Navigating healthcare insurance and billing can often feel complex and time-consuming. At Piedmont HealthCare, our goal is to simplify this process for our patients, making it as straightforward and stress-free as possible. Whether you’re exploring coverage options, understanding accepted plans, or preparing your insurance documentation, our comprehensive resources are designed to assist you every step of the way. Additionally, understanding the evolving landscape of healthcare data and technology can enhance your experience, especially with the growing role of big data in improving patient outcomes. For insights into how data analytics influence healthcare services, visit this guide on big data in healthcare.
Accepted Health Insurance Plans
Coverage That Fits Your Needs
At Piedmont HealthCare, we accept a wide range of managed care plans to accommodate our diverse patient community. All our providers are in-network with the insurance plans listed below. While we’ve indicated some known exceptions, it’s always best to confirm your coverage directly with your insurance provider to avoid surprises. If you have questions about your specific plan, please contact our business services office at 704-881-0214 Option 2, or reach out to your provider’s office for clarification.
We accept:
- Commercial insurance plans, including most major carriers
- Medicare and Medicaid programs
- Military and veteran health plans
- Behavioral health coverage options
Major Commercial Insurance Providers
Aetna USHC
Note: We do not participate with Aetna Premier Care, Aetna CVS Health, NC Whole Health, or NC Connected Network. For more details, visit their site.
Blue Cross Blue Shield (BCBSNC)
Note: We are not in-network with Blue Local, Blue Home, or the High-Performance Network. Additional information can be found at their site.
Out-of-State BCBS Plans – PPO
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Visit the site
CIGNA HealthCare
Note: We do not participate with NC Connect Network. For more information, visit their site.
DirectNet
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Visit the site
Evolutions HealthCare
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Visit the site
First Health / Coventry Healthcare
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Visit the site
Healthgram
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Visit the site
MedCost PPO
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Visit the site
Private Health Care Systems / Multiplan
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Visit the site
United Healthcare
Note: We are not in-network with UHC Compass, UHC Navigate, UnitedHealthOne, or the Empire Plan. Details are available at their site.
USA Managed Care Organization
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Visit the site
Accepted Medicare Plans
Medicare Advantage Options
Aetna Medicare Advantage
Note: We do not participate with Aetna Medicare Prime HMO-POS. For more information, visit their site.
AARP Medicare Complete (UHC)
Note: Covered through United Healthcare. Visit their site.
Blue Medicare HMO
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Visit the site
Blue Medicare PPO
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Visit the site
CIGNA Medicare Advantage
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Visit the site
Humana Medicare HMO and PPO
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Visit the site
Medicare Health Insurance
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Visit the site
United Healthcare Medicare Advantage
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Visit the site
Accepted Medicaid Plans
Medicaid Managed Care Options
AmeriHealth Caritas
Note: We do not participate with AmeriHealth Caritas Next. Details are available at their site.
HealthyBlue
Note: Includes Children and Families Speciality Plan. For details, see their site.
NC Medicaid Direct
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Visit the site
Partners Behavioral Health
NC Medicaid Tailored Plan
Note: Primary Care providers are not accepting new patients, only established patients. More info at their site.
United Healthcare Community Plan
Medicaid Managed Care
Visit the site
Military and Veterans Healthcare Plans
Tricare and Related Programs
Tricare/Tricare Prime, Tricare Select, Tricare for Life, Tricare Reserve
Prime requires a referral.
Visit the site
OPTUM
Veteran Administration Community Care Network
Prior authorization required for appointments.
Visit the site
CHAMPVA
Civilian Health and Medical Program of the Department of Veterans Affairs
Visit the site
Behavioral Health Insurance Plans
(Applicable to Piedmont Mental Health Office only)
Contracted Plans
Evernorth (Cigna)
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Visit the site
Magellan Health
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Visit the site
Optum (United Healthcare)
Visit the site
Partners Behavioral Health (NC Medicaid)
Visit the site
Making informed decisions about your healthcare coverage involves understanding the evolving role of technology and data management in patient care. For those interested in how innovations like big data analytics are transforming health services, check out this comprehensive overview. When developing healthcare applications, paying attention to key factors ensures compliance and effectiveness; learn about these critical considerations at this resource.
Note: Always verify your insurance coverage prior to appointments to avoid unexpected charges. Our team is dedicated to providing clarity and support throughout your healthcare journey.