For questions regarding
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Contact |
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 |
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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
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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) |
North Carolina State Health Plan – Direct Bill P.O. Box 505200 St. Louis, MO 63150
877-679-6272 |
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: |
Medical Benefits: MedCost Customer Service at 866-740-3881 Pharmacy Benefits: CVS Caremark Customer Service at 888-321-3124 Enrollment and Billing Support Center at 855-442-6272 |