Welcome North Carolina Providers!
Participating Plans
- Ambetter of North Carolina Inc. (Health Insurance Marketplace)
- Carolina Complete Health (Medicaid)
- Partners Tailored Plan (Medicaid)
- Trillium Tailored Plan (Medicaid)
- WellCare of North Carolina (Marketplace)
- WellCare of North Carolina (Medicaid)
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.
Partners Tailored Plan (Medicaid)
Partners Tailored Plan covers services for mental health, substance use disorders, intellectual & developmental disabilities, physical health and pharmacy.
Provider Services for Medicaid
Members: call the number on the back of your ID card or go to the plan site.
Trillium Tailored Plan (Medicaid)
Trillium Tailored Plan is an integrated health plan designed for individuals with significant behavioral health needs and intellectual/developmental disabilities (I/DDs).
Provider Services for Medicaid
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.
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
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.