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Welcome, member! Pay your premium to keep the 2024 coverage you deserve. Pay Now
Main Menu
-
Our Health Plans
show Our Health Plans menu
-
- About Our Plans
- Our Benefits
- My Health Pays Rewards®
- Coverage Area Map
- Ways to Save
- What is Ambetter Health?
- Shop and Compare Plans
- Find a Doctor
Use your ZIP Code to find your personal plan.
- See coverage in your area
- Find doctors and hospitals
- View pharmacy program benefits
- View essential health benefits
Find and enroll in a plan that's right for you.
-
-
Join Ambetter Health
show Join Ambetter Health menu
-
- Four easy steps is all it takes
- What you need to enroll
- Special Enrollment Information
-
-
For Members
show For Members menu
-
- Pay Now
- Find a Doctor
- Drug Coverage
- Forms and Materials
- Ways to Pay
- New Members
- Renew Your Plan
- Better Health Center
- The Better Bulletin
- Member News
- Health Savings Account
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Clinical Policy Updates
Ambetter of North Carolina Inc. continuously updates select clinical policies each month. This page reflects upcoming clinical policy changes. Please refer to this page for recent policy updates and reach out to your Provider Relations representative if you have any questions.
- Wheelchair Seating CP.MP.99 (PDF)
- Infectious Disease: Respiratory Lab Testing - HIM.NC.CG.MP.01 (PDF)
- CP.MP.22- Stereotactic Body Radiation Therapy (PDF)
- CP.MP.62 Hyperhidrosis Treatments (PDF)
- CP.MP.82 NICU Apnea Bradycardia Guidelines (PDF)
- CP.MP.173 Implantable Intrathecal or Epidural Pain Pump (PDF)
- CP.MP.190 Outpatient Oxygen Use (PDF)
- CP.MP.243 Implantable Loop Recorder (PDF)
- CP.MP.248 Facility-based Sleep Studies for Obstructive Sleep Apnea (PDF)
- CP.BH.104 Applied Behavioral Analysis (PDF)
- CP.MP.144 Mechanical Stretching Devices for Joint Stiffness (PDF)
- CP.MP.186 Burn Surgery (PDF)
- CP.MP.247 Transplant Service Documentation Requirements (PDF)
- CP.MP.91 OB Home Programs (PDF)
- CP.MP.40 Gastric Electrical Stimulation (PDF)
- CP.MP.132 Heart-Lung Transplant (PDF)
- CP.MP.141 Non-Myeloablative Allogeneic Stem Cell Transplants (PDF)