2026 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 2026. It is not all-inclusive, it is updated periodically, and may be subject to change.

View insurance plans accepted by Duke in 2025.

Commercial Health Insurance Plans

Coverage is 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)
Duke Health providers do not participate for behavioral health, CAR-T, or gene therapy.

Duke Employee Plans

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)
Duke Health does not participate in UHC plans on the Health Insurance Marketplace. Duke Health providers do not participate for behavioral health services.

Exchange Health Insurance Plans for 2026

These plans are available through Healthcare.gov.

Ambetter of NC

Cigna Healthcare of NC
Duke Health providers do not participate for behavioral health, CAR-T, or gene therapy.

Blue Advantage (available in select counties only)

Blue Value (Duke Health Lake Norman and Kernodle Clinics) 

Governmental Health Insurance Plans

Coverage is provided through the government for military and veterans.

TRICARE

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

Duke Health Lake Norman Hospital

Duke Health Lake Norman Hospital accepts these insurance plans and those accepted by Duke Health.

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

Blue Value -- Marketplace Exchange Plan

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

Experience Health Medicare Advantage (HMO plan)

Healthspring Medicare (HMO, PPO and SNP 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
Duke Eye clinics and vision providers do not participate in Healthy Blue.

WellCare of North Carolina

Carolina Complete Health

UHC Community Plan