Finding the right family doctor is a crucial step in managing your healthcare, and understanding your insurance coverage is just as important. For residents of Lexington, NC, accessing quality family healthcare within your insurance network is a top priority. Wake Forest Baptist Health, including Lexington Medical Center, is committed to providing comprehensive care and accepts a wide range of insurance plans to ensure you and your family receive the medical attention you need.
Navigating the complexities of health insurance can be daunting. It’s essential to know which insurance plans are accepted by family doctors in Lexington, NC, to avoid unexpected out-of-pocket costs and ensure seamless access to healthcare services. Wake Forest Baptist Health strives to make this process easier by participating in numerous managed care and Medicare Advantage contracts.
To help you understand your options, we’ve compiled a list of the most common health insurance plans accepted at Wake Forest Baptist Health locations, including Lexington Medical Center. This list is regularly updated, but we always recommend verifying your specific plan details to confirm coverage and participation. Remember, healthcare coverage can vary, and some services may have specific requirements or limitations.
If you don’t find your insurance plan listed or have any questions, please don’t hesitate to contact our Customer Service Center at 877-938-7497. Our team is dedicated to assisting you in understanding your insurance coverage and ensuring you can access the family doctors and healthcare services you need in Lexington, NC. We are here to work with you and your insurance plan to facilitate your healthcare journey.
Understanding Your Insurance Options at Lexington Medical Center and Wake Forest Baptist Health
Wake Forest Baptist Health operates across various locations, including physician groups and hospitals. It’s important to note that physician services and hospital services are billed separately. When seeking family doctors in Lexington, NC, Lexington Medical Center (LMC) is a key facility within the Wake Forest Baptist system.
Here’s a quick key to help you understand the locations mentioned in the insurance plan list:
- WFUHS – Wake Forest University Health Sciences (professional services)
- NCBH – North Carolina Baptist Hospital (Includes Davie)
- LMC – Lexington Medical Center
- CHC – Cornerstone Healthcare
- Wilkes – Wilkes Regional Medical Center
- HPR– High Point Regional
- N/A – Not applicable to services provided at facility and/or CHC
- NC – Not Contracted, very low to no volume for facility and/or CHC
This key will help you interpret the coverage details for each insurance plan and understand where you can access services with family doctors in Lexington, NC, and the broader Wake Forest Baptist Health network.
Chart of Accepted Health Insurance Plans
Alt text: A table displaying the Wake Forest Baptist Health Managed Care and Medicare Advantage Contracts as of April 2024, listing accepted insurance plans across locations like Lexington Medical Center (LMC), North Carolina Baptist Hospital (NCBH), and Wake Forest University Health Sciences (WFUHS).
Wake Forest Baptist Health Managed Care/MA Contracts – April 2024: Find Your Plan
Below is a detailed list of accepted insurance plans as of April 2024. Please remember to verify your individual plan for the most accurate and up-to-date information. This list provides a comprehensive overview to help you determine if your insurance is accepted when seeking family doctors in Lexington, NC, at Lexington Medical Center or other Wake Forest Baptist Health facilities.
AETNA
- AETNA CONNECTED NC ACA/Exchange: Accepted at all locations
- AETNA NC PREFERRED+: Accepted at all locations
- AETNA (PPO & HMO): Accepted at all locations
- AETNA MEDICARE: Accepted at all locations
- AETNA WHOLE HEALTH: Accepted at all locations
ALIGNMENT HEALTHCARE MEDICARE ADVANTAGE: Accepted at all locations
AMBETTER OF NC: Accepted at all locations
AMERIHEALTH CARITAS NEXT ACA/Exchange: Accepted at all locations
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA (BCBSNC)
- BCBSNC (PPO & HMO): Accepted at all locations
- BCBS HIGH PERFORMANCE (NATIONAL NETWORK): Accepted at all locations
- BLUE LOCAL WITH ATRIUM HEALTH: Accepted at all locations
- BLUE MEDICARE: Accepted at all locations
- BLUE VALUE: Accepted at all locations
CAROLINA BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH and CHC (not applicable to services provided at LMC, Wilkes and High Point)
CIGNA
- CIGNA: Accepted at all locations
- CIGNA BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH and High Point (not applicable to services provided at LMC, CHC and Wilkes)
- CIGNA HEALTHSPRING MEDICARE ADVANTAGE: Accepted at WFUHS, NCBH, LMC, CHC and High Point (not applicable to services provided at Wilkes)
- CIGNA LIFESOURCE (TRANSPLANTS): Accepted at WFUHS and NCBH (not applicable to services provided at LMC, CHC, Wilkes and High Point)
CRESCENT PPO (ASHEVILLE): Accepted at WFUHS and NCBH (not contracted, very low to no volume for LMC, CHC, Wilkes and High Point)
DEVOTED HEALTH (MEDICARE ADVANTAGE): Accepted at all locations
DIRECT NET: Accepted at WFUHS, NCBH, LMC, Wilkes and High Point (not contracted, very low to no volume for CHC)
FIRST HEALTH NETWORK: Accepted at NCBH, LMC, Wilkes and High Point (not contracted, very low to no volume for WFUHS and CHC)
FIRSTCAROLINACARE (PINEHURST, NC): Accepted at NCBH (not contracted, very low to no volume for WFUHS, LMC, CHC, Wilkes and High Point)
GATEWAY HEALTH ALLIANCE (VIRGINIA): Accepted at WFUHS and NCBH (not contracted, very low to no volume for LMC, CHC, Wilkes and High Point)
HEALTHGRAM (formerly PRIMARY PHYSICIAN CARE): Accepted at WFUHS, NCBH and LMC (not contracted, very low to no volume for CHC, Wilkes and High Point)
HEALTHTEAM ADVANTAGE: Accepted at all locations
HUMANA
- HUMANA CHOICECARE: Accepted at all locations
- HUMANA MEDICARE ADVANTAGE: Accepted at all locations
LIBERTY ADVANTAGE (MEDICARE ADVANTAGE): Accepted at WFUHS and NCBH (not applicable to services provided at LMC, CHC, Wilkes and High Point)
MAGELLAN (BEHAVIORAL HEALTH): Accepted at WFUHS, NCBH and CHC (not applicable to services provided at LMC, Wilkes and High Point)
MEDCOST: Accepted at all locations
MEDCOST ULTRA: Accepted at WFUHS, NCBH, LMC, Wilkes and High Point (not applicable at CHC)
PHCS/MULTIPLAN: Accepted at NCBH, CHC, LMC and High Point (not contracted, very low to no volume for WFUHS and Wilkes)
OPTUMHEALTH (TRANSPLANTS – APPLICABLE TO NCBH/WFUHS ONLY): Accepted at WFUHS and NCBH (not applicable to services provided at LMC, CHC, Wilkes and High Point)
PREFERRED CARE OF VA INC: Accepted at WFUHS and NCBH (not contracted, very low to no volume for LMC, CHC, Wilkes and High Point)
SOUTHERN HEALTH SVCS (COVENTRY-PPO ONLY): Accepted at WFUHS, NCBH and CHC (not contracted, very low to no volume for LMC, Wilkes and High Point)
TWIN COUNTY (VIRGINIA): Accepted at WFUHS and NCBH (not contracted, very low to no volume for LMC, CHC, Wilkes and High Point)
UNITED BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH, CHC and High Point (not applicable to services provided at LMC and Wilkes)
UNITED BEHAVIORAL HEALTH INTENSIVE OUTPATIENT PROGRAM (WFUHS ONLY): Accepted at WFUHS (not applicable for services provided at NCBH, LMC, CHC, Wilkes and High Point)
UNITED HEALTHCARE
- UNITED HEALTHCARE: Accepted at all locations
- UNITED HEALTHCARE ESSENTIALS ACA/EXCHANGE: Accepted at all locations
- UNITED HEALTHCARE MEDICARE: Accepted at all locations
VA CCN: Accepted at all locations
WELLCARE (MEDICARE ADVANTAGE): Accepted at all locations
LMC ONLY CONTRACTS: Contracts specific to support Lexington employer groups, low volume NATIONAL PROVIDER NETWORK/MEDICAL RESOURCES
CHC ONLY CONTRACTS: Contracts specific to support CHC TRICARE
Taking the Next Step for Your Family’s Health in Lexington, NC
Choosing a family doctor in Lexington, NC, who is both trusted and accepts your insurance is a vital decision. Wake Forest Baptist Health, through Lexington Medical Center and its broader network, is dedicated to making quality healthcare accessible.
Remember to always verify your specific insurance plan details and coverage directly with your insurance provider. This list serves as a helpful guide, but individual plans can vary. For any questions or further assistance, please contact our Customer Service Center. We are here to support you in finding the best family doctors in Lexington, NC, and navigating your insurance coverage within the Wake Forest Baptist Health system.
