What Does Family Planning Medicaid Cover Nc

Family Planning Medicaid in North Carolina provides a wide range of reproductive health services to eligible individuals, including birth control, cancer screenings, pregnancy testing, and sexually transmitted infection testing and treatment. The program also covers prenatal and postpartum care, as well as family planning education and counseling. Services are available through a network of participating providers, including doctors, clinics, and hospitals. Eligibility for Family Planning Medicaid is based on income and other factors, and services are provided at no cost to qualified individuals.

What Is Family Planning Medicaid in North Carolina?

Family Planning Medicaid is a government-sponsored health insurance program in North Carolina that helps low-income and uninsured adults and children get comprehensive family planning services. These services include birth control, pregnancy testing, and counseling, as well as sexually transmitted infection (STI) testing and treatment. The program is available to both men and women of all ages.

Qualifications for Family Planning Medicaid in North Carolina

  • Be a resident of North Carolina.
  • Meet income and asset limits.
  • Be a U.S. citizen or qualified non-citizen.
  • Not be receiving Medicare Part A or Part B.

Income and asset limits are based on the federal poverty level (FPL).

Income Eligibility Guidelines (2023)
Family SizeAnnual Income Limit
1$13,590
2$18,310
3$23,030
4$27,750
5$32,470
6$37,190

Assets are limited to $2,000 for an individual and $3,000 for a couple.

What Does Family Planning Medicaid Cover in North Carolina?

  • Birth control, including oral contraceptives, intrauterine devices (IUDs), implants, and sterilization.
  • Pregnancy testing and counseling.
  • STI testing and treatment.
  • Pap smears and pelvic exams.
  • Breast exams and mammograms.
  • Well-child care.
  • Immunizations.

How to Apply for Family Planning Medicaid in North Carolina

You can apply for Family Planning Medicaid online, by mail, or in person at your local Department of Social Services office.

Online:
You can apply online at the North Carolina Medicaid website.

By mail:
You can download an application form from the North Carolina Medicaid website and mail it to the address on the form.

In person:
You can visit your local Department of Social Services office and apply in person.

Additional Information

For more information about Family Planning Medicaid in North Carolina, please visit the North Carolina Medicaid website or call the Family Planning Medicaid helpline at 1-800-662-7030.

Methods of Birth Control Covered by North Carolina Medicaid

North Carolina Medicaid provides comprehensive family planning services to eligible individuals and families, including a wide range of birth control methods. These methods are designed to help prevent unintended pregnancy and promote reproductive health. Here are the methods of birth control covered by North Carolina Medicaid:

Contraceptive Methods

  • Barrier Methods: Condoms (male and female), diaphragms, and cervical caps
  • Hormonal Methods: Birth control pills, patches, vaginal rings, and injectables (shots)
  • Intrauterine Devices (IUDs): Non-hormonal and hormonal IUDs
  • Implant: Under-the-skin implant
  • Sterilization: Tubal ligation and vasectomy
  • Emergency Contraception: Morning-after pill and copper IUD
  • Natural Family Planning: Fertility awareness methods, such as the rhythm method and cervical mucus method

In addition to these methods, North Carolina Medicaid also covers counseling and education on family planning, sexually transmitted infections (STIs), and reproductive health. This includes information on the benefits and risks of different birth control methods, how to use them correctly, and how to prevent STIs.

Eligibility for North Carolina Medicaid Family Planning Services

To be eligible for North Carolina Medicaid family planning services, you must meet certain income and residency requirements. Generally, you must be a resident of North Carolina and meet income guidelines set by the state. You can apply for Medicaid online, by mail, or in person at your local Department of Social Services (DSS) office.

Cost of Birth Control Under North Carolina Medicaid

Under North Carolina Medicaid, there is no cost for covered birth control methods and family planning services. This includes the cost of the contraceptive itself, as well as the cost of insertion and removal (if applicable). You may be responsible for copayments or deductibles for other medical services, but these costs should not apply to family planning services.

How to Access North Carolina Medicaid Family Planning Services

To access North Carolina Medicaid family planning services, you can visit a participating provider, such as a doctor, clinic, or health center. You can find a list of participating providers on the North Carolina Medicaid website. You will need to bring your Medicaid ID card with you when you visit the provider.

Table 1: Summary of North Carolina Medicaid Family Planning Coverage
Birth Control MethodCovered by MedicaidCost to Medicaid Recipient
Condoms (male and female)YesNo cost
Diaphragms and cervical capsYesNo cost
Birth control pills, patches, and vaginal ringsYesNo cost
Injectables (shots)YesNo cost
Non-hormonal and hormonal IUDsYesNo cost
ImplantYesNo cost
Sterilization (tubal ligation and vasectomy)YesNo cost
Emergency contraceptionYesNo cost
Natural family planningYesNo cost
Counseling and education on family planning, STIs, and reproductive healthYesNo cost

Eligibility Requirements for Family Planning Services

To be eligible for Family Planning Medicaid in North Carolina, you must meet the following requirements:

  • Residency: Must be a resident of North Carolina.
  • Citizenship: Must be a U.S. citizen or a qualified non-citizen.
  • Age: Must be a woman between the ages of 19 and 64.
  • Income: Must have an income at or below 200% of the federal poverty level.
  • Family Size: Must have at least one dependent child under the age of 19 living in the home.
  • Disability: Must be disabled, blind, or aged (65 or older).
  • Services Covered by Family Planning Medicaid in North Carolina

    Family Planning Medicaid in North Carolina covers a wide range of services related to contraception, family planning, and reproductive health, including:

    • Contraceptive care: Birth control pills, injections, intrauterine devices (IUDs), condoms, and sterilization procedures.
    • Preconception care: Health screenings, counseling, and education to help women prepare for pregnancy.
    • Prenatal care: Routine checkups, ultrasounds, and other prenatal services to ensure a healthy pregnancy.
    • Delivery and postpartum care: Labor and delivery services, as well as postpartum care for the mother and newborn.
    • Infertility services: Evaluation and treatment for infertility.
    • Family planning education: Information and counseling on family planning options and methods.
    • Sexually transmitted disease (STD) testing and treatment: Screening and treatment for STDs.
    • Cancer screenings: Pap tests and mammograms to screen for cervical and breast cancer.
    • How to Apply for Family Planning Medicaid in North Carolina

      To apply for Family Planning Medicaid in North Carolina, you can:

      • Apply online through the North Carolina Department of Health and Human Services (DHHS) website.
      • Download an application form from the DHHS website and mail it to the address provided.
      • Visit your local DHHS office to apply in person.
      • Call the DHHS customer service line at 1-800-662-7030 for assistance with the application process.
      • Additional Resources:

        • North Carolina Department of Health and Human Services (DHHS) Family Planning Medicaid
        • Medicaid Family Planning Services
        • Planned Parenthood: How to Get an Abortion & Pay for It
        • North Carolina Medicaid Income Eligibility Levels
          Family SizeAnnual Income Limit
          1$27,450
          2$36,750
          3$46,050
          4$55,350
          5$64,650
          6$73,950
          7$83,250
          8$92,550
          9$101,850
          10$111,150

          Benefits of Using Family Planning Medicaid in North Carolina

          Family Planning Medicaid in North Carolina is a valuable program that provides comprehensive reproductive health care services to eligible individuals. By enrolling in Family Planning Medicaid, North Carolinians can access a wide range of benefits, including:

          • Routine gynecological care:

          • Breast and cervical cancer screenings.
          • Birth control counseling and services.
          • Well-woman exams.
          • Sexually transmitted infection (STI) testing and treatment.

          • Pregnancy care:

          • Prenatal care.
          • Labor and delivery services.

          • Postpartum care:

          • Follow-up care after childbirth.
          • Breastfeeding support.
          • Family planning services.

          • Access to a network of providers:

          • Enrolled individuals can choose from a large network of healthcare providers who accept Family Planning Medicaid.

          Family Planning Medicaid also offers a number of additional benefits, such as:

          • Transportation assistance.
          • Interpretation services.
          • Case management services.

          These benefits can help to ensure that enrollees have access to the care they need, when they need it.

          Family Planning Medicaid is a cost-effective way to provide comprehensive reproductive health care to low-income individuals in North Carolina. The program helps to reduce unintended pregnancies, improve maternal and child health, and promote overall well-being.

          Eligibility for Family Planning Medicaid in North Carolina
          AgeIncomeCitizenship or Immigration Status
          19 and underUp to 200% of the federal poverty levelU.S. citizen or qualified non-citizen
          20 to 44Up to 138% of the federal poverty levelU.S. citizen or qualified non-citizen
          45 and overUp to 100% of the federal poverty levelU.S. citizen or qualified non-citizen

          To apply for Family Planning Medicaid in North Carolina, individuals can contact their local county department of social services or visit the North Carolina Department of Health and Human Services website.

          Well, there you have it, folks! I hope this little article has shed some light on what Family Planning Medicaid covers in North Carolina. If you have any more questions, feel free to visit the official Medicaid website or give them a call. Remember, family planning is essential for women’s health and well-being, and Medicaid is here to help you get the care you need. Thanks for reading, and be sure to stop by again soon for more informative and helpful articles!