Insurance

List of PMC's Contracted Payers

Aetna

• We are not in network with Aetna CVS Health, Aetna Prime HMO, Aetna Premier Care, Aetna Whole Health, or Aetna Health Network Only Open Access plans

Ambetter of North Carolina

Blue Cross / Blue Shield of NC

• BC/BS of NC 
  • Blue Care
  • Blue Options
  • Blue Advantage
  • Blue Value
  • Blue Select
  • Blue Home
    • Blue Home only available with UNC Health Alliance 
  • BCBS Indemnity Plans
• BCBS/NC State Health Plan
• BCBS/NC Federal Employee Plan
• BCBS/NC Interplan- Blue Card Program (out of state PPO plans)
  • We are not in network with any Blue Local or myChoice plans
  • We do not participate in the SHP Clear Pricing Project (CPP)

CIGNA Healthcare

• We are participating in the ‘CIGNA Connect’ Network effective 1/1/2021

Federal Plans

• American Postal Workers Union
• Rural Carrier Benefit Plan
• Mail Handlers Benefit Plan
• Foreign Service Benefit Plan

FirstCarolinaCare

Humana:  Out-Of-Network Effective 1/1/2025

MedCost

Medicaid

Note: Some PMC departments are closed to new Medicaid patients.

• Medicaid Direct (traditional Medicaid)
• AmeriHealth
  • We are not in network with AmeriHealth Next
• Healthy Blue
• Carolina Complete
• United Healthcare
• Wellcare 

Medicare & Medicare Advantage Plans

• Traditional & Railroad Medicare 
• Liberty Advantage
• United Healthcare Medicare Plans
• Wellcare of North Carolina
• First Medicare Direct PPO & HMO
• Blue Medicare PPO & HMO
• Humana Medicare Advantage Plans:  Out-Of-Network Effective 1/1/2025
• BCBS Experience Health
• Aetna Medicare PPO & HMO (not PRIME HMO)
• Troy Medicare
• AARP Medicare Complete (HMOPOS & PPO only)

Tricare & Veteran’s Administration

• Select & Prime
• Optum VA Community Care Network
• Tricare for Life

WellPath (Coventry)

• First Health Network
• Coventry
• Wellpath

United Healthcare

• OneNet PPO LLC
• UHC Choice Plans
• UHC Options PPO

The contracted insurance list provided applies to Pinehurst Medical Clinic and insurance accepted for FirstHealth appointments may be different. Please visit FirstHealth's list of contracted payers for additional information.

This list is subject to change. It is your responsibility to verify participation with your plan prior to your appointment.