Eligibility Requirements for Medicaid in North Carolina
Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families. In North Carolina, Medicaid is administered by the North Carolina Department of Health and Human Services (DHHS).
To be eligible for Medicaid in North Carolina, you must meet the following requirements:
- Be a resident of North Carolina.
- Be a U.S. citizen or a qualified immigrant.
- Meet the income and asset limits set by DHHS.
- Be in one of the following categories:
- Families with children under the age of 19.
- Pregnant women.
- Individuals with disabilities.
- Adults over the age of 65.
- Blind or disabled individuals.
- Individuals who need nursing home care.
The income and asset limits for Medicaid vary depending on the category you fall into. For more information, please visit the DHHS website or call the Medicaid customer service line at 1-800-662-7030.
Income and Asset Limits
| Category | Income Limit | Asset Limit |
|---|---|---|
| Families with children under the age of 19 | 138% of the federal poverty level | $2,000 per person, $4,000 per family |
| Pregnant women | 138% of the federal poverty level | $2,000 per person, $4,000 per family |
| Individuals with disabilities | 138% of the federal poverty level | $2,000 per person, $4,000 per family |
| Adults over the age of 65 | 138% of the federal poverty level | $2,000 per person, $4,000 per family |
| Blind or disabled individuals | 138% of the federal poverty level | $2,000 per person, $4,000 per family |
| Individuals who need nursing home care | No income limit | $2,000 per person, $4,000 per family |
Please note that these are just the general income and asset limits. There may be some exceptions to these limits. For more information, please contact the DHHS Medicaid customer service line.
Application Process for Medicaid in North Carolina
To apply for Medicaid in North Carolina, you can follow these steps:
1. Determine Your Eligibility
- Check if you meet the eligibility criteria for Medicaid in North Carolina. Generally, you must be a resident of the state, a U.S. citizen or qualified immigrant, and have a low income and limited assets.
- Specific eligibility requirements vary depending on your age, family size, and disability status. You can check the North Carolina Medicaid website or contact the Medicaid office in your county for more information.
2. Gather Necessary Documents
- To complete your Medicaid application, you will need to gather various documents, including:
- Proof of identity (e.g., driver’s license, birth certificate)
- Proof of residency (e.g., utility bill, lease agreement)
- Proof of income (e.g., pay stubs, tax returns)
- Proof of assets (e.g., bank statements, property deeds)
- Social Security number or proof of application for a Social Security number
- Information about your household members, including their income and assets
3. Apply for Medicaid
- You can apply for Medicaid in North Carolina in several ways:
- Online: You can submit an application through the North Carolina Medicaid website.
- By mail: You can download a Medicaid application form from the website and mail it to the Medicaid office in your county.
- In person: You can visit the Medicaid office in your county and apply in person.
4. Attend an Interview (if Requested)
- After submitting your application, you may be required to attend an interview with a Medicaid representative.
- The interview is an opportunity for the Medicaid office to verify your eligibility and gather additional information.
5. Receive Approval or Denial
- Once your application is processed, you will receive a decision regarding your Medicaid eligibility.
- If you are approved, you will receive a Medicaid card and instructions on how to use your benefits.
- If you are denied, you have the right to appeal the decision.
| Category | Income Limit | Asset Limit |
|---|---|---|
| Children under 19 | 138% of the federal poverty level | $2,000 for individual, $3,000 for family |
| Pregnant women | 138% of the federal poverty level | $2,000 for individual, $3,000 for family |
| Parents/Caretakers of Children | 138% of the federal poverty level | $2,000 for individual, $3,000 for family |
| Adults with Disabilities | SSI income limit | $2,000 for individual, $3,000 for family |
| Elderly Adults (65+) | SSI income limit | $2,000 for individual, $3,000 for family |
Medicaid in North Carolina
Medicaid is a health insurance program that provides coverage to low-income individuals and families. In North Carolina, Medicaid is administered by the Department of Health and Human Services (DHHS). Medicaid provides a wide range of coverage and benefits to eligible individuals, including:
Coverage and Benefits Provided by Medicaid in North Carolina
Medical Care
- Doctor visits
- Hospital stays
- Emergency care
- Mental health care
- Substance abuse treatment
Prescription Drugs
- Covered by Medicaid
- Copayments may apply
Dental Care
- Routine dental care
- Restorative dental care
- Oral surgery
Vision Care
- Eye exams
- Eyeglasses or contact lenses
Hearing Care
- Hearing exams
- Hearing aids
Long-Term Care
- Nursing home care
- Assisted living facility care
- Home health care
Transportation
- To and from medical appointments
| Category | Income Limit (Annual) |
|---|---|
| Adults without children | $17,609 |
| Pregnant women | $20,892 |
| Children | $17,609 |
| Parents/caretakers | $20,892 |
| Disabled individuals | $17,609 |
Note: Income limits may vary depending on the specific program and circumstances.
To apply for Medicaid in North Carolina, you can:
- Apply online at the NC Medicaid website
- Call the Medicaid customer service number at 1-800-662-7030
- Visit your local DHHS office
If you are approved for Medicaid, you will receive a Medicaid card in the mail. You can use your Medicaid card to get covered services from any provider that accepts Medicaid.
Eligibility for Medicaid in North Carolina
Medicaid is a health insurance program for people with low incomes and resources. In North Carolina, Medicaid is called NC Medicaid. To be eligible for NC Medicaid, you must meet certain requirements, including:
- Be a resident of North Carolina.
- Be a U.S. citizen or a qualified non-citizen.
- Have a low income and resources.
- Meet other requirements, such as being pregnant, disabled, or a child.
Applying for Medicaid in North Carolina
You can apply for NC Medicaid online, by mail, or in person at your local Department of Social Services (DSS) office. You will need to provide documentation of your income, resources, and other information. If you are applying for Medicaid for a child, you will also need to provide the child’s birth certificate and Social Security number.
Resources and Assistance for Applying for Medicaid in North Carolina
- The NC Medicaid website has information about the program and how to apply.
- You can also call the NC Medicaid Customer Service Center at 1-888-245-0199 for assistance.
- The Legal Aid of North Carolina provides free legal assistance to people who are applying for Medicaid.
What Happens After You Apply for Medicaid in North Carolina
After you apply for NC Medicaid, you will receive a notice in the mail letting you know if you have been approved or denied. If you are approved, you will receive a Medicaid card. You can use your Medicaid card to get health care services from any provider who accepts Medicaid.
Table of NC Medicaid Income and Resource Limits
| Family Size | Income Limit | Resource Limit |
|---|---|---|
| 1 | $1,638 | $2,000 |
| 2 | $2,194 | $3,000 |
| 3 | $2,750 | $4,000 |
| 4 | $3,306 | $5,000 |
| 5 | $3,862 | $6,000 |
Note: These limits are for 2023 and are subject to change.
“Alright y’all, that’s a wrap on how to get Medicaid in North Carolina. This was a long one, but hopefully it helped you understand the process and get the coverage you need. It can be confusing at first, but don’t worry, you’re not alone. Remember, you can always reach out for help if you get stuck. Thanks for reading, I really appreciate it. Be sure to check back later for more helpful articles like this one.”