Health Insurance Plans 2027
Note: CaroMont Regional Medical Center will care for all emergency patients regardless of their insurance policy or ability to pay.
The following list represents commercial health insurance, Medicaid and Medicare options for CaroMont Regional Medical Center, CaroMont Endoscopy Center and CaroMont Medical Group. This information is subject to change at any time. Prior to obtaining services, or as soon as possible thereafter, please contact your insurance company to verify your insurance coverage and confirm the availability of benefits. At the time you receive services, you should also confirm that the hospital, your physician and any other health providers who might send you a bill accept your insurance and participate in your plan. To inquire about an option, contact your employer or broker, or call 704.834.2931.
- Absolute Total Care SC Medicaid
- Aetna
- Aetna Medicare
- Alliance Health NC Medicaid
- AmeriHealth Caritas NC Medicaid
- Blue Medicare
- BlueCross BlueShield of North Carolina
- Carolina Caring Employee Benefits Program
- Carolina Complete Health NC Medicaid
- Cigna Healthcare
- Corporate Benefits Services CAR plan
- Devoted Health Medicare
- Health Team Advantage
- Healthy Blue NC Medicaid & Healthy Blue Care Together
- Humana Military TRICARE East Region
- CaroMont Regional Medical Center is an authorized non-network provider
- CaroMont Medical Group is a network participating provider
- Humana Medicare
- MedCost
- Medicaid NC
- Medicaid SC
- Medicare Traditional
- Molina SC Medicaid
- Molina Medicare Advantage and Medicare-Medicaid Program (MMP)
- Oscar
- Senior TLC PACE
- TRICARE (see Humana Military TRICARE East Region)
- Trillium Health Resources NC Medicaid
- UnitedHealthcare
- UnitedHealthcare Medicare: Hospital services are covered as in network for HMO members. PPO members use out-of-network benefits.
- UnitedHealthcare Community Care NC Medicaid
- Vaya Partners NC Medicaid
- Veterans Affairs Community Care Network (VACCN)
- Eligible veterans must contact VACCN to obtain authorization for all care under this plan
Medicare
For people 65 and older and eligible disabled individuals, CaroMont Regional Medical Center, CaroMont Endoscopy Center, Courtland Terrace and CaroMont Medical Group accept Medicare, Medicare Private Fee for Service and Medicare supplemental insurance policies in addition to the plans listed below. To inquire about an option, please call 704.834.2931.
- Aetna Medicare
- Blue Medicare
- Devoted Health
- Health Team Advantage
- Humana Medicare Advantage
- Molina Medicare Advantage and Medicare-Medicaid Program
- Senior TLC PACE
- UnitedHealthcare Medicare Advantage: Hospital services are covered as in network for HMO members. PPO members use out-of-network benefits.
CaroMont Health facilities participate per the terms and conditions of Private Fee for Service Medicare plans. However, please confirm your individual physician’s participation status when scheduling and registering.
Medicaid
CaroMont Health facilities accept North and South Carolina Medicaid.
The following list represents Medicaid health plan options. This information is subject to change at any time. Prior to obtaining services, or as soon as possible thereafter, please contact your insurance company to verify your insurance coverage and confirm the availability of benefits. At the time you receive services, you should also confirm that the hospital, your physician and any other health providers who might send you a bill accept your insurance and participate in your plan. To inquire about an option, contact the NC Department of Health and Human Services at 1.833.870.5500, the SC Department of Health and Human Services at 803.898.2500 or CaroMont Health at 704.834.2931.
North Carolina:
- Alliance Health
- AmeriHealth Caritas NC
- Carolina Complete Health
- Healthy Blue of NC & Healthy Blue Care Together
- Trillium Health Resources
- UnitedHealthcare Community Plan
- Vaya Partners
South Carolina:
- Absolute Total Care
- Molina Healthcare
CaroMont Medical Group's NC Primary Care, NC Urgent Care, Maternity Clinic and Maternal Fetal Medicine practices are out of network for Absolute Total Care and Molina.
Individual and Family Health Insurance Marketplace - NC
If you don’t have health insurance coverage through your job, Medicare, Medicaid or other sources, getting health insurance through the Marketplace is important to make sure you and your family have access to great health care. To stay in network with CaroMont Health and save money, choose one of these plans:
- Blue Advantage from BlueCross BlueShield of NC
- Blue Care HMO from BlueCross BlueShield of NC
- Blue Value from BlueCross BlueShield of NC
- Oscar
The following plans do not include CaroMont Health, so hospital services in Gaston County and CaroMont Medical Group physician services are not in network:
- Ambetter Care Plans from Ambetter of North Carolina
- Blue Home from BlueCross BlueShield of NC
- Blue Local from BlueCross BlueShield of NC
If you have any questions or would like assistance signing up for insurance, please contact CaroMont Health at 704.834.2931.
Billing
The business office is located on the lower level of the Birthplace. Financial representatives can help with any questions about your bill. Call them at 704.834.2931.