CAROLINA STATELINE COUNSELING LLC
Accepted Insurance for NPI 1093694085
Social Worker - Clinical in Rock Hill, SC
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
CAROLINA STATELINE COUNSELING LLC, a social worker provider in Rock Hill, SC, is listed as in-network for 65 health insurance plans from 2 insurance companies, led by BlueCross BlueShield of South Carolina and Blue Cross and Blue Shield of NC. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross and Blue Shield of NC
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
Blue Advantage Bronze Standard | Nationwide Doctors
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Blue Advantage Gold Standard A | Nationwide Doctors
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Silver Standard | Nationwide Doctors
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
Blue Care Bronze Standard | Statewide Doctors
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
Blue Care Gold Standard A | Statewide Doctors
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Silver Standard | Statewide Doctors
Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors
Blue Value Bronze HSA Eligible | Integrated | Limited Statewide Doctors
Blue Value Bronze Standard | Limited Statewide Doctors
Blue Value Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors
Blue Value Gold Standard A | Limited Statewide Doctors
Blue Value Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Silver Standard | Limited Statewide Doctors
BlueCross BlueShield of South Carolina
Blue Direction Bronze 1
Blue Direction Silver 1 + Adult Vision
Blue Direction Silver 1
Blue Direction Silver 2
Blue Direction Standard Expanded Bronze
Blue Direction Standard Gold
Blue Direction Standard Silver
Blue VirtuConnect Bronze 1
Blue VirtuConnect Gold 1
Blue VirtuConnect Silver 1
BlueEssentials Bronze 4
BlueEssentials Bronze 6
BlueEssentials Gold 1
BlueEssentials Gold 5
BlueEssentials Silver 14 + Adult Vision
BlueEssentials Silver 14
BlueEssentials Silver 40
BlueEssentials Standard Expanded Bronze
BlueEssentials Standard Gold
BlueEssentials Standard Silver
BlueExtend PPO HD Bronze 1
BlueExtend PPO HD Bronze 2
BlueExtend PPO HD Gold 1
BlueExtend PPO HD Gold 2
BlueExtend PPO HD Silver 1
BlueExtend PPO HD Silver 2
BlueExtend PPO Standard Expanded Bronze
BlueExtend PPO Standard Gold
BlueExtend PPO Standard Silver
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does CAROLINA STATELINE COUNSELING LLC accept?
Marketplace files for the 2026 plan year list CAROLINA STATELINE COUNSELING LLC as in-network for 65 plans from 2 insurance companies. The largest networks are BlueCross BlueShield of South Carolina (29 plans), Blue Cross and Blue Shield of NC (27 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is CAROLINA STATELINE COUNSELING LLC enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does CAROLINA STATELINE COUNSELING LLC participate in?
The accepted plans include 18 PPO plans, 16 POS plans, 13 EPO plans and 9 HMO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
