Skip to main content

North Carolina

Find North Carolina state highlights, local network coverage, expanded footprint details and more.

 

Coverage counties

Alamance, Anson, Avery, Beaufort, Bertie, Bladen, Buncombe, Burke, Cabarrus, Camden, Carteret, Caswell, Chatham, Cherokee, Chowan, Clay, Cleveland, Craven, Cumberland, Currituck, Dare, Davidson, Davie, Durham, Edgecombe, Franklin, Forsyth, Gaston, Gates, Graham, Granville, Greene, Guilford, Halifax, Harnett, Haywood, Henderson, Hertford, Hoke, Jackson, Johnston, Lee, Lincoln, Macon, Madison, McDowell, Mecklenburg, Mitchell, Nash, Orange, Pasquotank, Perquimans, Person, Pitt, Polk, Randolph, Rockingham, Rutherford, Stanly, Stokes, Swain, Transylvania, Union, Vance, Wake, Wayne, Wilkes, Wilson, Yadkin, Yancey

 

State highlights

 

  • PCP and referrals not required. Plan providers must be used to receive benefits. Coverage outside the network is for emergencies only. Coverage is available at all MinuteClinic® locations* nationally.
  • Outpatient mental health/substance abuse will follow PCP (not specialist) cost share. All plans include acupuncture; this benefit follows PCP cost-share and allows up to 10 visits per calendar year.
  • CVS Health Virtual Care — bundled with CVS Virtual Primary Care — provides access to general medical acute and mental health counseling services via the CVS virtual healthcare platform; CVS Virtual Primary Care is designed for members who may not have a PCP and prefer virtual access; 24/7 $0 virtual care** through CVS Virtual Care.
  • Plans include mental health at in-network providers.

 

Network highlights

  • The retail pharmacy network is the Aetna® Managed Network. It consists of over 52,000 pharmacies nationwide, including CVS Pharmacy®, Walmart, Sam’s Club, Harris Teeter and Costco. Find all participating pharmacies in your area.
  • Four prescription tiers for all Aetna CVS Health ACA plans: 1) Preferred generic, 2) Preferred brand, 3) Non-Preferred Generic*** and Brand 4) Preferred and non-preferred specialty.
  • All plans include a drug list and Preferred Pharmacy Network.

Network providers in our service areas below include, but are not limited to:
 

Asheville
 

  • Mission Health Partners
  • Pardee Hospital

 

Charlotte
 

  • Atrium Health
  • CaroMont Health
  • Tryon Medical Partners

 

Eastern NC
 

  • Vidant Health and Physicians East

 

Fayetteville
 

  • Cape Fear Valley Medical Center

 

Triad
 

  • Wake Forest Baptist Health
  • Cone Health

 

Triangle
 

  • Duke Health
  • WakeMed Health

Publication

Language

Lower your premiums brochure

North Carolina market summary

ACA individual & family plan brochure

Publication

Lower your premiums brochure

Language

Publication

North Carolina market summary

Language

Publication

ACA individual & family plan brochure

Language

 

Check out our plans – there may be one for your clients!

 

Open Enrollment has ended. But your clients can still get coverage if they've had a big life change that qualifies them for a Special Enrollment Period. Simply search your client's ZIP code to see if our plans are in their area.

 

Great news — we’ve got plans in your area

 

If you’re a current Aetna® broker, visit Producer World® to access our quote and enroll tool.

 

Not a current broker? Join our team.

Get appointed with us

 

We’re not in your area … yet

We’ve got plans to bring our ACA individual & family plans to more areas. For now, let’s make sure your clients are covered.

 

If your client had a big life change, they can still get coverage. Visit the Health Insurance Marketplace® to shop for plans and see if they qualify for financial help.

 

Find a plan on HealthCare.gov

 
 

Great news — we’ve got plans in your area through our relationship with [JV_Partner]

 

If you’re a current Aetna® broker, visit Producer World® to access our quote and enroll tool.

Log in to Producer World

 

Not a current broker? Join our team.

Get appointed with us

 

For all Nevada counties:


If your clients qualify for a Special Enrollment Period, they can start their shopping experience for Aetna CVS Health plans by visiting the Nevada Health Link.

 

For all California counties:


If your clients qualify for a Special Enrollment Period, they can start their shopping experience for Aetna CVS Health plans by visiting Covered California.

 

For all New Jersey counties:


If your clients qualify for a Special Enrollment Period, they can start their shopping experience for Aetna CVS Health plans by visiting Get Covered New Jersey.

 

We’re here to help

 

Call your broker support line

 

Our dedicated representatives are here to answer all your questions.

 

1-844-383-6130 (TTY: 711)

Call us Monday — Friday, 8 AM to 9 PM ET.

 

*For a complete list of participating walk-in clinics, use our provider lookup. Not all MinuteClinic services are covered. Please consult benefit documents to confirm which services are included. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventative MinuteClinic services at no cost-share. However, such services are covered at negotiated contract rates. This benefit is not available in all states. Access to MinuteClinic and other participating walk-in clinics may vary by geography.

**Applicable cost-share may vary based on services and providers. Please consult benefit documents for more details. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventative MinuteClinic services at no cost-share. However, such services are covered at negotiated contract rates.

***Check your plan documents for coverage information. Some plans may cover all generics, including nonpreferred generics, at the lowest cost tier.

Legal notices

Health plans are offered or underwritten or administered by Aetna Health of California Inc., Coventry Health Plan of Florida, Inc., Aetna Health Inc. (Florida), Aetna Health Inc. (Georgia), Aetna Life Insurance Company, Aetna Health of Utah Inc., Aetna Health Inc. (Pennsylvania), or Aetna Health Inc. (Texas) (Aetna). Aetna and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies.

Health benefits and health insurance plans contain exclusions and limitations.