Insurance 
 
 
 
 
Central Carolina Hospital is a contracted provider of care for a wide variety of health plans, including the plans listed below. You may use this listing as a guide during open enrollment, or the next time you evaluate your health plan.

If your insurance plan is not listed, please ask your employer to consider a plan that includes Central Carolina Hospital

2011 List of Central Carolina Hospital Managed Care Payors

  • Aetna – all plans
  • Accordia/Alliance PPO
  • BCBS HMO, POS, PPO, Blue Card, Blue Options, Blue Care – all BCBS products
  • BCBS NC State Children’s Health Choice –administered by BCBS   
  • BCBS State Teachers & State Employees Health Plan-adm by BCBS/state funded BCBS Federal Carolina Summitt
  • CCN/First Health/ Coventry Network/Beechtree
  • CCN/First Health Worker Managed Worker Comp
  • Cigna all products
  • Community Home Care and Hospice
  • Comp Care/Key Risk Worker Comp Plans
  • Corvell Worker Comp Plans
  • Doctors Health Plan
  • First Carolina Care HMO & PPO
  • Focus PPO & Focus PPO Managed Worker Comp
  • Galaxy Health Network PPO
  • Great West POS and Open Access and PPO
  • Health Management Network
  • HealthCare Savings
  • HealthSmart PPO/Beech Street
  • Inclusion Health North Carolinians
  • Lee County Jails
  • Liberty Home Care and Hospice
  • Medcost PPO
  • Medical Savings Insurance Company
  • Medicare Meritain Health/PHCS
  • Multiplan Network –for many payors
  • National Preferred Provider Network & Plan Care of America
  • NC State Worker Comp by Fee Schedule
  • North Carolina Medicaid (includes Carolina Access)   One OneNet PPO   
  • NC Vocational Rehab
  • PPONext Network-includes many payors & PPO Next Managed Worker Comp
  • Prime Health Care Services PHCS PPO & Multiplan
  • Southern Health Partners –(Sanford City Jail inmates)
  • Sterling Medicare Replacement Policies PFFS Medicare Advantage
  • Three Rivers Provider Network PPO
  • Tricare
  • United Health Care HMO and PPO
  • USA MCO &USA MCO Managed Worker Comp
  • Wellpath/Coventry PPO/HMO/POS
  • All Managed Medicare and/or Medicare Replacement Policies we are PAR Providers

**Plus we will accept and bill any indemnity insurance plan – pending ability to obtain authorization for scheduled services

If You Have Health Insurance

We will need a copy of your insurance card, driver’s license, and social security card. We also may need the insurance forms which are supplied by your employer or the insurance company. All patients should familiarize themselves with the terms of their insurance company. This will help with understanding the hospital’s billing procedures and charges.  You may be asked to pay copay and deductible amounts at the time of service for non-emergent procedures or tests.  At Central Carolina Hospital, we accept Cash, Check, Master Card, Visa, Novas, Discover and American Express credit cards.    

 

If You Are a Member of an HMO or PPO

Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your healthcare plan; if so, their services may not be covered.

 

If You Are Covered by Medicare

We will need a copy of your Medicare card to verify your eligibility and process your Medicare claim. You should be aware that the Medicare Program specifically excludes payment for certain items and services such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations, self-administered medications, and others. Deductibles and co-payments also are the responsibility of the patient.

 

If You Are Covered by Medicaid

We will need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items. Medicaid does not pay for the cost of a private room unless medically necessary. Co-payments and deductible amounts are the responsibility of the patient.

 

If You Do Not Have Insurance

A representative from the Financial Counselor’s Office will discuss financial arrangements with you. Also, a hospital representative is available to assist you in applying for Medicaid or other government assistance programs. 

 

Your Hospital Bill

The hospital is responsible for submitting your bills to your insurance company and will do everything possible to expedite your claim. You should remember that your policy is a contract between you and your insurance company, and you have the final responsibility for payment of your hospital bill. We have several payment options available to assist you in paying your bill.

 

Your bill reflects all of the services you receive during your stay. Charges fall into two categories: a basic daily rate, which includes your room, meals, nursing care, housekeeping, telephone and television; and charges for special services, which include items your physician orders for you such as x-rays or laboratory tests. 

 

If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person. These bills are professional services rendered by these doctors in diagnosing and interpreting your test results while you were a patient. Pathologists, radiologists, cardiologists, anesthesiologists, and other specialists who perform services and are required to submit separate bills. If you have questions about these bills, please call the number printed on the statement you receive from

them.

 

Thank you for choosing Central Carolina Hospital as your healthcare provider.