AmeriHealth Caritas North Carolina will pay for your care for covered services when you meet required terms and conditions and go to one of our health care providers. We call these providers our "network" providers. Network providers are providers that we have contracted with to provide health care services. You can find a network provider in our online provider directory.
A provider who is not one of ours is called "out-of-network." If you go to one of these providers, you may have to pay for the care you get.
You can choose where to get care for some services. Learn more about covered services on our Benefit Types and Services page.
When you are sick
- Using your primary care provider (PCP)
Your PCP is your regular health care provider. Visit your PCP for checkups, exams and more.
- Emergencies and urgent care
Urgent care is for conditions that are serious, but are not emergencies. If you have a health emergency, call 911 now.
- How to stay healthy after your hospital stay
Some people end up back in the hospital soon after their stay. Here are some tips on how you can stay healthy and out of the hospital.
- Your Care Manager
Our Care Managers can help you to manage your physical or behavioral health care needs.
- Special health programs
AmeriHealth Caritas North Carolina (ACNC) has care management programs for members with special health care needs, behavioral health conditions, and certain chronic conditions.
- Seeing a specialist
Your PCP may send you to a specialist for some of your care.
We may need to approve some services before you visit a provider.
If you have questions about your benefits or AmeriHealth Caritas North Carolina, call AmeriHealth Caritas North Carolina Member Services at 1-855-375-8811 (TTY 1-866-209-6421), 24 hours a day, seven days a week.