Be prepared to make an informed health insurance decision for 2020.

Important Dates:

July 15 - December 13: NC Medicaid Open Enrollment (View more information about Medicaid)
October 15 - December 7: Medicare Open Enrollment
November 1 - December 15: Open Enrollment period on Healthcare.gov

A list of insurance plans accepted through December 31, 2019 can be found on the Duke Health website.

Accepted Health Insurance Plans

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 2020 from each carrier or network.

  • Aetna Choice POS, Aetna Choice POS II
  • Aetna Elect Choice HMO, Aetna Open Access Elect Choice
  • Aetna Health Network Only, Aetna Health Network Option
  • Aetna HMO
  • Aetna Limited Benefit Insurance PPO
  • Aetna Managed Choice POS
  • Aetna Medicare HMO Open Access
  • Aetna Medicare Plan (HMO, PPO)
  • Aetna Medicare Premier Plan (PPO)
  • Aetna Medicare Prime Plan (HMO, PPO)
  • Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Select, Aetna Open Access Managed Choice
  • Aetna Open Choice PPO
  • Aetna PCP Coordinated POS Plan
  • Aetna Quality Point of Service (QPOS)
  • Aetna Select HMO
  • Aetna Traditional Choice
  • Aetna Voluntary Indemnity Group Plan
  • Aetna Whole Health – Duke WakeMed WKCC
  • Ambetter of North Carolina
  • Blue Advantage
  • Blue Medicare (HMO, PPO)*
  • Blue Options (123, PPO, HSA)
  • Blue Select
  • NC State Employees Health Plan
*Duke HomeCare and Hospice does not participate in the plan.
  • Cigna Behavioral Health (*Limited eligibility)
  • Cigna Choice Plus
  • Cigna Open Access
  • Cigna Open Access Plus
*Please call Cigna Behavioral Heath to see if the provider is participating in your plan.
  • Experience Health Medicare Advantage (HMO) Plan
  • Duke Basic
  • Duke Select
  • Gateway Health Medicare Assured Prime (HMO)
  • Gateway Health Medicare Assured Select (HMO)
  • Humana Choice (PPO)
  • Humana ChoiceCare (PPO)
  • Humana Gold Choice (PFFS)
  • Humana Gold Plus (HMO)
  • First Medicare Direct*
  • Medicare Part A
  • Medicare Part B
*This is for Wake County only.
  • NC Medicaid*
* Not all Duke locations and doctors participate in this plan. Please contact the location you will be visiting to determine what is accepted.
  • FAMIS
  • Optima Family Care (Medicaid HMO in VA)
  • Optima Individual & Family (On & Off Exchange Plans)
  • Optima Plus (PPO)
  • Optima Vantage (HMO)
  • TRICARE Extra*
  • TRICARE for Life*
  • TRICARE Prime*
  • TRICARE Prime Remote*
  • TRICARE Standard*
*Duke Primary Care does not participate with the plan.
  • AARP Medicare Complete (HMO, PPO)
  • AARP Medicare Complete Essential (HMO)
  • All Savers Alternate Funding
  • All Savers Fully Insured
  • State Employee Health Plan (for retirees)
  • UnitedHealthcare (HMO, PPO, POS)
  • UnitedHealthcare Charter/Charter Balance/Charter Plus
  • UnitedHealthcare Choice/Choice Plus
  • UnitedHealthcare Core/Core Essential
  • UnitedHealthcare Navigate/Navigate Plus/Navigate Balanced
  • UnitedHealthcare of the River Valley
  • UnitedHealthcare Option PPO
  • UnitedHealthcare Options PPO with Harvard Pilgrim
  • UnitedHealthcare Passport Connect Choice/Choice Plus
  • UnitedHealthcare Passport Connect Options PPO
  • UnitedHealthcare Select/Select Plus
  • United Medical Resources (UMR)

More Information

Don't see your plan? Give us a call:

Need help choosing an ACA Plan?

GetCoveredAmerica.org

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