Insurance Information

Patients are now required to provide their insurance information prior to scheduling an appointment. Please have the following details ready when scheduling:

• Insurance carrier (Ex. Aetna, Medicare, BCBS)
• Subscriber’s name and date of birth (if different from the patient)
• Subscriber ID
• Group number (if applicable)

For patients under 18, demographic information (name and date of birth) will also be required for the patient’s parent/guardian.

Charlotte Eye Ear Nose & Throat Associates, P.A., is contracted with the following insurances:

• Ambetter
• Aetna
• Aetna Medicare Advantage
• Blue Cross Blue Shield NC and SC
• Blue Cross Medicare Advantage
• Cigna
• Cigna Medicare Advantage
• Community Eye Care
• Humana
• Humana Medicare Advantage
• Medcost
• Medicare
• Medicaid Managed Care plans - NC
  
  • Carolina Access
  • WellCare Medicaid
  • Healthy Blue
  • Carolina Complete Health
  • AmeriHealth
  • UnitedHealthcare

NOTE: As of July 1, 2024 CEENTA is not contracted with any of the four Medicaid “Tailored Plans” listed directly below. Please reach out to your specific Tailored Plan for information about network providers. For more information please visit https://medicaid.ncdhhs.gov/tailored-plans

• Vaya
• Partners
• Trillium
• Alliance Health

• Medicaid Managed Care Plans - SC
  • Blue Choice
  • Molina
  • WellCare SC
  • Select Health
  • Traditional Medicaid
• PHCS
• Tricare
• UnitedHealthcare
• Wellcare Medicare

Please review your health plan provider directory and/or consult with your health plan to confirm coverage prior to scheduling your appointment. Participation may vary by product and is subject to change. Access to Charlotte Eye Ear Nose & Throat Associates, P.A. may require an authorization or referral by your primary care physician or your managed care plan.

If Charlotte Eye Ear Nose & Throat Associates, P.A. is not in your insurance company's network and your policy has the option of out-of-network benefits, your services can be processed against these benefits. This means that you may have a higher out-of-pocket responsibility than if you receive services from an in-network provider. Your insurance company's customer service representative can help verify your benefits, out-of-pocket costs, and coverage.

For Patients Who Have the Option to Self-Pay
Under the No Surprises Act, you are entitled to an estimate of your medical bill by your provider if you are currently not insured or are opting not to use insurance. This includes:
• A Good Faith Estimate for the total expected cost of any non-emergency items or services (ex. medical tests, prescription drugs, equipment, and hospital fees)
• An opportunity to receive your Good Faith Estimate in writing at least 1 business day before your medical service or item.
• The ability to dispute your post-care bill if the cost is at least $400 more than your Good Faith Estimate
For questions or more information about your right to a Good Faith Estimate, please visit www.cms.gov/nosurprises or call 1-877-696-6775.