Welcome North Carolina Providers!

Participating Plans 

  • Ambetter of North Carolina Inc. (Health Insurance Marketplace) 
  • Carolina Complete Health (Medicaid)
  • WellCare of North Carolina (Marketplace) ^
  • WellCare of North Carolina (Medicaid) ^
  • Wellcare (Medicare Advantage) ^

^ Envolve to discontinue administration effective 1/1/24. See below for details

 

Resources for You

Thank you for being part of our network of eye care professionals. For the most up-to-date, detailed information, we encourage you to join our provider network and register for our Eye Health Manager, where you can check member eligibility, vision benefits, plan specifics, and clinical policies, in addition to submitting authorizations and claims.

You also can call our IVR system for automated member eligibility verification 7 days a week, 24 hours a day. Or speak with one of our knowledgeable team members by calling our Provider Services line Monday through Friday, 8 a.m. to 8 p.m. local time.


Ambetter of North Carolina


Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage

+ optional vision coverage for subscribers


Provider Services for Ambetter

833-482-2947

Members: call the number on the back of your ID card or go to the plan site.


Carolina Complete Health


At Carolina Complete Health, we’ve got you and your family covered with the Medicaid benefits you need – from doctor visits and hospitalization to preventive services and prescription drug coverage.

 

Provider Services for Medicaid

833-224-0516

Members: call the number on the back of your ID card or go to the plan site.


WellCare of North Carolina (Marketplace)

WellCare of North Carolina offers affordable health insurance marketplace plans.

Wellcare PHCS member ID

Provider Services for WellCare of NC
Benefit administration will change to a new vendor effective 1/1/24.

Before Calling: Check the Medicare Benefit Summary

833-902-4011

Members: call the number on the back of your ID card or go to the plan site.


WellCare of North Carolina (Medicaid)


WellCare of North Carolina is desgined to meet the health care needs of people with North Carolina Medicaid. 

 

 

Provider Services for WellCare of NC

833-678-1324

Members: call the number on the back of your ID card or go to the plan site.