Billing & Insurance

We provide equal access to all of our patients, regardless of their payment source. If you are uninsured, we are happy to educate you on coverage options by request. Additional information is available at www.healthcare.gov.

If you have billing questions, you may contact our office (919) 378-1492 between the hours of 8:30 AM to 5:00 PM, Monday through Friday.

If you currently access the Healow Patient Portal at Healow Patient Portal, you can conveniently submit billing questions and pay online.

Insurances

We provide equal access to all of our patients, regardless of their payment source. If you are uninsured, we are happy to educate you on coverage options by request. Additional information is available at www.healthcare.gov

If you have billing questions, you may contact our office (919) 378-1492 between the hours of 8:30 AM to 5:00 PM, Monday through Friday.

If you currently access the Healow Patient Portal at https://health.healow.com/WakeWellness, you can conveniently submit billing questions and pay online.

Accepted Medicare

  • Aetna Medicare
  • Blue Medicare PPO/HMO
  • Traditional Medicare
  • UHC/AARP Medicare PPO/HMO
  • We do not accept NC Medicaid as a primary or secondary insurance.

Commercial Insurance

We contract with the following:

  • Aetna
  • Blue Cross and Blue Shield
  • Blue Home with UNC Health Alliance
  • Cigna Healthcare (*we DO NOT accept Cigna Connect)
  • Humana/ChoiceCare Network PPO / ChoicePOS
  • Medcost
  • North Carolina State Health Plan
  • United Healthcare

Not Accepted Insurance

  • Alignment Healthcare (after 12/31/2020)
  • Ambetter
  • Cigna Connect
  • Gateway Health Medicare Advantage
  • Humana Gold Choice/Plus
  • Medicaid (not accepting new patients)
  • Tricare Prime
  • Humana Medicare PPO (after 12/31/2020)

Medicaid Managed Care

We participate with the following plans:

  • AmeriHealth Caritas of North Carolina, Inc.
  • Anthem – Blue Cross and Blue Shield (Healthy Blue)
  • Carolina Complete Health
  • United Healthcare of North Carolina, Inc.
  • WellCare of North Carolina, Inc.

Important Notes

Both Tdap (Tetanus, diphtheria, acelluar-pertussis) and Shingrix (Shingles Vaccine) are not covered under Medicare Part B benefits and you will be expected to pay for these items. You can file these vaccines to your Medicare Part D plan.

You can schedule an appointment with any TRICARE-authorized provider.  An authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network.  We are a non-network authorized provider.

You don’t need a referral, but some services might require prior authorization from Humana Military.

Patients without health insurance coverage are expected to pay in full at the time of service.  We offer a 50% prompt pay discount for all payments made at time of service. 

  • An estimate will be provided at the time of service.  If an overpayment is made, a refund will be issued.
  • Due to contractual arrangements, we are unable to apply this discount to insurance deductibles or co-payments. 
  • If total charges exceed the estimate amount, an additional balance will be billed to the patient/guarantor.