Accepted Health Insurance Plans

Short Overview

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 2022. It is not all-inclusive, is updated periodically, and may be subject to change.

Commercial Health Insurance Plans

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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)
Please call Cigna Behavioral Heath to see if the provider is participating in your plan.

Duke Basic and Duke Select

First Carolina Care

Gateway Health Alliance

Humana (PPO plan)

MedCost

MultiPlan / Private Healthcare Systems

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

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These plans are available through Healthcare.gov.

Aetna

Ambetter of NC

Cigna Healthcare of NC

Governmental Health Insurance Plans

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Coverage is provided through the government for military and veterans.

TRICARE

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

Medicare Advantage Plans

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    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)

    Medicaid Managed Care (Duke Only Participates in NC Plans)

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    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