Wake Radiology Managed Care List
Wake Radiology participates with the following insurance benefit plans:
- Aetna (all plans)
- AHA – American Healthcare Alliance
- Blue Cross and Blue Shield (all plans)
- CIGNA – Wake Radiology will handle pre-authorization for CT, MR, & PET for you.
Note: Cigna/Great West Health (GWH) are out of network - Inclusive Health (NCHIRP Program)
- MedCost (all plans)
- Medicare
- Medicare Advantage Plans – All PFFS Plans
- Medicaid of North Carolina
- PARTNERS (Medicare Choice HMO)
- PARTNERS (Medicare Choice PPO)
- State Employee Health Plan
- TRICARE for Life (secondary to Medicare, only)
- WellPath/Coventry
Note: Patients who are in a plan that we do not participate with can be seen on an out-of-network basis. A patient can choose this option with a higher deductible and/or higher co-insurance. We will be glad to contact the insurer to get eligibility and benefit coverage if requested.
Wake Radiology continues to align its managed care contracts with those of its referring physicians. If there are additional plans that we should consider, please call Michele Jackson at (919) 788-7904, fax to (919) 789-4461, or e-mail: mjackson@wakerad.com
Insurance Resources
Use these links for updated information about consumer insurance, insurance premiums assistance, etc.
NC Department of Insurance – Services for Consumers
Consumer Guide to Health Insurance
Need Help with Medicare? The Seniors’ Health Insurance Information Program (SHIIP) is housed under the NC Department of Insurance, and is dedicated to providing free, unbiased insurance advice to seniors and their families. Call 1-800-443-9354 or visit them online.
Managed Care Patient Assistance Need help with insurance problems in North Carolina? Call Managed Care Patient Assistance at 1-866-867-6272 or via email MCPA@mail.jus.state.nc.us
North Carolina Department of Insurance Managed Care—Consumer Division The goal of the Consumer Services Division is to respond to questions and complaints concerning insurance and to provide consumers with alternatives and courses of action to solve a particular insurance problem. NCDOI can forward your complaint to the insurance companies, obtain information or explanations on your behalf from the insurance companies and explain your options. NCDOI Consumer Services can be reached at 1-800-546-5664.
Self-Insured Employers If you are insured as a result of your or your spouse's employer, your rights under your health plan may be governed by the Employee Retirement Income Security Act (ERISA) under the U.S. Department of Labor. If so, state law will not generally apply to your group health plan. Instead you will need to contact the U.S. Department of Labor for consumer information and assistance. The law requires that your plan sponsor provide you with a “summary plan description”. The employer may also be able to overturn a decision of the plan administrator, especially with regard to a medical necessity determination. Contact: 1-866-4-USA-DOL or http://www.dol.gov/dol/topic/health-plans/index.htm.
Health Care Reform The passage of health insurance reform legislation represents a historic victory for the American people – a victory over the special interests that have fought for decades to prevent families and businesses from having control over their health care or the health care of their workers.