| Review our list of
accepted insurance plans and billing
policies.
| All insurance
co-payments and deductibles are due at the time of service. If we do not
have a contracted arrangement with your insurance plan, you will be
expected to pay in full at the time of service. Payment will be collected
before you see the provider. Payment can be made using cash, check,
Visa or MasterCard.
Insurance
Prior to your appointment, please contact your insurance carrier to
confirm that Presbyterian Pediatric Cardiology is a
provider. The following list features health maintenance
organizations, point of service plans and preferred provider organizations
that our office has contracted arrangements with.
Health Maintenance Organizations (HMO)
- Aetna HMO
- Aetna Open Access HMO
- Aetna Select
- Open Access Aetna Select
- Aetna US Access
- BlueCross BlueShield of North Carolina (NC Practices Only)
- CIGNA HealthCare of North Carolina (formerly HealthSource)
- Great West (One Health Plan)
- PARTNERS Medicare Choice
- Secure Horizons Medicare Complete (formerly United HealthCare
Medicare Complete)
- United Healthcare of North Carolina
- United Healthcare of North Carolina Medicare Complete
- United Healthcare of North Carolina Evercare
- WellPath HMO/Coventry
- WellPath Direct Access HMO/Coventry
- WellPath Connect
Point of Service Plans (POS)
- Aetna Quality Point of Service
- Aetna Point of Service
- Aetna Point of Service II
- BlueCross BlueShield of North Carolina (NC Practices Only)
- BlueCross BlueShield of South Carolina (SC Practices Only)
- CIGNA HealthCare FLEX
- CIGNA HealthCare Administrator (formerly HealthSource)
- CIGNA Healthpartners Open Access
- CIGNA PPN/POS (formerly Provident Administrators, Inc.)
- Great West (One Health Plan)
- HUMANA National POS - Open Access
- Private Healthcare Systems, Inc. (PHCS)
- United Healthcare
- WellPath POS/Coventry
- WellPath Direct Access POS/Coventry
- WellPath Assurant Health (formerly Fortis Plus) (POS)
Preferred Provider Organizations (PPO\EPO)
- Aetna Afforable Health Choices (SRC)
- Aetna Elect Choice
- Aetna Open Access Elect Choice
- Aetna Managed Choice
- Aetna Open Access Managed Choice
- Aetna Open Choice (PPO)
- Aetna Healthfund
- BlueCross BlueShield of North Carolina (Preferred Care Select)
- BlueCross BlueShield of North Carolina (Blue Options)
- BlueCross BlueShield of South Carolina PPO
- CCN (formerly OneSource/Health Advantage, Medview)
- CIGNA HealthCare
- CIGNA PPN/PPO (formerly Provident Preferred Network)
- CIGNA PPA
- CIGNA PPA Plus
- CIGNA EPO
- CIGNA HealthPartners
- CIGNA Tyson
- First Health
- Great West (One Health Plan)
- HealthCare Savings (HCS)
- HealthCare Savings (formerly Physicians Care Network of SC)
- Health Dynamics
- HUMANA (ChoiceCare) Network
- Kanawha Benefit Solutions, Inc.
- MAMSI Life & Health Insurance Company
- MedCost
- Multiplan (formerly BCS Emergis)
- OneNet PPO (formerly Alliance PPO)
- PARTNERS Medicare PPO
- Premier Health System (South Carolina)
- Primary Physician Care
- Private Healthcare Systems, Inc. (PHCS)
- Provider Select
- SouthCare PPO (formerly ETHIX Southeast)
- United Healthcare
- USA Managed Care H&W - Health & Wellness PPO
- USA Managed Care - Genesis Behavioral Health PPO
Employer Business
- BlueCross BlueShield for NC Teachers and State Employees
- BlueCross BlueShield for SC Teachers and State Employees (SC
Practices Only)
- BlueCross BlueShield Smart Choice (PPO State Plan)
- BlueCross BlueShield Health Choice for Children
- HealthCare Solutions for Pepsi Cola
- Tyson Preferred Network for Tyson Foods
Workers Compensation
If you are injured on the job or have a job-related illness, you will
want to receive treatment with a Presbyterian Healthcare provider.
Presbyterian Healthcare providers accept almost all workers compensation
insurance carriers, and will bill your employer's carrier after treatment
of your on-the-job injury.
Some workers compensation insurance
carriers provide "designated" physician and hospital networks for the
treatment of work-related injuries. Your Employer should let you know if
these designated workers compensation networks pertain to you.
Presbyterian Healthcare participates in a few of these networks
including:
- CCN
- CompCare Network (Key Risk Management Services)
- CorVel (CorCare)
Government Programs
- Carolina Access
- Carolina Access II (Mecklenburg & Union County Practices
Only)
- Medicare
- NC Medicaid
- SC Medicaid
- Tricare Standard (formerly Champus)
- Tricare Reserve Select (TRS)
Medicare Private Fee for Service Plans
- Aetna Medicare PFFS
- HUMANA Gold Choice
- Instil Health
- Secure Horizons Medicare Direct
- Sterling Option
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