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 |
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 |
State Health Plan c/o BCBSNC Appeals Department |
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 |
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 |
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 |
CVS Caremark |
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 |
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 |
State Health Plan c/o BCBSNC |
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 |
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 |
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 |
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 |
State Health Plan c/o BCBSNC PO Box 30085 |
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. |
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 |
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 |
3200 Atlantic Avenue |
Media |
BEACON (BEST Shared Services) |
For questions on how to navigate BEACON or other BEACON system assistance. |
919-707-0707 866-622-3784 M-F 8AM to 5PM |
3512 Bush St. |
Active Members |