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
(if applicable)

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

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
Fax: 919-765-2322
M-F 8AM to 6PM

State Health Plan c/o BCBSNC Appeals Department
PO Box 30055
Durham, NC 27702

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
M-F 8AM to 5PM

325 N. Salisbury St.
Raleigh, NC 27603

All 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

70/30 & 80/20 Members

UnitedHealthcare (State Health Plan Medicare Advantage Carrier)

For questions regarding the UnitedHealthcare Medicare Advantage Plans and benefits.

866-747-1014
UHC Website
M-F 8AM to 8PM

UnitedHealthcare P.O. Box 29675
Hot Springs, AR 71903-9675

UnitedHealthcare Medicare Advantage Members

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

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

Mental Health and Chemical Dependency/Substance Use Services

For questions regarding precertification for mental health services and chemical dependency.

800-367-6143
M-F 8AM to 6PM

State Health Plan c/o Beacon Health Options PO Box 12438
RTP, NC 27709

70/30 & 80/20 Members

High Deductible Health Plan (Blue Cross & Blue Shield of North Carolina & CVS Caremark)

For questions regarding benefits and enrollment for those enrolled in the HDHP.

Medical Benefits:
888-234-2416
M-F 8AM to 6PM

Enrollment and Billing Support Center: 855-859-0966
M-F 8AM to 5PM

State Health Plan c/o BCBSNC
PO Box 30085
Durham, NC 27702

HDHP 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

70/30, 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

70/30, 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

70/30 & 80/20 Members

Kidney Disease Program

For assistance with the Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) Case Management Program.

800-817-7044
M-F 8:30AM to 9 PM
Saturday 9AM to 2PM

3200 Atlantic Avenue
Raleigh, NC 27604

Active Members

NC Retirement Systems

For questions regarding retirement, pension information and supplemental retirement plans.

877-NCSECURE (877-627-3287)
M-F 8AM-5:30 PM

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

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

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

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

Humana (State Health Plan Medicare Advantage Carrier in 2021)

For general questions regarding 2021 Humana Medicare Advantage Plans.

888-700-2263
M-F 8AM to 9PM

Coming soon.

Humana Medicare Advantage Members in 2021
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