Commercial Health Insurance Plans
Coverage provided through businesses and corporations for employees
Aetna (HMO, POS, and PPO plans)
Blue Cross Blue Shield of North Carolina (HMO, POS, and PPO plans)
CIGNA Healthcare of NC (HMO, POS, and PPO plans)
Only some services and benefits Cigna Healthcare covers are accepted at Duke Health. This may result in higher out-of-pocket expenses for services not covered by Cigna at Duke Health.
Humana (PPO plan)
Optima Health (HMO and PPO plans)
Progyny
This plan is only accepted at the Duke Fertility Center.
United Healthcare (HMO and PPO plans) – Duke Health does not participate in UHC plans on the Health Insurance Marketplace.
Exchange Health Insurance Plans
These plans are available through Healthcare.gov.
Cigna Healthcare of NC
Only some services and benefits Cigna Healthcare covers are accepted at Duke Health. This may result in higher out-of-pocket expenses for services not covered by Cigna at Duke Health.
Governmental Health Insurance Plans
Coverage is provided through the government for military and veterans.
Duke Health Lake Norman Hospital
Duke Health Lake Norman Hospital accepts these insurance plans and those accepted by Duke Health.
- BARiNet Preferred Provider, LLC -- commercial Insurance, Bariatric Surgery
- Healthy Blue - Managed Medicaid
- Carolina Complete Health Network, Inc. - Managed Medicaid
- CompCare Berkley Insurance Company - Workers Comp
- Devoted Health, Inc. – Medicare Advantage
- Healthgram, Inc. – Commercial Insurance
- Vaya Health, Inc. - Tailored Plan
Please call your provider or the clinic directly if you have questions.
Kernodle Clinics Accepts the Following Plans
Kernodle Clinics accepts these plans in addition to the plans accepted by Duke Health.
Aetna Focus Plan – for Cone Health employees only
Devoted Health – Medicare Advantage
Health Team Advantage – Medicare Advantage
CorVel – Worker’s Comp/IQ
Medicare Advantage Plans
Supplemental Medicare coverage is provided through private insurance companies.
Aetna Medicare Advantage (HMO, PPO, and SNP plans)
Alignment Health (HMO, PPO, and SNP plans)
Blue Medicare (HMO and PPO plans)
Duke HomeCare and Home Infusion does not participate in this plan
Cigna Medicare (HMO, PPO, and SNP plans)
Experience Health Medicare Advantage (HMO plan)
First Carolina Care Medicare Advantage (HMO and PPO plans)
Humana Medicare (HMO, PPO, SNP plans) and includes NC State Retirees
Troy Medicare (HMO and SNP plans)
United Healthcare Medicare Advantage (HMO, PPO, and SNP plans)
Duke Health does not participate for mental health, home health, or home infusion services. This may increase your out-of-pocket expenses.
Medicaid Managed Care (Duke Only Participates in NC Plans)
Health insurance coverage for people who are eligible for Medicaid. Some Medicaid recipients are not eligible for Medicaid Managed Care.
AmeriHealth Caritas North Carolina
Healthy Blue
Duke Eye clinics and vision providers do not participate in Healthy Blue.
National Transplant Networks
Coverage for organ and bone marrow transplantation.
Aetna Institutes of Excellence
Blue Distinction Centers for Transplant
CIGNA LifeSource Transplant Network