Accepted Health Insurance Plans

Avance Care participates with most major insurance carriers. If you have questions regarding coverage, and what (if any) co-payments, co-insurances, and deductibles will be your responsibility, please contact your employer or your insurance company.

This list is not all-inclusive, is updated periodically, and may be subject to change.

Please note:

• Medicaid is currently accepted exclusively at Avance Care Pediatrics, Avance Care Broad Street, Avance Care Fuquay-Varina, and Avance Care Matthews, and Avance Care Fuquay Varina. At present, no other location within our network accepts Medicaid. A comprehensive list of managed Medicaid plans is listed in ‘Medicaid’ category.
• Secondary Plans: Avance Care is in-network with all plans secondary to Medicare, except for Medicaid.
• Commercial Secondary Plans: plans that are not secondary to Medicare primary must be in-network.

Important – *denotes a Medicare Plan

Aetna and Aetna CVS

• Aetna HMO
• Aetna EPO
• Aetna Select
• Open Access Aetna Select
• Aetna Elect Choice
• Aetna Choice POS II
• Aetna Open Choice PPO
• Aetna/First Health Network
• Aetna WholeHealth
• Aetna Meritain
• *Aetna Medicare Advantage

Please note: Duke Basic or Select is not accepted

BCBS

• BCBS of NC (HMO, POS, PPO)
• Any BCBS with no PPO in the suitcase, except Blue Home, is out of network.
• BCBS Federal Employee Program (FEP)
• BCBS State Health Plan (SHP)
• BCBS Blue Select
• Blue Value
• Anthem BCBS
• CareFirst BCBS
• Blue Home w/ UNC Health Alliance
• Blue Home (Novant) Charlotte practice locations only.
• Clear Pricing Project (CPP)
• *Blue Medicare Advantage
• *Experience Health MA HMO
• **Healthy Blue

Please note: Blue Local (Wake Forest Baptist), Blue Local (Atrium), Healthy Blue + Medicare (Prefix L7H) is not accepted.
**Healthy Blue is ONLY accepted at Avance Care Broad Street and Avance Care Pediatrics.

Cigna

• Cigna PPO
• Cigna HMO, EPO
• Cigna Open Access HMO, POS, OAP, Plus
• Cigna Open Access + Carelink
• Great West Healthcare – Cigna Cigna EPO
• *Cigna Medicare Advantage Cigna Connect
• Cigna Connect
• Cigna Connect HMO

Please note: Cigna Sure Fit is not accepted

Humana

• Humana PPO, Indemnity
• Humana Choice Care
• Humana Gold/Gold Plus/HMO plans (please confirm Avance Care or Avance PCP is listed)
• *Humana Choice PPO

MedCost

• MedCost Benefit Services
• MedCost Preferred

Please note: Liberty Health Share/Medcost is not accepted, “in-network” but not “Value” or “Preferred” for Atrium Health

Medicare

• Original
• Railroad
• Multiplan (Please read) Most plans have the ‘Multiplan” logo on the insurance card as a
• secondary network. If the insurance card says First health, Cigna, United, Aetna, etc. for the provider network, we typically are in network. If the card only says Multiplan or PHCS listed, we are not in network.
• Medicare and Medicare Advantage accepted by Behavioral Health and Avance Care Psychiatry- Charlotte.
• WellCare

Please note: MVP Health Care is not accepted. Medicare and Medicare Advantage plans not accepted at Avance Care Psychiatry- Brier Creek.

Other

• Corporate Benefits Service
• First Health

Tricare

• Tricare/Champ VA

Please note: Tricare and Champ VA are accepted only as a secondary plan to Medicare. Tricare is not accepted by Behavioral Health.

United HealthCare

• UHC Choice /ChoicePlus
• United Medical Resources (UMR)
• Golden Rule
• Oxford Health Plans
• OneNet PPO
• OptumHealth
• UnitedHealthcareOne
• United Healthcare Heritage
• UHC of the River Valley
• UHC Compass/Core/Navigator
• UHC All Saver Alternative Funding
• UHC Travelers
• United Healthcare Student Resources
• *UnitedHealthcare Medicare (HMO, POS, PPO, RPPO)
• *United Healthcare Secure Horizons
• *AARP Medicare Complete
• **UHC Community Plan

Please note: **UHC Community Plan is ONLY accepted at Avance Care Broad Street and Avance Care Pediatrics.

Medicaid**

Medicaid is currently accepted exclusively at the following locations:

• Avance Care Broad Street – 2400 Broad Street, Suite 1, Durham, NC
• Avance Care Fuquay Varina – 400 Attain Street, Suite 202, Fuquay Varina, NC
• Avance Care Pediatrics | Chapel Hill – 300 Market Street, Suite 112, Chapel Hill, NC
• Avance Care Matthews – 855 Sam Newell Road, Suite 205, Matthews, NC
• Avance Care Pediatrics | Rea Farms – 9805 Sandy Rock Place, Suite E, Charlotte, NC

Medicaid plans we take:

• Healthy Blue
• WellCare of North Carolina
• United HealthCare Community Plan
• Carolina Complete
• AmeriHealth Caritas of North Carolina
• Carolina Access/Direct Medicaid

Medicaid plans we DO NOT take: Alliance Health, Trillium Health Partners, or Vaya Health.

Out of Network plans

We are not in network with Ambetter, Bright Health, and GHI/Emblehealth.