Benefit Questions
For questions regarding benefits, to make address changes, or any claim inquiries, call or write to:

Member Services
Log into member services to request an ID card, view your claims on line, and even find a provider near you.

Medical Claim Filing and Inquiries
To file a medical claim or inquire about the status of a medical claim you have already filed:

State Health Plan
c/o BCBSNC
PO Box 30087
Durham, NC 27702
Phone: 888-234-2416

Where to Mail Your Premiums
SHP premium payments for both Group
and Indviduals (Retirees/COBRA/Suviving Spouse)

State Health Plan
P.O. Box 580031
Charlotte, NC 28258-0031

Hospital Pre-admission Certification/Prior Approval
To request prior authorization (certification) for certain out-of-network or out-of-state services:

Blue Cross & Blue Shield of North Carolina
800-672-7897

Mental Health and Chemical Dependency
For precertification for mental health services and chemical dependency:

Appeals and Grievance
To appeal a claim decision or to file a grievance with the State Health Plan:

State Health Plan
c/o BCBSNC Appeals Department
PO Box 30055
Durham, NC 27702-3055
Phone: 888-234-2416
Fax: 919-765-2322

Long Term Care
To learn more about the long term care plan:

Prudential
800-284-9648

Prescription Drugs
To file a claim for prescription drugs, locate pharmacies within the State Health Plan network, or learn about the Plan's preferred prescription drugs:

Medco Health Solutions, Inc.
PO Box 14711
Lexington, KY 40512
Medco
Phone: 800-336-5933

Prescription Drugs Prior Authorization
To initiate a prior authorization request of your prescription drugs:

Medco Health Prior Authorization
Phone: 800-753-2851
Fax: 800-837-0959

State Health Plan Member Inquiries
Do you have questions about what is happening at the State Health Plan? E-mail us at:

Media Inquiries
For media questions, call:

Customer Experience Manager
Phone: 919-881-2300

Report Fraud and Abuse Section
To find out how to report suspected fraud and abuse to the State Health Plan:

Fraud Section
Phone: 800-324-4963

Patient Protection Act
For information on requesting an External Review of claims decisions (after all internal grievance procedures have been exhausted):

North Carolina Department of Insurance
Phone: 800-546-5664

NC HealthSmart
Learn how to better manage your health and much more:

Phone: 800-817-7044

Kidney Disease Program
For assistance with the Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) Case Management Program:

866-577-3625

Retirement System
For information concerning medical benefits for retired teachers and state employees:

NC Department of State Treasurer
NC Retirement Systems
Phone: 877-733-4191 or 919-733-4191

Seniors Health Insurance Information Program (SHIIP)
For Medicare Beneficiaries: SHIIP, a division of the N.C. Department of Insurance, offers free, objective information about Medicare, Medicare Advantage plans, Medicare claims, Medicare supplement insurance, Medicare Prescription Drug Plans, fraud and abuse prevention as well as long-term care insurance:

Seniors Health Insurance Information Program
Phone: 800-443-9354 or 919-807-6900

Social Security Administration
For specific questions about Medicare premiums and claims, call or write to:

Centers for Medicare & Medicaid Services
7500 Security Blvd.
Baltimore, MD 21244-1850

Phone: 800-772-1213
Phone: 800-MEDICARE

Job Opportunities at the State Health Plan

Office of State Personnel
Job Openings