Navigating health insurance can be complex, especially when seeking specialized care like visiting an eye doctor. At Wake Forest Baptist Health in Winston Salem, we understand the importance of accessible and affordable eye care. We accept a wide range of insurance plans to ensure you can receive the expert vision care you need.
Wake Forest Baptist Health is committed to providing comprehensive eye care services in Winston Salem. Our dedicated ophthalmologists and eye care professionals are part of the Wake Forest University Health Sciences system, offering both physician and hospital services. It’s important to understand that physician services and hospital services are billed separately, and health insurance coverage can vary. Therefore, verifying your specific plan details is crucial to ensure coverage for your eye care needs.
To help you understand your options, we’ve compiled a list of the most common health insurance plans accepted at Wake Forest Baptist Health facilities in Winston Salem. This list is regularly updated, but we always recommend confirming your individual plan’s participation and coverage.
Understanding Accepted Insurance Plans
Wake Forest Baptist Health participates in numerous managed care and Medicare Advantage contracts. Below is an overview of some major insurance providers we accept. For eye care services in Winston Salem, the following plans are generally accepted across our locations, including Wake Forest University Health Sciences (WFUHS) and North Carolina Baptist Hospital (NCBH):
- Aetna: Including AETNA CONNECTED NC ACA/Exchange, AETNA NC PREFERRED+, AETNA (PPO & HMO), AETNA MEDICARE, and AETNA WHOLE HEALTH.
- Alignment Healthcare Medicare Advantage
- Ambetter of NC
- Amerihealth Caritas Next ACA/Exchange
- Blue Cross Blue Shield of North Carolina (BCBSNC): Including BCBSNC (PPO & HMO), BCBS HIGH PERFORMANCE (NATIONAL NETWORK), BLUE LOCAL WITH ATRIUM HEALTH, BLUE MEDICARE, and BLUE VALUE.
- Cigna: Including CIGNA, CIGNA BEHAVIORAL HEALTH, CIGNA HEALTHSPRING MEDICARE ADVANTAGE, and CIGNA LIFESOURCE (TRANSPLANTS).
- Devoted Health (Medicare Advantage)
- Humana: Including HUMANA CHOICECARE and HUMANA MEDICARE ADVANTAGE.
- MedCost: Including MEDCOST and MEDCOST ULTRA.
- United HealthCare: Including UNITED HEALTHCARE, UNITED HEALTHCARE ESSENTIALS ACA/EXCHANGE, and UNITED HEALTHCARE MEDICARE.
- Wellcare (Medicare Advantage)
- VA CCN
It’s important to note that while many plans are accepted at “all locations,” this refers to the broader Wake Forest Baptist Health system, which includes various facilities. For specific eye doctor services in Winston Salem, coverage generally applies to locations such as Wake Forest University Health Sciences (WFUHS) and North Carolina Baptist Hospital (NCBH).
For plans like Carolina Behavioral Health, CIGNA Behavioral Health, Magellan (Behavioral Health), and United Behavioral Health, acceptance may vary by location within the Wake Forest Baptist Health system. These are typically accepted at WFUHS and NCBH, which are key locations for specialized eye care services.
Verify Your Insurance Coverage
While we strive to accept a broad range of insurance plans to make eye care accessible in Winston Salem, coverage details can be intricate. To ensure your specific health insurance plan is accepted and to understand your coverage for eye doctor visits at Wake Forest Baptist Health, we strongly encourage you to take the following steps:
- Check Your Individual Plan: Review your health insurance plan documents or online portal for details on in-network providers and coverage for specialist visits, such as ophthalmologists or optometrists.
- Contact Our Customer Service Center: If you don’t see your plan listed or have any questions regarding insurance coverage for eye care at Wake Forest Baptist Health in Winston Salem, please call our Customer Service Center at 877-938-7497. Our dedicated team is here to assist you in verifying your insurance and understanding your benefits.
We are committed to working with you and your insurance plan to facilitate your access to exceptional eye care in Winston Salem. Don’t hesitate to reach out to us with any insurance-related inquiries. Your vision health is our priority.
