Carolina Complete Health Medicaid is a managed care health insurance program that serves eligible people in North Carolina. It is part of the Medicaid and NC Health Choice programs, which provide health coverage to low-income individuals, families, and people with disabilities. Carolina Complete Health Medicaid offers a wide range of benefits, including doctor visits, hospital stays, prescription drugs, and mental health services. It also provides coverage for preventive care, such as checkups and screenings. Carolina Complete Health Medicaid is a valuable program that helps to ensure that all North Carolinians have access to quality health care.
Eligibility for Carolina Complete Health Medicaid
To qualify for Carolina Complete Health Medicaid, individuals must meet specific eligibility criteria set by the North Carolina Department of Health and Human Services (NCDHHS). These criteria include factors such as income level, family size, and certain medical conditions, including pregnancy and disability. Carolina Complete Health Medicaid is available to North Carolina residents who meet the program’s eligibility requirements.
- Income: Families must have an income below certain limits based on the federal poverty level. In 2023, the income limit for a family of four is $3,655 per month.
- Family Size: Eligibility is determined by the number of people in the household.
- Medical Conditions: Certain medical conditions, such as pregnancy, disability, and specific chronic illnesses, may also qualify individuals for Medicaid.
To determine eligibility, individuals must apply through the Your North Carolina EBT portal or by contacting their local Department of Social Services (DSS) office. Applications can be made online or in person.
Carolina Complete Health Medicaid offers various benefits to eligible individuals, including:
- Medical care, including doctor visits, hospital stays, and prescription drugs
- Mental health and substance abuse treatment
- Dental and vision care
- Long-term care services
| Family Size | Monthly Income Limit (2023) |
|---|---|
| 1 person | $1,782 |
| 2 people | $2,393 |
| 3 people | $3,004 |
| 4 people | $3,655 |
| 5 people | $4,227 |
| 6 people | $4,862 |
| 7 people | $5,439 |
| 8 people | $6,088 |
For more information about Carolina Complete Health Medicaid eligibility requirements and benefits, visit the NCDHHS website or contact your local DSS office.
Carolina Complete Health Medicaid: Benefits and Eligibility
Carolina Complete Health Medicaid is a health insurance program that provides comprehensive medical coverage to low-income individuals and families in North Carolina. The program is jointly funded by the federal and state governments and is administered by the North Carolina Department of Health and Human Services (DHHS).
Benefits of Carolina Complete Health Medicaid
Carolina Complete Health Medicaid offers a wide range of benefits to eligible individuals and families, including:
- Medical care, such as doctor visits, hospital stays, and prescription drugs
- Mental health and substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
In addition to these basic benefits, Carolina Complete Health Medicaid also offers a number of optional benefits, such as:
- Long-term care services
- Home and community-based services
- Transportation to medical appointments
Eligibility for Carolina Complete Health Medicaid
To be eligible for Carolina Complete Health Medicaid, individuals and families must meet certain income and asset requirements. Generally, eligibility is based on the federal poverty level (FPL). For example, in 2023, a family of four with an annual income of less than $39,750 is eligible for Carolina Complete Health Medicaid.
In addition to income and asset requirements, individuals and families must also meet certain citizenship and residency requirements. To be eligible, individuals must be U.S. citizens or legal residents and must reside in North Carolina.
How to Apply for Carolina Complete Health Medicaid
Individuals and families can apply for Carolina Complete Health Medicaid online, by mail, or in person at their local DHHS office. The application process is simple and straightforward. Applicants will need to provide information about their income, assets, and household composition.
Carolina Complete Health Medicaid Contact Information
For more information about Carolina Complete Health Medicaid, individuals and families can contact the DHHS customer service line at 1-800-662-7030.
| Family Size | Monthly Premium |
|---|---|
| 1 | $0 |
| 2 | $0 |
| 3 | $0 |
| 4 | $0 |
| 5+ | $0 |
Carolina Complete Health Medicaid
Carolina Complete Health Medicaid is a government-sponsored health insurance program that provides comprehensive medical coverage to eligible North Carolina residents. This program offers a wide range of healthcare services, including doctor visits, hospital stays, prescription drugs, and more, at no or low cost to qualifying individuals and families.
Eligibility
To qualify for Carolina Complete Health Medicaid, individuals must meet certain income and residency requirements. Generally, applicants must be:
- Residents of North Carolina
- U.S. citizens or legal residents
- Income below certain limits
- Pregnant women, children, parents, people with disabilities, or adults over 65
Income limits vary depending on household size and composition. To determine eligibility, individuals can apply online or contact their local Department of Social Services (DSS) office.
How to Apply
There are several ways to apply for Carolina Complete Health Medicaid:
- Online: Visit the North Carolina Medicaid website and complete an online application.
- By mail: Download and print a Medicaid application form from the North Carolina Medicaid website. Fill out the form and mail it to your local DSS office.
- In person: Visit your local DSS office and request an application form. Fill out the form and submit it to a DSS representative.
When applying, individuals must provide proof of identity, residency, income, and other relevant documents.
Benefits
Carolina Complete Health Medicaid provides a comprehensive range of healthcare benefits, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health and substance use disorder treatment
- Dental and vision care
- Long-term care
Benefits may vary depending on the individual’s specific needs and circumstances.
Costs
Carolina Complete Health Medicaid is generally free or low-cost to eligible individuals and families. However, some services may have small copays or deductibles.
The cost of Carolina Complete Health Medicaid is covered by a combination of federal and state funding.
How to Find a Provider
Individuals enrolled in Carolina Complete Health Medicaid can choose from a network of healthcare providers that accept Medicaid. To find a provider, individuals can visit the North Carolina Medicaid website or contact their local DSS office.
Contact Information
For more information about Carolina Complete Health Medicaid, individuals can contact their local DSS office or visit the North Carolina Medicaid website.
| DSS Office | Address | Phone Number |
|---|---|---|
| Alamance County DSS | 401 S. Graham-Hopedale Road, Burlington, NC 27217 | (336) 570-6000 |
| Wake County DSS | 401 S. Salisbury Street, Raleigh, NC 27602 | (919) 856-6800 |
| Guilford County DSS | 301 N. Eugene Street, Greensboro, NC 27401 | (336) 641-3000 |
Carolina Complete Health Medicaid: Special Programs and Services
Carolina Complete Health 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 medical, dental, vision, and mental health care. In addition to these standard benefits, Carolina Complete Health Medicaid also offers a number of special programs and services that are designed to meet the needs of specific populations.
Special Programs
- Carolina Cares: This program provides comprehensive care for people with chronic conditions, such as diabetes, heart disease, and cancer.
- Carolina Smiles: This program provides dental care for children and adults.
- Carolina Vision: This program provides vision care for children and adults.
- Carolina Healthy Steps: This program provides preventive care and early intervention services for children from birth to age 5.
- Carolina Family Planning: This program provides family planning services, including contraception and counseling.
Additional Services
- Transportation: Carolina Complete Health Medicaid provides transportation to and from medical appointments for people who do not have access to reliable transportation.
- Interpretation Services: Carolina Complete Health Medicaid provides interpretation services for people who do not speak English.
- Case Management: Carolina Complete Health Medicaid provides case management services to help people navigate the healthcare system and access the services they need.
- Health Education: Carolina Complete Health Medicaid provides health education programs to help people learn about healthy living and disease prevention.
| Program | Description |
|---|---|
| Carolina Cares | Comprehensive care for people with chronic conditions |
| Carolina Smiles | Dental care for children and adults |
| Carolina Vision | Vision care for children and adults |
| Carolina Healthy Steps | Preventive care and early intervention services for children from birth to age 5 |
| Carolina Family Planning | Family planning services, including contraception and counseling |
| Transportation | Transportation to and from medical appointments for people who do not have access to reliable transportation |
| Interpretation Services | Interpretation services for people who do not speak English |
| Case Management | Case management services to help people navigate the healthcare system and access the services they need |
| Health Education | Health education programs to help people learn about healthy living and disease prevention |
These are just a few of the special programs and services that are offered by Carolina Complete Health Medicaid. For more information about these programs and services, please visit the Carolina Complete Health Medicaid website or call the customer service number on your member ID card.
Hey folks, thanks for sticking with me on this journey through the ins and outs of Carolina Complete Health Medicaid. I know it can be a bit of a maze to navigate, but hopefully, I’ve made it a little clearer for you. If you still have questions, feel free to drop me a line, and I’ll do my best to help out. In the meantime, keep your eyes peeled for more informative articles coming your way. Until next time, stay healthy, and take care!