Contact Us
View contact information for various State Health Plan vendors to address specific questions or concerns.
State Health Plan Resource | Description | Customer Service | Mailing Address | Audience |
|---|---|---|---|---|
Eligibility & Enrollment Support Center | For questions regarding enrollment, eligibility or for assistance regarding the enrollment system. | 855-859-0966 | 3200 Atlantic Avenue | All Members |
Third-Party Administrator | For questions regarding benefits or any claim inquiries. | 888-234-2416 | State Health Plan c/o BCBSNC | 70/30 & 80/20 Members |
Appeals & Grievances (Blue Cross & Blue Shield of NC) | To appeal a claim decision or to file a grievance. | 888-234-2416 | State Health Plan c/o BCBSNC Appeals Department | 70/30 & 80/20 Members |
Smart NC is a program provided by the NC Department of Insurance. | For information on requesting an external review of claims decisions (after all internal grievance procedures have been exhausted). | 855-408-1212 | 325 N. Salisbury St. | All Members |
CVS Caremark | To file a claim for prescription drugs, locate pharmacies within the network, or learn more about your Pharmacy Benefits. | 888-321-3124 | CVS Caremark | 70/30, 80/20 & HDHP Members |
Prescription Drugs Prior Authorization | To initiate a prior authorization request of your prescription drugs. | 800-294-5979 | CVS Caremark | 70/30, 80/20 & HDHP Members |
Behavioral Health and Chemical Dependency/Substance Use Services | For questions regarding precertification for behavioral health services and chemical dependency. | 800-367-6143 | State Health Plan c/o Beacon Health Options PO Box 12438 RTP, NC 27709 | 70/30, 80/20 & HDHP Members |
Kidney Disease Program | For assistance with the Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) Case Management Program. | 800-817-7044 | 3200 Atlantic Avenue | Active Members |
Hospital Pre-admission Certification/Prior Approval (Blue Cross & Blue Shield of NC) | To request prior authorization (certification) for certain out-of-network or out-of-state services. | 800-672-7897 | State Health Plan c/o BCBSNC | 70/30 & 80/20 Members |
Humana (Medicare Advantage Carrier) | For questions regarding Humana Medicare Advantage Plans. | 888-700-2263 | P.O. Box 14162 Lexington, KY 46512-4162 | Humana Medicare Advantage Members |
NC Retirement Systems | For questions regarding retirement, pension information and supplemental retirement plans. | 877-NCSECURE (877-627-3287) | 3200 Atlantic Avenue | All Members |
Seniors Health Insurance Information Program (SHIIP). | For information about Medicare, Medicare Advantage plans, Medicare claims, Medicare supplement insurance, Medicare Prescription Drug Plans, fraud and abuse prevention as well as long-term care insurance. | 855-408-1212 or 919-807-6900 | 325 N. Salisbury St. | Retirees |
Social Security Administration | For specific questions about Medicare premiums and claims. | 800-772-1213 | 7500 Security Blvd. | Retirees |
iTEDIUM | For questions regarding your bill for premiums. | 877-679-6272 | State Health Plan c/o iTedium | Retirees/Surviving Spouses/COBRA Participants |
The Rawlings Company (Third Party Liability Recovery Services) | For questions regarding subrogation | 877-229-0872 | PO Box 2000 La Grange, Kentucky 40031-2000 | 70/30, 80/20 & HDHP members |
Report Fraud and Abuse | To report suspected fraud and abuse. | 800-324-4963 | State Health Plan c/o BCBSNC PO Box 30085 | 70/30 & 80/20 Members |
State Health Plan Board of Trustees | To share concerns or feedback to the Board of Trustees. | 3200 Atlantic Avenue | All Members | |
State Health Plan Member Inquiries | To share comments, concerns or general feedback on specific medical or pharmacy issues. | 919-814-4400 | 3200 Atlantic Avenue | All Members |
Media Inquiries | For public records or other media inquiries. | 919-814-3820 | 3200 Atlantic Avenue | Media |
BEACON (BEST Shared Services) | For questions on how to navigate BEACON or other BEACON system assistance. | 919-707-0707 | 3512 Bush St. | Active Members |