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Insurance and Billing

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As a nonprofit behavioral health provider, access to healthcare for everyone is a priority, regardless of financial status or insurance coverage.

If you don’t have insurance, we have options for you. For those who qualify, we offer a reduced fee based on income and family size. Whatever the situation, do not let cost be a barrier to seeking treatment at SouthLight. Our financial team will work diligently to ensure there are affordable treatment options available to you and those that you love.

Questions about payment options, insurance and/or billing?

Insurance and Billing FAQs

In-Network Insurance Plans:  

Medicaid & PHP (Prepaid Health Plans): 

  • Alliance Health Plan (Medicaid) 
  • AmeriHealth Caritas (PHP) 
  • Carolina Complete Health (PHP) 
  • Healthy Blue (PHP) 
  • Partners Health Management (Medicaid) 
  • United Healthcare Community Plan (PHP) 
  • Trillium Health Resources (Medicaid) 
  • Vaya Health (Medicaid) 

Commercial Plans / Medicare (Coverage may vary by location) 

  • Aetna  
  • Ambetter 
  • AmeriHealth NEXT 
  • BCBS of NC 
  • Carelon 
  • Evernorth/Cigna 
  • Humana Behavioral Health 
  • TriCare East - Humana Military (Certified Provider) 
  • MedCost 
  • Optum Health (formerly known as UBH) / UHC / UMR / Oscar Health Plan 
  • Department of Veterans Affairs (VA) – Region 1 
  • Medicare Part B 

Out of Network Insurance Plans 

If your insurance is not listed above, SouthLight Healthcare would be considered out of network.  Please note, there are times when we can still see you in our office and file with your insurance plan under your Out-of-Network Benefits. 

  •  In order to verify your out-of-network coverage, we ask that you contact your insurance carrier to confirm that your plan has out-of-network benefits for outpatient and mental health coverage. 
  • This number can be found on the back of your insurance card. 
  • Please be aware that these costs may be higher than your usual In-Network fees per visit. 
  •  In the event your plan does not offer out-of-network benefits, we are more than happy to see you at our self-pay rates. 
  • If you have questions surrounding out-of-network insurance, please contact our office (919)-787-6131  x1501 so that we can assist you. 

 

If you are uninsured, do not qualify for health insurance, or have recently lost your insurance, there are still options available to be seen within SouthLight!

  • Our intake specialists will perform a financial assessment and determine if you may qualify for coverage through state funds or if your visits fall with our sliding fee scale.
  • It is important to note that these options are only available to those who have no insurance coverage through any Commercial or Medicaid plans.

Payment is accepted at the time service is rendered in the form of cash, check, or credit card depending on the service received.

Court Services clients have the option of paying online via PayPal.

Clients with commercial insurance can make online payments or call one of our billing representatives who are able to assist in taking a payment by phone (919) 787-6131 x 1501.

For questions regarding billing, please call (919) 787-6131 x1501 or email billingcredentialing@southlight.org

If you are having trouble paying for services provided by SouthLight, please contact our Billing Department at 919-787-6131 ext 1501 or email billingcredentialing@southlight.org

Yes. For individuals who do not have an insurance plan (i.e. a plan listed above or Medicaid), you may qualify to pay a percentage of the cost. During your initial intake, we will ask a series of questions to determine if you qualify. 

SouthLight Healthcare provides all services regardless of a client’s ability to pay. If a client is not able to pay the applicable sliding fee scale rate at time of visit, they will be asked to pay any amount they can. All clients will be served whether or not they can pay the applicable fee.

Medicaid Expansion

Beginning Dec. 1, 2023, more people can get health coverage through Medicaid. SouthLight works to make this a smooth process for our clients and and provide assistance with applications. Learn more.

Our list of in-network insurance plans changes, so please check with our billing department for the most updated list of insurance we accept.

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