What is Duke Select Insurance?
Duke Select (the “Plan”) is a benefit option of the Duke Health Plans and is a self-funded plan providing the health benefits. coverage described in this document to certain eligible employees of Duke University and Duke University Health System. (“Duke”) and their eligible dependents. Aetna Life Insurance Company.
Is Duke select a PPO?
Duke Options (Blue Cross Blue Shield of North Carolina) PPO – includes a worldwide network of health care providers and hospitals, and is the only medical plan provided by Duke that has full out-of-network benefits, including out-of-network behavioral health and substance use disorder benefits, available.
Is Aetna Select Open Access a PPO?
The Aetna Open Access Plan is an HMO that gives members more freedom. Members can visit any in-network provider (PCP or specialist) for covered services without a referral. * You can find Aetna network providers by using our provider search tool.
Does Duke take Medicaid?
Duke Participates in NC Medicaid Health Plans In addition NC Medicaid Direct, Duke Health participates in the following Medicaid health plans, available through NCMedicaidPlans.gov. Visit their website to learn more about these plans.
What does PPO stand for in insurance?
preferred provider organization
PPO stands for preferred provider organization. Just like an HMO, or health maintenance organization, a PPO plan offers a network of healthcare providers you can use for your medical care. These providers have agreed to provide care to the plan members at a certain rate. But there are some differences.
What is Aetna select?
The Aetna Select plan is for multi-site, self-insured customers who want a managed care plan in every sense of the word: in-network coverage, PCP selection and specialist referrals. Where all care takes place exclusively in a network designed to keep costs in check.
Does Duke accept wellcare?
Duke Health is contracted to participate with insurance products and provider networks that offer both primary and specialty care.
What is Duke plus?
Duke Plus is Duke’s retiree health plan administered by UMR. you are eligible to continue health insurance as a retiree, and age 65 or over, OR. you are retired and have a dependent on Medicare, OR. you become disabled and are covered by Medicare.
How to find out if you have Duke health insurance?
Please call your insurance company and ask if you have access to health care services at Duke Health locations, and what (if any) co-payments, co-insurances, and deductibles will be your responsibility. The Duke Consultation and Referral Center (888-275-3853) can also review the list of Duke Health accepted insurance plans with you.
What are the ZIP codes for Duke select?
Duke Select – available only to employees living in ZIP codes beginning with 272, 273, 275, 276 and 277. This plan uses a health care provider network unique to Duke. Since this network is unique, we encourage you to carefully review the provider listing here. Out-of-network care is only covered for emergency or urgent care.
Who are the plan providers for Duke University?
Contact Plan Provider. Aetna (Duke Select & Duke Basic members) 800-385-3636. Blue Cross Blue Shield of NC (Blue Care and Duke Options members) 1-877-224-3305.
How to contact human resources at Duke University?
Also, if your spouse is enrolled in a Health Savings Account (HSA), please contact the HR Information Center at (919) 684-5600 before enrolling in Duke Basic.