NC State Health Plan Network
NC State Health Plan Network Information for Providers
See below for the latest information regarding the Clear Pricing Project and the NC State Health Plan Network.
The State Health Plan (Plan) would like to extend its sincere gratitude to the organizations that continue to support the Clear Pricing Project (CPP) by being a part of the NC State Health Plan Network. The main goal of the Clear Pricing Project is to provide a fair and transparent network for our members while preserving and protecting the Plan’s financial sustainability.
The Plan is excited to offer its members copay waivers and reductions for those that visit CPP Providers in 2021. See the chart below for more details.
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CLEAR PRICING PROJECT PROVIDER COPAY COMPARISON CHART |
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Provider |
80/20 Plan |
70/30 Plan |
|
Primary Care Provider (PCP) |
$0 for Clear Pricing Project (CPP) PCP on ID card; $10 for non-CPP PCP on ID card; $25 for any other PCP |
$0 for Clear Pricing Project (CPP) PCP on ID card; $30 for non-CPP PCP on ID card; $45 for any other PCP |
|
Specialist |
$40 for CPP Specialist; $80 for other Specialists |
$47 for CPP Specialist; $94 for other Specialists |
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Speech, Occupational, Chiropractor and Physical Therapy |
$26 for CPP Providers; $52 for other Providers |
$36 for CPP Providers; $72 for other Providers |
For questions regarding your contract, please call Blue Cross NC Provider Relations at 800-777-1643. All other questions can be sent via email to SHPProviderNetwork@nctreasurer.com.