Accepted Health Insurance Plans

Duke Health contracts with most major health insurance carriers and transplant networks. Please call your insurance company and ask if you have access to health care services at Duke Health locations, and what (if any) co-payments, co-insurances, and deductibles will be your responsibility. The Duke Consultation and Referral Center (855-855-6484) can also review the list of Duke Health accepted insurance plans with you.

This list covers insurance plans accepted by Duke Health in 2024. It is not all-inclusive, is updated periodically, and may be subject to change.

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.

Duke Basic and Duke Select

First Carolina Care

Gateway Health Alliance

Humana (PPO plan)

MedCost

Optima Health (HMO and PPO plans)

Progyny
This plan is only accepted at the Duke Fertility Center.

United Healthcare (HMO and PPO plans)

Exchange Health Insurance Plans

These plans are available through Healthcare.gov.

Aetna

Ambetter of NC

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.

TRICARE

Veterans Administration -- Community Care Network (VA-CCN)

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

Liberty Medicare Advantage

PruittHealth Premier

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

WellCare of North Carolina

Carolina Complete Health

National Transplant Networks

Coverage for organ and bone marrow transplantation.

6 Degrees Health

Aetna Institutes of Excellence

Blue Distinction Centers for Transplant

CIGNA LifeSource Transplant Network

Humana National Transplant Network

INTERLINK Health Services

Lifetrac Network

Optum

Duke Health's Agreement with United Community Plan Ended 10/15/2022

To see your Duke provider without disruption, we strongly encourage you to choose a Medicaid plan that includes Duke Health. Changing plans is easy. Simply do one of the following:

Visiting NCMedicaidPlans.gov
Calling 1-833-870-5500 to speak to the NC Medicaid Enrollment Broker, Monday to Friday, 8:00 am to 5:00 pm
Working with registration staff in a Duke provider’s office

Learn more by reading this FAQ.

Para obtener más información, lea estas preguntas frecuentes.