Enrollment & Eligibility Questions

For questions regarding enrollment or eligibility, to make address changes or for assistance with the ​eEnroll enrollment system, please call the Eligibility and Enrollment Center at:​​

 855-859-0966

Traditional 70/30, Enhanced 80/20 and CDHP Benefit Questions​

For questions regarding benefits or any claim inquiries, call or write to:

Customer Service
PO Box 30085
Durham, NC 27702

Phone: 888-234-2416
M-F 8AM to 6PM
TTY/TDD (Services for the speech and hearing impaired)
Phone: 800-442-7028

BEACON (BEST Shared Services)

For questions on how to navigate BEACON or other BEACON system assistance, call:

 919-707-0707  (Raleigh area)

866-622-3784  (statewide)

M-F 8AM to 5PM

UnitedHealthcare Group Medicare Advantage (PPO) Base and Enhanced Plan Benefit

​For questions regarding benefits, call or visit the website:

​UnitedHealthcare
Customer Service: 866-747-1014

Blue Connect

Members enrolled in the Traditional 70/30, Enhanced 80/20 Plans and CDHP can log into Blue Connect to request an ID card, view your claims on line, and even find a provider near you.

​Blue Cross and Blue Shield of North Carolina
Blue Connect

Medical Claim Filing and Inquiries

To file a medical claim or inquire about the status of a medical claim you have already filed and are enrolled in the Traditional 70/30, Enhanced 80/20 Plans or CDHP:

State Health Plan
c/o BCBSNC
PO Box 30087
Durham, NC 27702
 
Phone: 888-234-2416 

Where to Mail Your Premiums

SHP premium payments for both Group and Individuals  (Retirees/Surviving Spouse)

​North Carolina State Health Plan – Direct Bill
P.O. Box 505211
St. Louis, MO 63150

877-679-6272

​Where to Mail Your Premiums

SHP premium payments for both Group and Individuals  (COBRA)

Hospital Pre-admission Certification/Prior Approval

To request prior authorization (certification) for certain out-of-network or out-of-state services for members enrolled in the Traditional 70/30, Enhanced 80/20 Plans and CDHP:

Blue Cross and Blue Shield of North Carolina

800-672-7897

Mental Health and Chemical Dependency

For precertification for mental health services and chemical dependency for members enrolled in the Traditional 70/30, Enhanced 80/20 Plans and CDHP:

Beacon Health Options​
(formerly ValueOptions)
PO Box 12438
RTP, NC 27709

Phone: 800-367-6143

Appeals and Grievance

To appeal a claim decision or to file a grievance with the State Health Plan:

State Health Plan
c/o BCBSNC Appeals Department
PO Box 30055
Durham, NC 27702-3055

Phone: 888-234-2416
Fax: 919-765-2322​

High Deductible Health Plan Questions

For questions regarding benefits and enrollment for those enrolled in the HDHP:

Prescription Drugs

To file a claim for prescription drugs, locate pharmacies within the State Health Plan network, or learn about the Plan's preferred prescription drugs:​​

CVS/caremark
P.O. Box 52136
Phoenix, Arizona 85072

Phone: 888-321-3124

Prescription Drugs Prior Authorization​

To initiate a prior authorization request of your prescription drugs:

CVS/caremark Prior Authorization

 Phone: 800-294-5979

State Health Plan Member Inquiries

Your comments and concerns are important to us. To share comments, concerns or general feedback on specific medical or pharmacy issues, use this e-mail:​​
(Please note: it is not recommended that you include your Social Security, member ID or other identifying personal numbers.)

 ppo.inquiries@nctreasurer.com 

State Health Plan Member Inquiries

Do you have questions about what is happening at the State Health Plan? E-mail us at:​​

 ppo.inquiries@nctreasurer.com 

Media Inquiries​

For media questions, call:

 ​Department of State Treasurer

Media Line: 919-814-3820
press@nctreasurer.com

Report Fraud and Abuse Section

To find out how to report suspected fraud and abuse to the State Health Plan:​​

 Fraud Section

Phone: 800-324-4963 

Patient Protection Act

​For information on requesting an External Review of claims decisions (after all internal grievance procedures have been exhausted):

 ​North Carolina Department of Insurance
 
Phone: 800-546-5664

NC HealthSmart

Learn how to better manage your health and much more:​

 ​Phone: 800-817-7044​

Kidney Disease Program​

For assistance with the Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) Case Management Program:

 ​​800-817-7044

Retirement System​

 NC Department of State Treasurer
NC Retirement Systems

Phone: 877-NCSECURE (877-627-3287)

Seniors Health Insurance Information Program (SHIIP)​

For Medicare Beneficiaries: SHIIP, a division of the N.C. Department of Insurance, offers free, objective information about Medicare, Medicare Advantage plans, Medicare claims, Medicare supplement insurance, Medicare Prescription Drug Plans, fraud and abuse prevention as well as long-term care insurance:

 ​Seniors Health Insurance Information Program

Phone: 855-408-1212 or 919-807-6900​ 

Social Security Administration

For specific questions about Medicare premiums and claims, call or write to:​​

 Centers for Medicare & Medicaid Services
7500 Security Blvd.
Baltimore, MD 21244-1850

Phone: 800-772-1213     
Phone: 800-MEDICARE 

Employment​

Careers at the State Health Plan

 Job Opportunities​ 

Board of Trustees​

State Health Plan Board of Trustees

 ​SHPBoard@nctreasurer.com​​ 

State Health Plan Office

State Health Plan​​

 3200 Atlantic Avenue
Longleaf Building
Raleigh, NC 27604

919-814-4400