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 M-F 8AM to 5PM	3200 Atlantic Avenue Raleigh, NC 27604	All Members
Third-Party Administrator (Blue Cross & Blue Shield of NC)	For questions regarding benefits or any claim inquiries.	888-234-2416 TTY: 800-442-7028 M-F 8AM to 6PM	State Health Plan c/o BCBSNC PO Box 30085 Durham, NC 27702	Base PPO Plan (70/30) & Enhanced PPO Plan (80/20) Members
Appeals & Grievances (Blue Cross & Blue Shield of NC)	To appeal a claim decision or to file a grievance.	888-234-2416 Fax: 919-765-2322 M-F 8AM to 6PM	State Health Plan c/o BCBSNC Appeals Department PO Box 30055 Durham, NC 27702	Base PPO Plan (70/30) & Enhanced PPO Plan (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 M-F 8AM to 5PM	325 N. Salisbury St. Raleigh, NC 27603	All Members
CVS Caremark (Pharmacy Benefit Manager)	To file a claim for prescription drugs, locate pharmacies within the network, or learn more about your Pharmacy Benefits.	888-321-3124 7 days a week, 7AM to 11PM	CVS Caremark P.O. Box 52136 Phoenix, Arizona 85072	Base PPO Plan (70/30), Enhanced PPO Plan (80/20) & HDHP Members
Prescription Drugs Prior Authorization	To initiate a prior authorization request of your prescription drugs.	800-294-5979 7 days a week, 7AM to 11PM	CVS Caremark P.O. Box 52136 Phoenix, Arizona 85072	Base PPO Plan (70/30), Enhanced PPO Plan (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 M-F 8AM to 6PM	Blue Cross Blue Shield NC PO Box 30055 Durham, NC 27702-3055	Base PPO Plan (70/30), Enhanced PPO Plan (80/20) & HDHP 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 M-F 8AM to 6PM	State Health Plan c/o BCBSNC PO Box 30085 Durham, NC 27702	Base PPO Plan (70/30) & Enhanced PPO Plan (80/20) Members
Humana (Medicare Advantage Carrier)	For questions regarding Humana Medicare Advantage Plans.	888-700-2263 M-F 8AM to 9PM	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.	919-814-4590 M-F 8:30AM to 4:30PM	3200 Atlantic Avenue Raleigh, NC 27604	All Members
Seniors Health Insurance Information Program (SHIIP). SHIIP is a division of the N.C. Department of Insurance.	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 M-F 8AM to 5PM	325 N. Salisbury St. Raleigh, NC 27603	Retirees
Social Security Administration	For specific questions about Medicare premiums and claims.	800-772-1213 TTY : 800-325-0778 M-F 7AM to 7PM	7500 Security Blvd. Baltimore, MD 21244	Retirees
iTEDIUM (Direct Bill & COBRA Adminstrator)	For questions regarding your bill for premiums.	877-679-6272 M-F 8AM to 5PM	State Health Plan c/o iTedium P.O. Box 505211 (Direct Bill) P.O. Box 505200 (COBRA) St. Louis, MO 63150	Retirees/Surviving Spouses/COBRA Participants
The Rawlings Company (Third Party Liability Recovery Services)	For questions regarding subrogation	877-229-0872 NCStatemanualreferrals@rawlingscompany.com M-F 8AM-8PM	PO Box 2000 La Grange, Kentucky 40031-2000	Base PPO Plan (70/30), Enhanced PPO Plan (80/20) & HDHP Members
Report Fraud and Abuse	To report suspected fraud and abuse.	800-324-4963 M-F 8AM to 6PM	State Health Plan c/o BCBSNC PO Box 30085 Durham, NC 27702	Base PPO Plan (70/30) & Enhanced PPO Plan (80/20) Members
State Health Plan Board of Trustees	To share concerns or feedback to the Board of Trustees.	SHPBoard@nctreasurer.com	3200 Atlantic Avenue Raleigh, NC 27604	All Members
State Health Plan Member Inquiries	To share comments, concerns or general feedback on specific medical or pharmacy issues.	919-814-4400 ppo.inquiries@nctreasurer.com M-F 8AM to 5PM	3200 Atlantic Avenue Raleigh, NC 27604	All Members
Health Benefit Representative (HBR) Inquiries	For general questions for the Plan from HBRs	hbrinquiries@nctreasurer.com	3200 Atlantic Avenue Raleigh, NC 27604	HBRs
Media Inquiries	For public records or other media inquiries.	919-814-3820 press@nctreasurer.com M-F 8AM to 5PM	3200 Atlantic Avenue Raleigh, NC 27604	Media
BEACON (BEST Shared Services)	For questions on how to navigate BEACON or other BEACON system assistance.	919-707-0707 (Raleigh area) 866-622-3784 (statewide) M-F 8AM to 5PM	3512 Bush St. Raleigh, NC 27609	Active Members