Raleigh Neurology Associates, P.A., is a Medicare provider and accepts most major insurance plans. We provide insurance billing. You are responsible for anything not covered by your insurance.
Insurance carriers include:
- Aetna
- Blue Cross Blue Shield of North Carolina
- Cigna Healthcare
- First Carolina Care
- Humana Choice Care Network
- Medcost
- Medicaid
- Medicare (including Railroad and United Mine Workers)
- Patient Choice (includes Primary Physician Care)
- PPO Next
- Project Access (Pediatric Department does not participate)
- Provider Select
- Southcare PPO
- United Healthcare
- Wellpath Coventry (Includes Southcare PPO, First Health, Healthcare Preferred)
Medicare Replacement Plans
Raleigh Neurology Associates, P.A. will file most Medicare Replacement plans as a courtesy to the patient. There may be times where, at the discretion of the management at RNA, we will not file a patient’s Medicare Replacement policy.
We are contracted with the following Medicare Replacement Plans:
- Advantra
- Aetna Medicare
- BCBS Medicare Choice (replacing Partners MCR Choice eff. 1-1-08)
- Cigna Medicare Access
- Evercare
- Humana Gold Choice
- Secure Horizons
- Today’s Options
- UHC Medicare Complete
Any other PFFS (Private-Fee-For-Service) plans we will file as a courtesy but do not have a contractual obligation to file. These plans will pay based on the current Medicare Fee Schedule and Raleigh Neurology will accept this fee schedule for these PFFS carriers. This does
NOT mean that RNA will accept their insurance companies’ payment as payment in full, it simply means that we will not bill the patient for any amount determined to be “over and above customary” by their insurance company.
Some of these PFFS plans require authorization, if it is NOT a plan that we have a contract with then please inform the patient that they are out-of-network and have waiver signed each time they present to Raleigh Neurology for medical care.
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Medicare Prescription Drug Coverage (Part D)
There are over 50 different Prescription plans available to North Carolina residents.
Raleigh Neurology understands the difficult choices our patients face regarding their prescription drug coverage. Although we cannot directly advise our patients which plans would be best suited for them, we would like to assist you by providing some helpful contact numbers.
For personalized information on how to choose a Medicare prescription drug plan contact:
1-800-Medicare (1-800-633-4227), or www.medicare.gov
NC Senior’s Health Insurance & Information Program (NC SHIIP) at 1-800-443-9354 |