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 recently announced the reopening of the NC State Health Plan Network for new medical providers to join. The sign-up period has now ended. Providers who joined during the sign-up period will be included in the network effective January 1, 2021.

The Plan’s Board of Trustees approved 2021 benefit changes that highlight CPP providers as those who support transparency and affordable health care, while offering members major discounts when visiting a CPP provider. These discounts are likely to encourage members to visit CPP providers with increasing frequency.

CLEAR PRICING PROJECT PROVIDER COPAY COMPARISON CHART

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

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.