Health Insurance Plans
Note: CaroMont Regional Medical Center will care for all emergency patients regardless of their insurance policy or ability to pay.
The following list represents commercial health insurance, Medicaid, and Medicare options for CaroMont Regional Medical Center, CaroMont Specialty Surgery, CaroMont Imaging Services, CaroMont Health Lincoln Cancer Center, and CaroMont Endoscopy Center. This information is subject to change at any time. Prior to obtaining services, or as soon as possible thereafter, please contact your insurance company to verify your insurance coverage and confirm the availability of benefits. At the time you receive services, you should also confirm that the hospital, your physician, and any other health providers who might send you a bill accept your insurance and participate in your plan. To inquire about an option, contact your employer or broker or call 704.834.2931.
- AARP Medicare - Excludes inpatient and outpatient hospital services 4/1/24 and after
- Absolute Total Care SC Medicaid
- Aetna
- Aetna CVS Health
- Aetna NC Preferred
- Aetna Network Plans
- Aetna Connected NC
- Aetna Medicare
- Alliance Health NC Tailored Plans and NC Medicaid Direct
- Blue Medicare
- BlueCross BlueShield of North Carolina
- Blue Select Network
- Blue Value Network
- Blue Advantage
- Blue Options
- Carolina Access I and II NC Medicaid
- Carolina Behavioral Health Alliance - CaroMont Psychiatric Associates only
- Carolina Complete Health - excludes Primary Care Physicians
- CIGNA
- CIGNA Behavioral Health
- CIGNA Medicare
- Corporate Benefits Services CAR plan
- First Health
- Healthy Blue NC Medicaid
- Healthgram
- Humana Military TriCare East Region
- CaroMont Regional Medical Center is an authorized non-network provider
- Humana ChoiceCare Network
- Humana Medicare
- MedCost
- Medicaid NC
- Medicaid SC
- Medicare Traditional
- Molina SC Medicaid
- Molina Medicare Advantage and Medicare-Medicaid Program (MMP)
- MultiPlan - excludes "Practitioners Only" and "Practitioners and Ancillary Only" plans
- Partners Health Management NC Tailored Plans and NC Medicaid Direct
- Private Healthcare System, Inc. (PHCS) - excludes "Practitioners Only" and "Practitioners and Ancillary Only" plans
- Senior TLC Pace
- TriCare (See Humana Military TriCare East Region)
- Private Healthcare Systems (PHCS) - excludes "Practitioners Only" and "Practitioners and Ancillary Only" plans
- United Behavioral Health (CaroMont Psychiatric Associates only)
- United Behavioral Health Medicare
- United Behavioral Health Medicaid
- United HealthCare
- United HealthCare Medicare - Excludes inpatient and outpatient hospital services 4/1/24 and after
- United HealthCare Community Care NC Medicaid
- Vaya Health
- NC Tailored Plans and NC Medicaid Direct
- Veterans Affairs Community Care Network (VACCN)
- Eligible Veterans must contact VACCN to obtain authorization for all care under this plan
- WellCare of NC Medicaid
Medicare
For people 65+ years old and eligible disabled individuals, CaroMont Regional Medical Center, CaroMont Specialty Surgery, CaroMont Imaging Services, CaroMont Health Lincoln Cancer Center, CaroMont Endoscopy Center, Courtland Terrace and Gaston Hospice accept all Medicare, Medicare Private Fee for Service and some Medicare supplemental insurance policies. To inquire about an option, please call 704.834.2931.
- AARP Medicare - Excludes inpatient and outpatient hospital services 4/1/24 and after
- Absolute Total Care
- Aetna Medicare
- Blue Medicare
- CIGNA Medicare Advantage
- Humana Medicare Advantage
- Molina Medicare Advantage and Medicare-Medicaid Program
- Senior TLC Pace
- United Behavioral Health
- United Medicare Advantage- - Excludes inpatient and outpatient hospital services 4/1/24 and after
- Vaya Health
CaroMont Health Facilities participate per the terms and conditions of Private Fee for Service Medicare plans. However, please confirm upon registration and scheduling with your individual physician on status of participation.
Medicaid
CaroMont Health facilities accept North and South Carolina Medicaid.
The following list represents Medicaid health plan options. This information is subject to change at any time. Prior to obtaining services, or as soon as possible thereafter, please contact your insurance company to verify your insurance coverage and confirm the availability of benefits. At the time you receive services, you should also confirm that the hospital, your physician and any other health providers who might send you a bill accept your insurance and participate in your plan. To inquire about an option, contact the NC Department of Health and Human Services at 1.833.870.5500 or call 704.834.2931 or the SC Department of Health and Human Services at 803.898.2500.
North Carolina:
- Alliance Health (Tailored Plans and Medicaid Direct)
- AmeriHealth Caritas NC
- Carolina Complete Health
- Carolina Access I and II
- Healthy Blue of NC
- Partners Heath Management (Tailored PLans and Medicaid Direct)
- United Behavioral Health
- United Healthcare Community Plan
- Vaya Health (Tailored Plans and Medicaid Direct)
- WellCare of NC
South Carolina:
- Absolute Total Care
- Molina Healthcare
CaroMont Medical Group's NC Primary Care and Urgent Care practices are out of network for ATC.
CaroMont Health will continue to provide updates on this website regarding our participation in NC Managed Medicaid.
Individual and Family Health Insurance Marketplace - NC
If you don’t have health insurance coverage through your job, Medicare, Medicaid or other sources, getting health insurance through the Marketplace is important to make sure you and your family have access to great health care. To help you choose the best option to stay “in-network” and save money with CaroMont Health, choose one of these “in-network” plans:
- Aetna plans by Aetna CVS Health
- Blue Advantage by BlueCross BlueShield of NC
- Blue Value by BlueCross BlueShield of NC
The following plans DO NOT include CaroMont Health so hospital services in Gaston County and CaroMont Medical Group physician services are NOT “in-network.”
- Ambetter Care Plans from Ambetter of North Carolina
- Blue Home from BlueCross BlueShield of NC
- Blue Local from BlueCross BlueShield of NC
- United Healthcare NC Individual Exchange Benefit Plans
If you have any questions or would like assistance signing up for insurance, please contact CaroMont Health at 704.834.2931 or visit healthcare.gov.
Billing
The business office is located on the lower level of the Birthplace. Financial representatives can help you with any question about your bill. Call them at 704.834.2931.