| Insurance Company | Insurance Plan | Benefits Overview | |
|---|---|---|---|
| BCBS | North Carolina (Please note this is a different plan from the BCBSNC State Health Plan) |
PPO Blue Advantage or Blue Options |
Members enrolled in Members Health Partnership (MHP) will get 6 free visits per benefit year. (Please call 1-800-218-5295 to enroll in MHP prior to nutrition visit.). |
| Health Savings Account (HSA) | Members will be financially responsible for any amount applied to plan's deductible. | ||
| HRA | Members may be subject to plan's deductible; please call BCBS to verify benefits. | ||
| North Carolina State Health PPO | Diabetics: Members get 6 free visits with no co-pay; must pay co-pay or coinsurance if seen after the 6 free visits. Non-Diabetics: Members allowed 4 visits and must pay a co-pay. |
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| Federal | Basic Option (group codes 111/112): Members pay $25 co-pay and get 6 visits per calendar year Standard Option (group codes 104/105): Members pay 10% of visit, after meeting $250 deductible, up to 3 visits per calendar year. |
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| Out of State | Every plan is different; please call BCBS prior to visit to confirm benefits. | ||
| Cigna | Every plan is different; please call Cigna prior to visit to confirm benefits. | ||
| PHCS | Every plan is different; please call PHCS prior to visit to confirm benefits. | ||
| United Healthcare | All members are responsible for 80% of visit cost. | ||
| Aetna | Every plan is different; please call Aetna prior to visit to confirm benefits. Members will be considered self-pay at the time of visist. | ||
| Medicare | Visits for diabetes management and non-dialysis renal disease patients are covered up to 80%.Patient is responsible for 20% of visit. **Referral required if Medicare is your Primary Insurance.** |
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