Plan for Duke

Select a Plan that Includes Duke Health During Open Enrollment

Medicare enrollment runs from October 15 to December 7, 2026.

Health insurance marketplace enrollment runs from November 1, 2026, to January 15, 2027.

Medicare Enrollment Dates: October 15 to December 7, 2026

Now is the time to:

Review the “Evidence of Coverage” (EOC) and “Annual Notice of Change” (ANOC) from Medicare.
Ensure your plans will meet your healthcare needs in the upcoming year.

You can switch participation between Medicare and Medicare Advantage plans during enrollment.

Medicare Advantage plans that will be in-network with Duke Health for 2027:

Aetna Medicare Advantage
Alignment Health Medicare Advantage
Blue Medicare HMO and PPO
Devoted Health (Duke Health Lake Norman Hospital and Kernodle Clinic only)
Humana Medicare PPO
United Healthcare Medicare Advantage
Wellcare Medicare Advantage (Duke Health Lake Norman Hospital only)

Health Insurance Marketplace Enrollment Dates: November 1, 2026 to January 15, 2027

North Carolina ACA Exchange Health Plans that will be in-network for Duke Health in 2027

Ambetter of North Carolina
Blue Cross Blue Shield of North Carolina
- Blue Advantage
- Blue Care
- Blue Value - Duke Health Lake Norman Hospital and Kernodle Clinic only

Duke Health to Continue Caring for State Health Plan Members in 2027 Under New Access Provider Network

Duke Health has been selected as an Access Provider in the North Carolina State Health Plan’s new tiered provider network for 2027, ensuring state employees and their families can continue receiving care through Duke beginning January 1, 2027.

The agreement ensures State Health Plan members will continue to have access to high quality, affordable care as the Plan introduces its new tiered provider network. Access Providers help ensure members can continue receiving high quality, affordable under the Plan’s new provider network. For members who choose Duke Health, that means continued access to the full spectrum of Duke Health services, from routine primary care to nationally recognized specialty care, including cancer care, transplants and other highly specialized treatments.

As an Access Provider, Duke Health will continue offering State Health Plan members access to its statewide network of hospitals, physician practices and ambulatory locations across North Carolina, connecting patients to the full range of primary care, specialty care and highly specialized treatments available through Duke Health. In 2025, State Health Plan members received care through Duke Health more than 253,000 times.

Medicaid

In addition to NC Medicaid Direct, Duke Health participates in the following Medicaid health plans, available through NCMedicaidPlans.gov.

Resources for NC Residents

Health insurance navigators are available, and assistance is free at NC Navigator Consortium or 1-855-733-3711.

Navegadores del Seguro de Salud están disponibles y hay ayuda gratuita en español en https://www.ncnavigator.net/ o llame al 1-855-733-3711.

Durham County Project Access: 919-470-7262

NC Medicaid Enrollment Center: 833-870-5500

Medicaid Federal Health Insurance Navigators: 919-381-5802

SHIIP (Senior Health Insurance Information Program): 1-855-408-1212

National Contact Numbers and Websites

Social Security: 1-888-759-3908

Healthcare.gov: 1-800-318-2596

www.medicare.com

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.

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