Practice Support Services

North Carolina State Employees Health Plan

Written by Practice Support Team | Nov 19, 2024 7:15:00 PM

Effective January 1, 2025, Aetna will replace Blue Cross Blue Shield NC for the NC State Health Plan coverage.

Which plans are included?

  • Enhanced PPO Plan (80/20)
  • Basic PPO Plan (70/30)
  • High Deductible Health Plan (HDHP)

This change does NOT impact members enrolled in the Humana Medicare Advantage plans.

The current pharmacy benefit manager (CVS Caremark®) will not change.

Participating Providers

The NC State Health Plan network only includes providers who join the Clear Pricing Project (CPP) and the Aetna Choice POS II network. Search the network.

New member ID Cards

NC State Health Plan members will have unique ID cards. ID numbers will start with "N" followed by either 11 letters or 11 alphanumeric numbers (for example NABCDEFGHI6P).

New member ID card sample and tips

Be sure you are ready for the change!

Join the network, make updates to your profile, credential advance practice providers, and learn how to contact Aetna's team for assistance: Helping you get ready for the NC State Health Plan!

 

 

Map image source: https://commons.wikimedia.org/wiki/File:USA_North_Carolina_relief_map_cut.png