General insurance information

The Carolina Asthma and Allergy Center endeavors to reach agreements to provide care on behalf of all managed care organizations which, in our opinion, allow our doctors to provide what we believe to be an acceptable level of care at a reasonable reimbursement level. We will act as a patient advocate and work with our patients and provide information and assistance required to obtain authorization for our continued services. Patients must be aware that final responsibility for keeping track of authorizations and expiration dates are their responsibility and that they are financially responsible for services received without an authorization.

While CAAC will make no positive or negative statements to patients in recommending purchase of coverage under specific companies and plans, the North Carolina Department of Insurance has published 2 brochures and 2 handbooks to help North Carolinians make informed decisions regarding health insurance. They are:

		Guide to Health Insurance, The Consumers Right to Know
		Guide to Appeals and Grievances, Your Rights as a Health Insurance Consumer
		1999 HMO Performance Report, A Comparison of Health Maintenance Organizations in NC
		1999 Managed Care Handbook, A Comparison Guide for NC Consumers

These publications can be received by contacting:
NC Department of Insurance
Managed Care Division
P O Box 26387
Raleigh, NC 27611
(919) 715-0526

To contact the department of other issues:
NC Department of Insurance
Consumer Services Division
P O Box 26387
Raleigh, NC 27611
(800) 546-5664

Insurance Contracts

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The following is a list of insurance companies with whom Carolina Asthma & Allergy Center P.A. has contracts. We recommend you check with your insurance company to verify the level of asthma and allergy coverage provided and your financial responsibility. Aetna/US Healthcare (PPO/HMO/EPO/POS) Alliance Health Plan (PPO) American Health Group (Dana Corp. Employees) BCBS of North Carolina (Blue Choice, Blue Care, Blue Options, Classic Blue, Preferred Care Select, Costwise, Medpoint, Personal Care Plan) BCBS Federal Employees • Available in all offices except our Rock Hill location. BCBS of North Carolina State Health Plan BCBS of Alabama (BellSouth employees) BCBS of South Carolina State Health Plan Beech Street Carolina Care Plan Cigna (HMO/PPO/POS) Coventry Healthcare Ethix First Health PPO (Health Care Savings affiliated) Galaxy Health Network PPO Great West Health Net Federal Services Humana Humana Gold Choice (Medicare) Kanawha Benefit Solutions MCS Patient Centered Health MedCost Preferred and Prime Net PPO Medicaid of North Carolina (Carolina Access of NC, EDS Federal) • Carolina Access of NC - PCP authorization required. • EDS Federal - PCP authorization required for new patient. Medicaid of South Carolina - PCP authorization required for new patient. Medicare (Medicare/Cigna [North Carolina], Medicare/Palmetto [South Carolina], Medicare Railroad) • Medicare/Cigna (North Carolina). • Medicare/Palmetto (South Carolina). • Medicare Railroad. Medicare Choice - Partners HMO - PCP authorization required. Multiplan NC Health Choice One Net (PPO) Private Health Care Systems (PHCS) - PPO PPO Next Premier Health Systems - PPO Perdue Farms, Inc. Primary Physician Care Secure Horizons (Medicare) SouthCare / Ethix PPO Stanly Healthcare (Stanly County Hospital) Advantage Plan, Spectrum Plan • HMO - PCP authorization required. • PPO (POS) - PCP authorization required. • PPO. Tricare • Standard • Prime PCP authorization required. UMWA Health and Retirement Funds United Health Care USA Managed Care Organization Veterans Administration Wellpath POS, HMO, PPO no authorization required with in network physician