MedCost serves customers across North and South Carolina through our extensive PPO network and innovative health management programs.

The MedCost PPO Network Offers...

Provider Choice
The MedCost network includes most primary care physicians, specialists, hospitals, and facilities across the Carolinas.

Competitive Savings
On a average, MedCost PPO customers save $57.1 for every $1 spent to access our network.

Accessibility
MedCost has relationships with more than 100 third party administrators and insurance companies.

No Referrals
Patients have open access to physicians across a broad range of medical specialties.

Ancillary Services
The MedCost network includes home health, hospice, durable medical equipment, home infusion therapy, prosthetics, and orthotics.

Transplants
MedCost offers access to all tertiary hospitals in North and South Carolina. Customers experience competitive savings on these high cost procedures. For more information on our PPO Network, Click Here.

Health Management Programs

Care Management
A suite of health management products that spans the entire range of employee health needs. Includes prospective case management, a new kind of health care that focuses on certain conditions early enough to keep them from getting worse.For more information on the MedCost Care Management Program, Click Here.

Inpatient Review
Ensures that hospitalization is medically necessary and that care is cost-effective. For more information on the MedCost Inpatient Review Program, Click Here.

Outpatient Review
Reviews outpatient procedures for medical necessity and cost-effective care. For more information on the MedCost Outpatient Review Program, Click Here.

Case Management
Special intervention when serious illnesses or accidents occur. For more information on the MedCost Case Management Program, Click Here.

Personal Care Management
Personal nurse coaches proactively focus on conditions early enough to head off costly events. For more information on the MedCost Personal Care Management Program, Click Here.

SmartStarts Maternity Education Program
Nurse mentoring and maternity education for moms-to-be. For more information on the MedCost SmartStarts Maternity Education Program, Click Here.

Disease Management
Disease-specific education and nurse mentoring for those with certain chronic illnesses. For more information on the MedCost Disease Management Program, Click Here.

Nurse Advice Line
Speak with a nurse for health care information or advice 24 hours a day. For more information on the Nationwide/MedCost Nurse AdviceLine, Click Here.