KARL FREDERICK WELKE MD
Accepted Insurance for NPI 1285649780
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charlotte, NC

NPI Status: Active since July 31, 2006

Contact Information

1001 BLYTHE BLVD
STE 500
CHARLOTTE, NC
ZIP 28203
Phone: (704) 373-1813

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with KARL FREDERICK WELKE MD, a practicing thoracic surgery (cardiothoracic vascular surgery) professional in Charlotte, NC. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 123 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, and InStil Health. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Fitler by Network Type

Blue Cross and Blue Shield of NC

Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060004
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060031
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060059
Blue Advantage Bronze Standard | Nationwide Doctors
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060052
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060018
Blue Advantage Gold Standard A | Nationwide Doctors
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060050
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060028
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060002
Blue Advantage Silver Standard | Nationwide Doctors
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060051
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430009
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430008
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430010
Blue Care Bronze Standard | Statewide Doctors
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430003
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430004
Blue Care Gold Standard A | Statewide Doctors
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430001
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430007
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430005
Blue Care Silver Standard | Statewide Doctors
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430002
Blue Local Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Atrium Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC041001111512NC041004611512NC041004711512NC041004811512NC0410055
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC041000911512NC0410045
Blue Local Bronze HSA Eligible | Integrated | with Atrium Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC041006111512NC0410064
Blue Local Bronze Standard | with Atrium Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC041001211512NC041004911512NC041005011512NC041005111512NC0410056
Blue Local Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC041000111512NC041001611512NC041001711512NC041001811512NC0410022
Blue Local Gold Standard A | with Atrium Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC041000211512NC041001911512NC041002011512NC041002111512NC0410023
Blue Local Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC041000811512NC0410039
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC041000511512NC041002411512NC041002811512NC041002911512NC0410030
Blue Local Silver Standard | with Atrium Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC041001011512NC041002711512NC041004011512NC041004111512NC0410042

BlueCross BlueShield of South Carolina

Blue Direction Bronze 1
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0760006
Blue Direction Silver 1
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0760001
Blue Direction Silver 1 + Adult Vision
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0760002
Blue Direction Silver 2
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0760003
Blue Direction Standard Expanded Bronze
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0760007
Blue Direction Standard Gold
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0760004
Blue Direction Standard Silver
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0760005
Blue VirtuConnect Bronze 1
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0670003
Blue VirtuConnect Gold 1
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0670001
Blue VirtuConnect Silver 1
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0670002
BlueEssentials Bronze 4
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0380013
BlueEssentials Bronze 6
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0380047
BlueEssentials Gold 1
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0380001
BlueEssentials Gold 5
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0380048
BlueEssentials Silver 14
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0380023
BlueEssentials Silver 14 + Adult Vision
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0380051
BlueEssentials Silver 40
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0380052
BlueEssentials Standard Expanded Bronze
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0690003
BlueEssentials Standard Gold
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0690001
BlueEssentials Standard Silver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0690002
BlueExtend PPO HD Bronze 1
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0750005
BlueExtend PPO HD Bronze 2
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0750006
BlueExtend PPO HD Gold 1
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0750001
BlueExtend PPO HD Gold 2
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0750002
BlueExtend PPO HD Silver 1
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0750003
BlueExtend PPO HD Silver 2
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0750004
BlueExtend PPO Standard Expanded Bronze
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0750009
BlueExtend PPO Standard Gold
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0750007
BlueExtend PPO Standard Silver
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

26065SC0750008

InStil Health

InHealth Basic 1
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33863SC0010001
InHealth Basic 1 + Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33863SC0010002
InHealth Basic 2
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33863SC0010003
InHealth Basic Plus Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33863SC0010004
InHealth Basic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33863SC0010005

Oscar Health Plan of North Carolina, Inc

Bronze Classic 4700
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010024
Bronze Classic 4700 | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010061
Bronze Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010050
Bronze Classic Standard | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010055
Bronze Elite + PCP Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010005
Bronze Elite + PCP Saver Plus | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010062
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010058
Bronze Simple Chronic Care CKM | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010059
Bronze Simple Diabetes | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010067
Gold Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010053
Gold Classic Standard | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010057
Silver Classic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010006
Silver Classic | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010063
Silver Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010052
Silver Classic Standard | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010056
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010070
Silver Simple Chronic Care CKM | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010071
Silver Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010045
Silver Simple Diabetes | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010064
Silver Simple PCP Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010025
Silver Simple PCP Saver | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010065
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010072

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030033
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030026
UHC Bronze Standard (No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030030
UHC Bronze Standard+ Dental + Vision (No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0060005
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030040
UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0060007
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030035
UHC Gold Standard (No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030022
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030039
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0060006
UHC Silver Standard (No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030027
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030020
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0060004
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare. You can filter specific policies or search for unique plans using the open dashboard controls located above.
No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.
KARL FREDERICK WELKE MD is enrolled across the following managed care network types: EPO, HMO, POS, PPO.
  • HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
  • PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
  • EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.
  • POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.