Wake Forest Baptist accepts most major health insurance plans for hospital, physician and clinic services and participates in Medicare and Medicaid government programs. For more information, visit Billing and Insurance.
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This chart is a list of the most common health insurance plans we accept. This list is subject to change. Please check your individual plan to confirm their participation and the coverage allowed.
Due to the different physician groups and hospitals within the Wake Forest Baptist system, physician services and hospital services are billed separately. Please remember that health insurance coverage varies, so some services may not be covered.
If you don’t see your plan or you have questions, please call our Customer Service Center at 877-938-7497. We will do our best to work with you and your plan.
Key
WFUHS - Wake Forest University Health Sciences (professional services)
NCBH - North Carolina Baptist Hospital
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
Wake Forest Baptist Health Managed Care/MA Contracts - January 2019
AETNA (PPO & HMO): Accepted at all locations
AETNA MEDICARE: Accepted at all locations
AETNA WHOLE HEALTH: Accepted at all locations
BCBSNC (PPO & HMO): 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 Davie, LMC, Wilkes and High Point)
CIGNA: Accepted at all locations
CIGNA BEHAVIORAL HEALTH: Accepted at NCBH and High Point (not applicable to services provided at Davie, LMC, CHC and Wilkes)
CIGNA HEALTHSPRING MEDICARE ADVANTAGE: Accepted at WFUHS, NCBH, Davie, LMC and CHC (not applicable to services provided at Wilkes and High Point)
CIGNA LIFESOURCE (TRANSPLANTS): Accepted at WFUHS and NCBH (not applicable to services provided at Davie, LMC, CHC, Wilkes and High Point)
COVENTRY/WELLPATH: Accepted at all locations
CRESCENT PPO (ASHEVILLE): Accepted at WFUHS and NCBH (not contracted, very low to no volume for Davie, LMC, CHC, Wilkes and High Point)
DIRECT NET: Accepted at WFUHS and NCBH (not contracted, very low to no volume for Davie, LMC, CHC, Wilkes and High Point)
FIRST HEALTH (COVENTRY): Accepted at all locations
FIRSTCAROLINACARE (PINEHURST, NC): Accepted at NCBH (not contracted, very low to no volume for WFUHS, Davie, LMC, CHC, Wilkes and High Point)
GATEWAY HEALTH ALLIANCE (VIRGINIA): Accepted at WFUHS and NCBH (not contracted, very low to no volume for Davie, LMC, CHC, Wilkes and High Point)
GOLDEN RULE INS (UNITED): Accepted at all locations
HEALTHGRAM (formerly PRIMARY PHYSICIAN CARE): Accepted at WFUHS, NCBH and LMC (not contracted, very low to no volume for Davie, CHC, Wilkes and High Point)
Pnp Manual On Drills And Ceremonies
HEALTHTEAM ADVANTAGE: Accepted at all locations
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 Davie, LMC, CHC, Wilkes and High Point)
MAGELLAN (BEHAVIORAL HEALTH): Accepted at WFUHS, NCBH and CHC (not applicable to services provided at Davie, LMC, Wilkes and High Point)
MEDCOST: Accepted at all locations
MEDCOST ULTRA: Accepted at WFUHS, NCBH, Davie, LMC, Wilkes and High Point (not applicable at CHC)
OPTUMHEALTH (TRANSPLANTS - APPLICABLE TO NCBH/WFUHS ONLY): Accepted at WFUHS and NCBH (not applicable to services provided at Davie, LMC, CHC, Wilkes and High Point)
PREFERRED CARE OF VA INC: Accepted at WFUHS and NCBH (not contracted, very low to no volume for Davie, LMC, CHC, Wilkes and High Point)
SOUTHERN HEALTH SVCS (COVENTRY-PPO ONLY): Accepted at WFUHS, NCBH, Davie 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 Davie, LMC, CHC, Wilkes and High Point)
UNITED BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH, CHC and High Point (not applicable to services provided at Davie, LMC and Wilkes)
UNITED BEHAVIORAL HEALTH INTENSIVE OUTPATIENT PROGRAM (WFUHS ONLY): Accepted at WFUHS (not applicable for services provided at NCBH, Davie, LMC, CHC, Wilkes and High Point)
Pnp Manual Of Operations
UNITED HEALTHCARE: Accepted at all locations
UNITED HEALTHCARE MEDICARE: Accepted at all locations
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WELLPATH (COVENTRY): Accepted at all locations
LMC ONLY - Contracts specific to support Lexington employer groups, low volumeBEECHSTREET PPO
NATIONAL PROVIDER NETWORK/MEDICAL RESOURCES
PHCS/MULTIPLAN
CHC ONLY - contracts specific to support CHC
AETNA BEHAVIORAL HEALTH
CIGNA BEHAVIORAL HEALTH (limited providers)
THN-TRIAD HEALTH NETWORK MA Plans only (Humana Medicare and Healthteam Advantage)
TRICARE
Key
WFUHS - Wake Forest University Health Sciences (professional services)
NCBH - North Carolina Baptist Hospital
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
ITEM No | DOCUMENTS TITLE | YEAR ISSUED |
| 1 | SOP 2017-001- BEST PRACTICE REVISED 2017 | 2017 |
| 2 | SOP 2016-001- GUIDELINES FOR THE DOCUMENTATION OF LESSONS LEARNED | 2016 |
| 3 | SOP 2014-002- GUIDELINES AND PROCEDURES IN THE DEVELOPMENT OF STANDARD TRAINING PACKAGES (STP) | 2014 |
| 4 | SOP 2014-001- GUIDELINES AND PROCEDURES IN THE DEVELOPMENT OF PNP BEST PRACTICES 2014 | 2014 |
| 5 | SOP 2011-008- GUIDELINES IN THE PREPARATION PUBLICATION AND DISTRIBUTION OF PNP MANUAL AND OTHER DOCTRINES | 2011 |
| YEAR ISSUED | BODY MASS INDEX (BMI) |
| 2020 | Inclusion of BMI as a Rerquirement for Promotion under PNP MC No 2020-0299 |
Griffin Pnp Manual 2019
ITEM No | DOCUMENTS TITLE | YEAR ISSUED |
| 1 | MC 2017-015 REVISE DOCTRINE ON PNP ISSUANCES | 2017 |
| 2 | MC 2015-004-PNP INSTRUCTOR'S CERTIFICATION AND ACCREDITATION PROGRAM (ICAP) | 2015 |
| 3 | MC 2014-059--INSTITUTIONALIZING COMPLETED STAFF WORK (CSW) IN THE PNP | 2014 |
| 4 | MC 2014-054--QUALIFICATION COURSES FOR REGIONAL DIRECTORS, PROVINCIAL DIRECTORS/CITY DIRECTORS AND CHIEFS OF POLICE | 2014 |
| 5 | MC 2014-053--GUIDELINES IN THE DEVELOPMENT OF ADMINISTRATIVE AND OPERATIONS MANUAL (AOM) | 2014 |
| 6 | MC 2014-052--PATROL OFFICERS DEVELOPMENT PROGRAM | 2014 |
| 7 | MC 2014-046--PNP STANDARDS FOR IN-SERVICE TRAINING | 2014 |
| 8 | MC 2014-035--ESTABLISHING A CERTIFICATION PROGRAM FOR THE PNP TRAINING SCHOOLS AND REGIONAL SPECIAL TRAINING UNITS | 2014 |
| 9 | MC 2014-032--PRESCRIBING THE GUIDELINES AND PROCEDURES ON THE GRANT OF SCHOLARSHIP TO ACTIVE PNP PERSONNEL | 2014 |
| 10 | MC 2014-021--RESOURCE ENHANCEMENT THROUGH ACADEMIC DEVELOPMENT (READ) PROGRAM FOR NUP | 2014 |
| 11 | MC 2014-020--GUIDELINES IN THE DEVELOPMENT OF PNP MANUALS | 2014 |
| 12 | MC 2014-017--PNP FIELD TRAINING OFFICERS DEVELOPMENT PROGRAM | 2014 |
| 13 | MC 2014-011--PNP PHYSICAL CONDITIONING AND COMBAT SPORTS PROGRAM | 2014 |
| 14 | MC 2014-001--PNP INTEGRATED HEALTH AND PHYSICAL FITNESS PROGRAM | 2014 |
| 15 | MC 2009-018-IMPLEMENTING GUIDELINES AND PROCEDURES GOVERNING THE FUNCTIONS OF THE PNP TRAINING SERVICE WITH THE ABSORPTION AND EXERCISE OF ADMINISTRATIVE AND OPERATIONAL CONTROL AND SUPERVISION OVER ALL EXISTING TRAINING UNITS IN THE PNP | 2009 |
| 16 | MC 2008-006-GUIDELINES AND PROCEDURES IN THE SPECIALTY TRAINING OF PNP NURSES | 2008 |
| 17 | MC 2002-017-FOREIGN TRAVEL | 2000 |
| 18 | MC 2000-007-GUIDELINES AND PROCEDURES IN THE SPECIALTY OF PNP NURSE OFFICERS | 2000 |
| 19 | MC 1999-014-GUIDELINES AND PROCEDURES FOR PNP PERSONNEL IN THE SPECIALTY TRAINING OF DENTAL PERSONNEL | 1999 |
| 20 | MC 1999-012-GUIDELINES AND PROCEDURES FOR PNP PERSONNEL IN TAKING MANDATORY CAREER COURSES/TRAINING AND OTHER RELATED MATTERS | 1999 |
| 21 | MC 1999-011-CREATION OF MULTI-DISCIPLINE INSTRUCTORS BOARD (MIB) | 1999 |
| 22 | MC 1999-008-GUIDELINES AND PROCEDURES IN THE CLAIM AND PAYMENT OF TRAINING SUBSISTENCE ALLOWANCE(TSA) | 1999 |
| 23 | MC 1999-002-REVISED QUANTIFIED CRITERIA FOR SELECTION OF PNP PERSONNEL FOR FOREIGN TRAINING/TRAVEL | 1999 |