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Insurance Plans & Resources

WakeRad UNC REX is a contracted, in-network provider for most major managed care insurance plans. Today, the majority of insurance plans pass a portion of their cost of care to patients, in the form of a deductible and/or co-insurance.

For patients whose plans are not within our managed care network, we can still provide imaging services as well as file claims on their behalf. It’s important to note that most of these insurance plans do have out-of-network benefits that cover WakeRad UNC REX imaging fees. However, these out-of-network services may result in a higher cost share to the patient.

We recommend patients talk with their insurance carrier about our network status and their anticipated cost of care with us. Patients may be able to reduce their net out-of-pocket cost by using WakeRad REX’s prompt-pay discount. This allows patients to pay at the time-of-service and receive reimbursement once their insurance carrier pays the claim.

Wake Radiology Managed Care List

icon-download-gray  Download our managed care list

 

Managed Care Plans

 

 

 

  • Aetna / Aetna Conventry: Not part of the Duke Select and Duke Basic Network. Members in these networks do not have out-of-network benefits.
  • BlueCross BlueShield of North Carolina (BCBSNC) including but not limited to: Blue Advantage, Blue Care, Blue Options, Blue Select, Blue Value/Blue Value with UNC HA, Classic Blue and North Carolina State Health Plan, BCBS Blue Home with UNC Health Alliance
  • BlueCross BlueShield in state, outside of North Carolina
  • Cigna Health Care / GWH-Cigna / Cigna Connect
  • United Healthcare –
    • All Savers
    • Community Plan
    • Neighborhood Health Partnership
    • OneNet PPO
    • OptumHealth
    • Oxford Health Plans
    • UMR
    • UnitedHealthcareOne
    • United Healthcare Services Company of the River Valley

 

 

 

Non-Payor Network Programs & PPOS

 

 

 

  • Healthgram (formerly Primary PhysicianCare)
  • MedCost
  • Three Rivers Provider Network (TRPN)
Military / Government Plans
  • CHAMPVA
  • Tricare (non-Prime plans): Non-network participating provider.
  • Tricare Prime: Non-network participating provider. Member is responsible for obtaining prime referral to reduce their out-of-pocket expense.
  • Tricare for Life (secondary to Medicare): Non-network participating provider.
  • Veteran Administration (VA): Proper VA referral required.
Medicaid
  • Medicaid of North Carolina
Medicare
  • Medicare Part B
Medicare Part B Supplement Plans
  • All Medicare Part B supplements
Medicare Part C (Medicare Advantage / Replacement)
  • All Private Fee for Service (PFFS) plans accepted
  • Aetna Medicare Advantage: Not part of the Prime HMO and QHP networks. Members in these networks do not have out-of-network benefits.
  • Blue Medicare
  • First Carolina Care Insurance Company: First Medicare Direct Smart HMO & Preferred Plus, including Alignment Health
  • Humana Medicare: HMO / PPO, including Alignment Healthcare
  • United Healthcare Medicare Solutions