Plan for Duke
Now is the time to make important decisions about your and your family’s health care coverage for 2019. To make your choice easier, we’ve listed below all of the insurance plans in which Duke will participate in 2019. You’ll also find tips and resources to help you navigate open enrollment.
In particular, Blue Cross and Blue Shield of North Carolina (BCBSNC) will no longer offer the Blue Local with Duke Health and WakeMed plan. If you live in Durham or Wake counties, you can keep in-network coverage for Duke doctors and facilities by enrolling in the Ambetter of North Carolina plan from HealthCare.gov before December 15, 2018. Visit ambetterofnorthcarolina.com for more information. If you live in Caswell, Chatham, Franklin, Johnston, Lee, Orange or Person counties, please see information below regarding your enrollment options. Other BCBSNC plans are not affected. See our FAQ below for more information.
Some patients may have received a letter from us have informing them that the BCBSNC Blue Advantage insurance plan is being discontinued as of December 31, 2018. However, we have recently learned that while the Blue Advantage plan will no longer be accepting new enrollees, those already participating in the plan may continue to do so. No action is needed on your part to stay in this plan or to maintain access to Duke Health physicians and services.
Please accept our sincere apology for any confusion or concern we may have caused in communicating about the changes occurring during this open enrollment period. We value your trust and we have taken steps to ensure future communications contain the most up-to-date and accurate details. It has been a privilege to provide your care and we hope to continue to do so in the future. If you have a question about your plan, please call BCBSNC at 888-206-4697.
Duke Health contracts with most major health insurance carriers and transplant networks. Click the buttons below to see the full list of plans we will accept in 2019 from each carrier or network.
It depends on where you live.
If you live in Durham or Wake counties:
If you don’t enroll in a new plan on HealthCare.gov by December 15, 2018, Blue Cross and Blue Shield of North Carolina will automatically enroll you in the Blue Value plan, and Duke doctors and hospitals will be considered out-of-network providers as of January 1, 2019.
You can keep in-network coverage for Duke doctors and facilities by enrolling in the Ambetter of North Carolina plan through HealthCare.gov before December 15, 2018. Visit ambetterofnorthcarolina.com for more information.
If you live in Granville or Vance counties:
If you don’t enroll in a new plan on HealthCare.gov by December 15, 2018, BCBSNC will automatically enroll you in the Blue Advantage plan, which includes Duke. BCBSNC will also offer Blue Select, which includes Duke, to residents of Granville and Vance counties, but you will need to enroll on HealthCare.gov by December 15, 2018, if you want Blue Select.
If you live in Alamance County:
If you don’t enroll in a new plan on HealthCare.gov by December 15, 2018, Blue Cross and Blue Shield of North Carolina will automatically enroll you in the Blue Value plan. Providers at Kernodle Clinics are included in the BCBSNC Blue Value plan. However, Duke hospitals and facilities are out-of-network.
If you live in Caswell, Chatham, Franklin, Johnston, Lee, Orange, or Person counties:
If you don’t enroll in a new plan on HealthCare.gov by December 15, 2018, Blue Cross and Blue Shield of North Carolina will automatically enroll you in the Blue Value plan, and Duke doctors and hospitals will be considered out-of-network providers as of January 1, 2019. In spite of our best efforts, Duke will not be in-network for a plan available on HealthCare.gov in these counties in 2019. Our patients are our first priority, and we will work closely with you to transfer your records to another provider. Call 919-241-5775 for assistance.
BCBSNC has said it may authorize continued in-network benefits for certain patients. To find out if you qualify, please call BCBSNC customer service at 888-206-4697.
The decision to discontinue the Blue Local with Duke Health and WakeMed plan was made by BCBS, and we do not have any additional information at this time. You can voice your concerns by contacting Blue Cross and Blue Shield of North Carolina Customer Service at the number on the back of your card, or the NC Department of Insurance at 855-408-1212.
No, Duke still participates in many BCBSNC plans. Please refer to the list above to see the plans in which Duke participates.
The North Carolina Department of Insurance has Patient Navigators available to help you enroll in a new plan. Please call 1-855-733-3711.
