Accepted Insurance

Insurance and Claims

CarolinaEast Medical Center will gladly file your medical claims, provided you have assigned benefits to the Medical Center. The Medical Center accepts all insurance plans but we may not contract or be in-network with some plans.

In-Network Plans:

Atlantic Integrated Health (AIH)
Blue Cross, all states
CAPE (Carolina Access for Public Entities)
Carolina Summit via Beacon
HealthMark PPO
Health Advantage Network
Health Care Savings
Inclusive Health
Medcost PPO
Multiplan PPO
North Carolina State Health Plan
Provider Select, Inc.
United Healthcare
Veteran Affairs
Vocational Rehabilitation

Preferred Payer Organizations (PPO)/ Health Maintenance Organizations (HMO):

Many commercial or managed care payers utilize a PPO making these payers in-network even when the Medical Center does not have a specific contract with a payer. Please review your insurance card to see if a PPO is listed or call your insurance company.

We are out-of-network with all HMO payers except for Blue Cross.

Medicare Replacement (Advantage) Plans:

We are not in-network with any Medicare Replacement (Advantage) plans. However, we do accept these plans.  Note: you may incur an additional copay liability.

If you selected a Medicare replacement plan, you do not have regular Medicare and must follow your payer’s rules. Please give the payer information to your physician’s office and to our registrar. Failure to do this may make you financially responsible for your services.

Insurance Company Rules:

Most payers have policies such as prior approval and benefit determination for scheduled services, which must be completed prior to your visit. Please check with your physician and insurance company prior to receiving scheduled services.  Sometimes you may be financially responsible if these rules are not followed. This generally does not apply to Medicare beneficiaries. It does apply to Medicare replacement plans.