accepted.
- OneNet PPO
- Optima Health
- FAMIS
- Optima Family Care (Medicaid HMO in VA)
- Optima Individual & Family (On & Off Exchange Plans)
- Optima Plus (PPO)
- Optima Vantage (HMO)
- TRICARE
- TRICARE Extra*
- TRICARE for Life*
- TRICARE Prime*
- TRICARE Prime Remote*
- TRICARE Standard*
- *Duke Primary Care does not participate with the plan.
- United Healthcare
- AARP Medicare Complete (HMO, PPO)*
- AARP Medicare Complete Essential (HMO)*
- All Savers Alternate Funding
- All Savers Fully Insured
- State Employee Health Plan (for retirees)
- United Healthcare (HMO, PPO, POS)
- United Healthcare Charter/Charter Balance/Charter Plus
- United Healthcare Choice/Choice Plus
- United Healthcare Core/Core Essential
- United Healthcare Navigate/Navigate Plus/Navigate Balanced
- United Healthcare of the River Valley
- United Healthcare Option PPO
- United Healthcare Options PPO with Harvard Pilgrim
- United Healthcare Passport Connect Choice/Choice Plus
- United Healthcare Passport Connect Options PPO
- United Healthcare Select/Select Plus
- United Medical Resources (UMR)
- * Not all Duke hospitals and doctors participate in these plans. Please contact your insurance provider to determine what your financial responsibility will be for the health care service you require.
Duke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below. Before scheduling your appointment, we strongly recommend you contact your insurance company to verify that the Duke Health location or provider you plan to visit is included in your network. Your insurance company will also be able to inform you of any co-payments, co–insurances, or deductibles that will be your responsibility. If you proceed in scheduling an appointment and your health insurance benefits do not participate with Duke, your out of pocket liability may be higher. We will contact you regarding your coverage and patient liability. If you are uninsured, learn more about our financial assistance policy.
Below are the plans currently accepted in 2018. There are some changes to the plans accepted beginning January 1, 2019. More information will become available on PlanForDuke.com.
- Aetna
- Aetna Choice POS, Aetna Choice POS II
- Aetna Elect Choice HMO, Aetna Open Access Elect Choice
- Aetna Health Network Only, Aetna Health Network Option
- Aetna HMO
- Aetna Limited Benefit Insurance PPO
- Aetna Managed Choice POS
- Aetna Medicare HMO Open Access
- Aetna Medicare Plan (HMO, PPO)
- Aetna Medicare Premier Plan (PPO)
- Aetna Medicare Prime Plan (HMO, PPO)
- Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Select, Aetna Open Access Managed Choice
- Aetna Open Choice PPO
- Aetna PCP Coordinated POS Plan
- Aetna Quality Point of Service (QPOS)
- Aetna Select HMO
- Aetna Traditional Choice
- Aetna Voluntary Indemnity Group Plan
- Aetna Whole Health – Duke WakeMed WKCC
- Blue Cross Blue Shield of NC
- Blue Advantage
- Blue Local with Duke Health and WakeMed*
- Blue Medicare (HMO, PPO)**
- Blue Options (123, PPO, HSA)
- Blue Select
- NC State Employees Health Plan
- *BCBSNC will no longer offer Blue Local with Duke Health & WakeMed in 2019. Action may be needed on your part. Visit planforduke.com to learn more.
- **Duke HomeCare and Hospice does not participate in the plan.
- CIGNA
- Cigna Choice Plus
- Cigna Open Access
- Cigna Open Access Plus
- Coventry Healthcare
- Coventry Advantra Freedom (PPO)
- Coventry Advantra Gold (HMO)
- Dual Option of AWH or PPO
- Duke Group Plans
- Duke Basic
- Duke Select
- First Health
- Gateway Health Alliance
- Gateway Health Plan
- Gateway Health Medicare Assured Prime (HMO)
- Gateway Health Medicare Assured Select (HMO)
- Halifax Physician-Hospital Organization
- Healthgram
- Humana
- Humana Choice (PPO)
- Humana ChoiceCare (PPO)
- Humana Gold Choice (PFFS)
- Humana Gold Plus (HMO)
- MedCost
- Medicare
- First Medicare Direct*
- Medicare Part A
- Medicare Part B
- *This is for Wake County only.
- MultiPlan / Private Healthcare Systems
- NC Medicaid
- NC Medicaid*
- * Not all Duke locations and doctors participate in this plan. Please contact the location you will be visiting to determine what is accepted.
- OneNet PPO
- Optima Health
- FAMIS
- Optima Family Care (Medicaid HMO in VA)
- Optima Individual & Family (On & Off Exchange Plans)
- Optima Plus (PPO)
- Optima Vantage (HMO)
- TRICARE
- TRICARE Extra*
- TRICARE for Life*
- TRICARE Prime*
- TRICARE Prime Remote*
- TRICARE Standard*
- *Duke Primary Care does not participate with the plan.
- United Healthcare
- AARP Medicare Complete (HMO, PPO)*
- AARP Medicare Complete Essential (HMO)*
- All Savers Alternate Funding
- All Savers Fully Insured
- State Employee Health Plan (for retirees)
- United Healthcare (HMO, PPO, POS)
- United Healthcare Charter/Charter Balance/Charter Plus
- United Healthcare Choice/Choice Plus
- United Healthcare Core/Core Essential
- United Healthcare Navigate/Navigate Plus/Navigate Balanced
- United Healthcare of the River Valley
- United Healthcare Option PPO
- United Healthcare Options PPO with Harvard Pilgrim
- United Healthcare Passport Connect Choice/Choice Plus
- United Healthcare Passport Connect Options PPO
- United Healthcare Select/Select Plus
- United Medical Resources (UMR)
- * Not all Duke hospitals and doctors participate in these plans. Please contact your insurance provider to determine what your financial responsibility will be for the health care service you require.
