EYECARECENTER OD PA
Accepted Insurance for NPI 1346781721
Optometrist in Kernersville, NC

Q: What managed care network types are accepted by this provider?

EYECARECENTER OD PA is enrolled across the following managed care network types: EPO, HMO, 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.

Active since March 17, 2017

1575 NC HIGHWAY 66 S, KERNERSVILLE, NC 27284(336) 993-8514(336) 336-9936 Get Directions

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2019, Jun 5, 2019, May 22, 2019 and 2 more (5 updates tracked since 2017).

Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with EYECARECENTER OD PA, a practicing optometrist professional in Kernersville, NC. Compiled from official Health Insurance Marketplace public data and sources from participating insurance companies for the current plan year, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 161 individual coverage options managed by medical networks, including networks like Ambetter from Absolute Total Care, Ambetter of North Carolina, and Ambetter of Tennessee. 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.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.

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Ambetter from Absolute Total Care

Elite Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79222SC0010022

Elite Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79222SC0020022

Everyday Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79222SC0010011

Everyday Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79222SC0020011

Focused Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79222SC0010025

Standard Expanded Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79222SC0010031

Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79222SC0010033

Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79222SC0010032

Standard Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79222SC0020032

Ambetter of North Carolina

Clear Silver with $0 Insulin Options

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010037

Complete Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010007

Complete Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020007

Complete Gold with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010056

Complete Gold with Atrium Health + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020053

Elite Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010036

Elite Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020036

Elite Bronze with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010050

Elite Bronze with Atrium Health + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020047

Enhanced Asthma/COPD Care Silver with $0 Drug Options

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010009

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020004

Everyday Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010028

Everyday Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020028

Everyday Bronze with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010049

Everyday Bronze with Atrium Health + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020046

Focused Silver with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010054

Focused Silver with Atrium Health + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020051

Standard Expanded Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010044

Standard Expanded Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020055

Standard Expanded Bronze with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010059

Standard Expanded Bronze with Atrium Health + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020058

Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010046

Standard Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020057

Standard Gold with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010061

Standard Gold with Atrium Health + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020060

Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010045

Standard Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020056

Standard Silver with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0010060

Standard Silver with Atrium Health + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77264NC0020059

Ambetter of Tennessee

Elite Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110026

Elite Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120026

Elite Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110031

Elite Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120034

Enhanced Diabetes Care Silver with $0 Drug Options

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110018

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120001

Everyday Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110023

Everyday Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120023

Everyday Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110030

Everyday Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120030

Standard Expanded Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110033

Standard Expanded Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120035

Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110035

Standard Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120037

Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110034

Standard Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120036

Blue Cross Blue Shield of Wyoming

BlueSelect Bronze Basic

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0070026

BlueSelect Bronze Core

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0070004

BlueSelect Expanded Bronze Standard without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0170020

BlueSelect Gold Core

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0070025

BlueSelect Gold HealthPlus

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0070013

BlueSelect Gold Standard without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0170017

BlueSelect Silver Classic

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0070014

BlueSelect Silver Classic without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0170016

BlueSelect Silver HealthPlus

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0070016

BlueSelect Silver HealthPlus without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0170021

BlueSelect Silver Standard without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ALLOWED Tier

Accepted Plan ID Variations

11269WY0170018

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340017

Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340015

Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340010

Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340024

Blue Max Copay (PCP) 60/40 $6000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340023

Blue Max Copay (PCP) 75/55 $2000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340022

Blue Saver 60/40 $6100

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350004

Blue Saver 90/70 $3400

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350003

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 Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC040002111512NC0400022

Blue Home Bronze Standard | with Novant Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC040002311512NC0400024

Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Novant Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC040000111512NC0400002

Blue Home Gold Standard A | with Novant Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC040000311512NC0400004

Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC040000911512NC0400010

Blue Home Silver Standard | with Novant Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC040001711512NC0400018

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

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

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does EYECARECENTER OD PA accept?

This provider accepts health insurance plans managed by the following insurance companies: Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

EYECARECENTER OD PA is enrolled across the following managed care network types: EPO, HMO, 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.

Where does this insurance data come from and how current is it?

The accepted plan information on this page is compiled from official Health Insurance Marketplace public data and insurance companies sources for the current plan year, and it is refreshed as updated files are published. Because insurance networks change frequently throughout the year, always verify coverage directly with the insurance company or the provider’s office before scheduling care.