Ambetter of NC is a health insurance plan that provides quality healthcare coverage to North Carolina residents who are eligible for Medicaid. It is a managed care plan that offers a wide range of benefits, including preventive care, doctor visits, hospitalization, and prescription drug coverage. Ambetter of NC is committed to providing affordable, accessible, and comprehensive healthcare services to its members. The plan also works closely with healthcare providers to ensure that members receive high-quality care. Ambetter of NC is an important resource for many North Carolinians, and it plays a vital role in helping to ensure that everyone has access to the healthcare they need. The plan works with doctors, hospitals, and other healthcare providers to ensure that members receive high-quality medical care. Ambetter of NC also provides health education and wellness programs to help members stay healthy.
Ambetter of NC Medicaid Eligibility Requirements
Ambetter of NC Medicaid is a health insurance program that provides low-cost or free health coverage to qualified North Carolina residents. To qualify for Ambetter of NC Medicaid, you must meet certain eligibility requirements. These requirements include:
Income
- For individuals, your annual income must be at or below 138% of the federal poverty level (FPL).
- For families, your annual income must be at or below 200% of the FPL.
Age
- Children under 19 years old
- Pregnant women
- Adults 65 years of age and older
- Individuals with disabilities
Citizenship or Residency Status
- U.S. citizens
- Lawful permanent residents
- Certain non-citizens who meet specific criteria
Other Requirements
- Meet the income and asset limits
- Be a resident of North Carolina
- Not be eligible for other health insurance coverage
To apply for Ambetter of NC Medicaid, you can visit the North Carolina Medicaid website or contact your local Department of Social Services office. You will need to provide proof of income, citizenship or residency status, and other required documents. Once your application is processed, you will be notified of your eligibility status.
Income Limits
| Family Size | Annual Income Limit |
|---|---|
| 1 | $18,755 |
| 2 | $25,596 |
| 3 | $32,439 |
| 4 | $39,279 |
| 5 | $46,122 |
| 6 | $52,965 |
| 7 | $59,808 |
| 8 | $66,651 |
| Each additional person | $6,843 |
If you have any questions about Ambetter of NC Medicaid eligibility, you can contact the North Carolina Medicaid customer service line at 1-800-662-7030.
Ambetter of Nc Medicaid: Understanding the Benefits
Ambetter of Nc Medicaid, a healthcare program offered by North Carolina, provides a wide range of benefits to eligible individuals and families. These benefits aim to ensure access to quality healthcare services and promote overall well-being. Let’s explore the various benefits covered under Ambetter of Nc Medicaid:
Medical Services
- Doctor Visits: Routine checkups, consultations, and treatment for various medical conditions.
- Specialist Care: Access to specialists, including pediatricians, OB/GYNs, and mental health professionals.
- Emergency Services: Coverage for emergency medical care, including hospital stays, ambulance services, and emergency room visits.
- Hospitalization: Inpatient and outpatient hospital care, including surgery, diagnostic tests, and treatment.
- Preventive Care: Regular checkups, screenings, immunizations, and health education programs to promote wellness.
- Chronic Disease Management: Support for individuals with ongoing conditions like diabetes, asthma, and heart disease.
Prescription Drugs
- Medication Coverage: Access to a wide range of prescription medications, including generic and brand-name drugs.
- Formulary: A list of approved medications covered by Ambetter of Nc Medicaid is available for reference.
- Prior Authorization: Some medications may require prior authorization from the plan before they can be dispensed.
Mental Health and Substance Abuse Services
- Therapy: Coverage for individual, group, and family therapy sessions.
- Psychiatric Care: Access to psychiatrists for diagnosis and treatment of mental health conditions.
- Substance Abuse Treatment: Programs and services to support individuals struggling with substance use disorders.
Dental and Vision Care
- Dental Services: Routine checkups, cleanings, fillings, extractions, and some restorative procedures.
- Vision Care: Regular eye exams, eyeglasses, and contact lenses.
Additional Benefits
- Transportation: Assistance with transportation to and from medical appointments.
- Language Assistance: Services to help individuals with limited English proficiency access healthcare services.
- Health Education: Programs and resources to promote healthy lifestyles and educate members about preventive care.
| Benefit Category | Covered Services |
|---|---|
| Medical Services | Doctor visits, specialist care, emergency services, hospitalization, preventive care, chronic disease management |
| Prescription Drugs | Access to a wide range of medications, formulary, prior authorization for certain medications |
| Mental Health and Substance Abuse Services | Therapy, psychiatric care, substance abuse treatment |
| Dental and Vision Care | Dental checkups, cleanings, fillings, extractions, vision exams, eyeglasses, contact lenses |
| Additional Benefits | Transportation assistance, language assistance, health education |
Ambetter of Nc Medicaid offers a comprehensive range of benefits to eligible individuals and families, ensuring access to quality healthcare services and promoting overall well-being. The program’s focus on preventive care, chronic disease management, and mental health support empowers individuals to take charge of their health and improve their quality of life.
Ambetter of Nc Medicaid: A Comprehensive Guide
Ambetter of Nc Medicaid is a health insurance program that offers comprehensive coverage to low-income individuals and families in North Carolina. This program is administered by the North Carolina Department of Health and Human Services and is funded by both the state and federal governments.
Application Process for Ambetter of Nc Medicaid
To apply for Ambetter of Nc Medicaid, you can follow these steps:
- Visit the official website: Go to the North Carolina Department of Health and Human Services website and navigate to the Medicaid application page.
- Create an account: If you don’t already have an account, create one using your personal information. You will need to provide your name, address, date of birth, and Social Security number.
- Complete the online application: Once you have created an account, you can start filling out the Medicaid application. The application will ask for information about your income, assets, household members, and current health insurance coverage.
- Submit the application: After you have completed the application, review your answers and submit it electronically. You can also print the application and mail it to the address provided on the website.
Note: You may also be able to apply for Ambetter of Nc Medicaid in person at your local Department of Social Services office.
Eligibility for Ambetter of Nc Medicaid
To be eligible for Ambetter of Nc Medicaid, you must meet the following requirements:
- Be a resident of North Carolina.
- Be a U.S. citizen or legal immigrant.
- Meet income and asset limits. Income limits vary depending on your household size and composition. Asset limits are generally $2,000 for individuals and $3,000 for couples.
- Be pregnant, a child under 19, a parent or caretaker of a child under 19, a person with a disability, or a person over 65.
Note: There are some exceptions to these eligibility requirements. For example, some people who are not U.S. citizens or legal immigrants may still be eligible for Medicaid if they meet certain criteria.
Benefits of Ambetter of Nc Medicaid
Ambetter of Nc Medicaid offers a wide range of benefits, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health and substance abuse treatment
- Dental care
- Vision care
- Long-term care
Note: The specific benefits that you are eligible for will depend on your age, income, and health needs.
How to Contact Ambetter of Nc Medicaid
If you have any questions about Ambetter of Nc Medicaid, you can contact the program by:
- Phone: 1-800-662-7030
- Email: [email protected]
- TTY: 1-866-719-7635
| Category | Income Limit | Asset Limit |
|---|---|---|
| Individuals | $1,482 per month | $2,000 |
| Couples | $2,002 per month | $3,000 |
| Families of 3 | $2,522 per month | $3,000 |
| Families of 4 | $3,042 per month | $3,000 |
Ambetter of Nc Medicaid
Ambetter of Nc Medicaid is a health insurance program that provides coverage to low-income individuals and families in North Carolina. The program offers a wide range of benefits, including doctor visits, hospital stays, prescription drugs, and mental health services.
Finding a Healthcare Provider with Ambetter of Nc Medicaid
To find a healthcare provider that accepts Ambetter of Nc Medicaid, you can use the following resources:
- Ambetter of Nc Medicaid Provider Directory: You can search the Ambetter of Nc Medicaid provider directory by specialty, location, or name.
- North Carolina Medicaid Provider Directory: You can search the North Carolina Medicaid provider directory by specialty, location, or name.
- Call Ambetter of Nc Medicaid Customer Service: You can call Ambetter of Nc Medicaid customer service at 1-800-688-2908 to get help finding a healthcare provider.
- Do you accept Ambetter of Nc Medicaid?
- What are your office hours?
- Where is your office located?
- What services do you provide?
- Do you have a sliding fee scale for patients who cannot afford to pay for services?
When you are looking for a healthcare provider, it is important to ask the following questions:
Once you have found a healthcare provider that you are comfortable with, you can make an appointment to see them. Be sure to bring your Ambetter of Nc Medicaid card with you to your appointment.
| Benefit | Description |
|---|---|
| Doctor visits | Covered for all medically necessary services |
| Hospital stays | Covered for all medically necessary inpatient hospital stays |
| Prescription drugs | Covered for all medically necessary prescription drugs |
| Mental health services | Covered for all medically necessary mental health services |
| Vision care | Covered for all medically necessary vision care |
| Dental care | Covered for all medically necessary dental care |
Well, folks, that’s all she wrote for today. I hope this article helped clear up any questions you had about whether Ambetter of NC is Medicaid. Remember, everyone’s situation is unique, so it’s always best to reach out to the folks at Ambetter of NC directly to see if you qualify for coverage. In the meantime, stay healthy and keep smiling. Thanks for reading, y’all! Be sure to check back later for more informative articles like this one. Until then, take care!