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Billing & insurance

Learn more about billing, billing for tests, insurance plans, Medicare coverage, and advanced beneficiary waivers.

Billing

All insurance copayments 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. Billing questions may be directed to the Centralized Business Office at 704-384-7840 weekdays from 8 a.m. to 4:30 p.m.

Billing for tests

Laboratory testing and other tests performed outside our office will be billed by the entity performing the test.

Online bill payOnline bill pay

For your convenience you can pay bills from your doctor's office online. This service allows you to pay your bills quickly and securely. Access now »

Medical coverage

We do accept and file Medicare for our patients.

Advanced beneficiary waivers

Some tests deemed necessary for your care may not be covered by Medicare or your insurance company. In this case, you will be informed of the test and the reasons for performing it. You will then be asked to sign an advanced beneficiary waiver stating that possibility of non-coverage was explained and that you may be billed for the test. Advanced beneficiary waivers are specific for Medicare.

Accepted insurance

The list below contains most, but not all, of the managed care organizations administering health plans accepted by Novant Health clinics. Please contact your health plan's administrator if you have questions about where you can receive care.

Note: Not ALL Novant Health medical group clinics or providers participate in all plans, even if listed below. Please verify provider participation in your health care benefit plan when you contact the clinic for an appointment.

Managed care plans

Carrier

Type of plan

Aetna
HMO, POS, PPO
Aetna Behavioral Health
(Psychiatric Providers Only)
Behavioral Health
Anthem BCBS
(Virginia Practices Only)
HMO, POS, PPO
BCBS for NC Teachers and State Employees
(NC Practices Only)

BCBS for SC Teachers and State Employees
(SC Practices Only)

Beech Street
(Women's Care - Charlotte Locations Only)
PPO
Blue Choice of South Carolina
(SC Practices Only)
HMO
Blue Cross Blue Shield of North Carolina
(NC Practices Only)
HMO, POS, PPO
Blue Cross Blue Shield of South Carolina
(SC Practices Only)
POS, PPO
CareFirst BCBS
(Virginia Practices Only)
HMO, POS, PPO
Carolina Behavioral Health Alliance
(Psychiatric Providers Only)
Behavioral Health
Cigna Behavioral Health
(Psychiatric Providers Only)
Behavioral Health
CIGNA Healthcare
HMO, POS, PPO
Duke University Self Insured/Duke Select -thru WellPath
(Durham Internal Medicine Only)
Employer Specific
First Health
PPO
Great West
POS, PPO
Healthgram (formerly Primary Physician Care)
PPO
HUMANA National POS - Open Access -aka Kanawha Benefit
Solutions

POS, PPO
Kaiser Permanente
(NICS Prince William Only)
HMO, POS, PPO
Magellan Behavioral Health
(Psychiatric Providers Only)
Behavioral Health
MedCost
PPO
MultiPlan, Inc
PPO
NC Health Choice

PHCS
PPO
Provider Select, Inc.
PPO
SC State Health Plan
(SC Practices Only)

Three Rivers Provider Network
PPO
Tyson Preferred Network for Tyson Foods
PPO
United HealthCare
HMO, POS, PPO
WellPath -also known as Coventry
HMO, POS, PPO

Workers compensation

Novant Medical Group urgent care and some orthopaedic locations accept many workers compensation insurance carriers, and will bill your employer's carrier after treatment of your on-the-job injury.

Some workers compensation insurance carriers provider "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.

Government programs

Carrier

Type of plan

Carolina Access
Government
Carolina Access II
Government
Medicare -all States
Government
Railroad Medicare
Government
SC Medicaid
(Greater Charlotte, South Carolina & Coastal Practices Only)
Government
Tricare Prime
(North Carolina & Virginia Clinics Only)
Government
Tricare Reserve Select -TRS
Government
Tricare Standard -formerly Champus
Government
VA Medicaid
(Greater Winston, Triangle & Virginia Practices Only)
Government

Medicare replacement plans

Carrier

Type of plan

Aetna Medicare HMO/PPO
Medicare HMO, PPO
Aetna Medicare Open Plus
Medicare PFFS
Blue Medicare HMO Enhanced -North Carolina
(NC Practices Only)
Medicare HMO, PPO
Blue Medicare HMO Medical -North Carolina
(NC Practices Only)
Medicare HMO, PPO
Blue Medicare HMO Standard -North Carolina
(NC Practices Only)
Medicare HMO, PPO
Blue Medicare PPO Enhanced -North Carolina
(NC Practices Only)
Medicare HMO, PPO
Blue Medicare PPO Enhanced Freedom -North Carolina
(NC Practices Only)
Medicare HMO, PPO
Cigna Healthspring
Medicare HMO
Humana Medicare
Medicare HMO, PPO, PFFS
Today's Options
Medicare PFFS
Today's Options Value/Premier
Medicare HMO, PPO
UHC Medicare Solutions (formerly AARP Medicare Complete/Essential or EverCare)
Medicare HMO, PPO

Medicaid HMO plans

Some of our South Carolina practices accept the following Medicaid HMO plans; please contact the practice to confirm your plan is accepted.

Carrier

Type of plan

Absolute Total Care
Medicaid HMO
Advicare (formerly Palmetto Physician Care)
Medicaid HMO
Molina Healthcare (formerly South Carolina Solutions)
Medicaid HMO
Select Health - First Choice
Medicaid HMO

Request appointment
Call for an appointment 704-384-1925

Location

Hours

Regular office hours:
Monday to Friday
8 a.m. to 5 p.m.
Walk-in hours:
Monday to Friday
8:15 a.m. to 11:15 a.m.,
1:45 p.m. to 3:15 p.m.