Medicaid Family Planning in North Carolina offers a range of essential healthcare services for eligible people to maintain reproductive health and prevent unintended pregnancies. These services include family planning counseling, pregnancy testing, contraception, screenings for sexually transmitted infections (STIs), pap tests, breast exams, and more. Additionally, Medicaid covers costs associated with the insertion and removal of long-acting reversible contraceptives (LARCs), such as intrauterine devices (IUDs) and implants, making them more accessible to those who need them.
North Carolina Medicaid Family Planning Coverage
Medicaid Family Planning in North Carolina provides comprehensive family planning services to eligible individuals and families. These services are designed to help individuals and families plan and space their pregnancies, as well as to prevent unintended pregnancies. Medicaid Family Planning services are available to individuals and families who meet certain income and eligibility criteria.
Eligibility Criteria
- Pregnant women and women of childbearing age (19 to 44 years old)
- Men and women who are seeking family planning services
- Families with children who are seeking family planning services
- Individuals and families who meet certain income and resource limits
To determine eligibility, individuals and families must complete an application and provide documentation of their income and resources. The application can be found online or at a local Medicaid office. Once an application is submitted, it will be reviewed by a Medicaid eligibility specialist to determine if the individual or family is eligible for Medicaid Family Planning services. The Medicaid eligibility specialist will also determine the scope of services that the individual or family is eligible for.
Covered Services
Medicaid Family Planning covers a wide range of services, including:
- Pregnancy testing and counseling
- Contraceptive counseling and services
- Sterilization procedures
- Infertility services
- Sexually transmitted disease (STD) testing and treatment
- HIV testing and counseling
- Breast and cervical cancer screenings
- Family planning education and counseling
The specific services that are covered under Medicaid Family Planning may vary depending on the individual’s or family’s needs and the Medicaid plan that they are enrolled in.
Costs
There are no out-of-pocket costs for Medicaid Family Planning services. This means that individuals and families who are eligible for Medicaid Family Planning services can receive these services without having to pay any copays or deductibles.
Benefits of Medicaid Family Planning
Medicaid Family Planning provides a number of benefits for individuals and families, including:
- Access to comprehensive family planning services
- No out-of-pocket costs
- Improved reproductive health outcomes
- Reduced risk of unintended pregnancy
- Increased access to prenatal care and other health care services
How to Apply
Individuals and families who are interested in applying for Medicaid Family Planning services can do so online or at a local Medicaid office. The application can be found at the North Carolina Department of Health and Human Services website. Once the application is submitted, it will be reviewed by a Medicaid eligibility specialist to determine if the individual or family is eligible for Medicaid Family Planning services.
Contact Information
For more information about Medicaid Family Planning in North Carolina, individuals and families can contact the North Carolina Department of Health and Human Services at 1-800-662-7030.
Available Services and Benefits Under Medicaid Family Planning in North Carolina
Medicaid Family Planning in North Carolina provides a wide range of reproductive health care services and benefits to eligible individuals. These services are designed to help women and families plan and space their pregnancies, prevent unintended pregnancies, and maintain reproductive health. The program provides comprehensive coverage for a variety of services, including:
- Contraception: This includes oral contraceptives, intrauterine devices (IUDs), implants, injectables, and emergency contraception.
- Sterilization: This includes tubal ligation and vasectomy for individuals who choose permanent birth control.
- Pregnancy testing and counseling: This includes testing for pregnancy, counseling on pregnancy options, and referrals for prenatal care.
- Sexually transmitted infection (STI) testing and treatment: This includes testing for STIs, treatment for STIs, and counseling on STI prevention.
- Well-woman exams: These exams include a physical exam, a Pap smear, a breast exam, and other screenings and tests to detect and prevent health problems.
- Counseling and education: This includes counseling on family planning, contraception, STIs, and other reproductive health topics.
Additional Benefits
- Transportation assistance: This may include reimbursement for transportation to and from medical appointments.
- Child care assistance: This may include help paying for child care while a parent is attending a medical appointment.
Eligibility
To be eligible for Medicaid Family Planning in North Carolina, individuals must meet certain income and residency requirements. Generally, individuals must be:
- Women of childbearing age (19 to 44 years old).
- Unmarried or married but not living with their spouse.
- Have a family income at or below 185% of the federal poverty level.
- Residing in North Carolina.
Applying for Medicaid Family Planning
To apply for Medicaid Family Planning 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.
Additional Information
For more information about Medicaid Family Planning in North Carolina, individuals can visit the North Carolina Department of Health and Human Services website or call the Medicaid Family Planning hotline at 1-800-662-7030.
| Service | Description |
|---|---|
| Contraception | Oral contraceptives, IUDs, implants, injectables, emergency contraception |
| Sterilization | Tubal ligation, vasectomy |
| Pregnancy testing and counseling | Pregnancy testing, counseling on pregnancy options, referrals for prenatal care |
| STI testing and treatment | STI testing, treatment for STIs, counseling on STI prevention |
| Well-woman exams | Physical exam, Pap smear, breast exam, other screenings and tests |
| Counseling and education | Counseling on family planning, contraception, STIs, other reproductive health topics |
Eligibility Requirements for Medicaid Family Planning Coverage in North Carolina
To be eligible for Medicaid family planning coverage in North Carolina, you must meet the following requirements:
- Be a woman between the ages of 18 and 44.
- Have a household income at or below 138% of the federal poverty level.
- Not be pregnant or postpartum.
- Not be eligible for Medicare or other health insurance.
- Be a resident of North Carolina.
If you meet all of these requirements, you can apply for Medicaid family planning coverage online or through your local county Department of Social Services.
Benefits Covered by Medicaid Family Planning in North Carolina
Medicaid family planning coverage in North Carolina covers a wide range of services, including:
- Birth control counseling and education
- Contraception, including pills, IUDs, implants, and condoms
- Sterilization procedures
- Pregnancy testing
- Sexually transmitted infection (STI) testing and treatment
- Pap tests and pelvic exams
- Breast exams
- Colonoscopies
- Other preventive health services
The following table provides more information about the services covered by Medicaid family planning in North Carolina:
| Service | Covered by Medicaid Family Planning |
|---|---|
| Birth control counseling and education | Yes |
| Contraception | Yes |
| Sterilization procedures | Yes |
| Pregnancy testing | Yes |
| Sexually transmitted infection (STI) testing and treatment | Yes |
| Pap tests and pelvic exams | Yes |
| Breast exams | Yes |
| Colonoscopies | Yes |
| Other preventive health services | Yes |
Medicaid Family Planning Coverage in North Carolina
North Carolina Medicaid’s Family Planning Program offers reproductive healthcare services to those who are eligible, making it easier for families to access essential care without excessive financial burdens.
How to Apply for Medicaid Family Planning Coverage in North Carolina
- Online: Individuals and families can conveniently apply online through the North Carolina Medicaid website.
- Phone: NC Medicaid also allows applications to be made over the phone by calling their customer service line.
- Mail: Printed applications are available and can be mailed to the Division of Medical Assistance.
- In-person: Residents may apply for Medicaid Family Planning coverage in person at their local county Department of Social Services.
What Medicaid Family Planning Covers in North Carolina
The Medicaid Family Planning Program in North Carolina provides a range of services to promote reproductive healthcare:
- Routine Exams and Check-ups: Family Planning programs cover comprehensive check-ups and examinations to monitor reproductive health.
- Contraceptives: Contraceptives including condoms, birth control pills, intrauterine devices (IUDs), and implants are provided.
- Pregnancy Testing and Counseling: Free pregnancy testing and counseling are available to assess pregnancy status and explore options.
- Sexually Transmitted Infections (STIs) Testing and Treatment: Screening for STIs is provided, along with treatment if necessary.
- Breast and Cervical Cancer Screenings: Coverage includes essential screening tests for early detection of breast and cervical cancers.
- Educational Services: Family planning programs provide educational resources and counseling on reproductive health and sex education.
Eligibility Criteria
To be eligible for Medicaid Family Planning coverage in North Carolina, individuals and families must meet certain criteria such as:
- Income: Applicants must meet the income requirements set by the State of North Carolina.
- Age: Generally, the program is available to individuals between the ages of 14 and 55.
- Residency: Applicants must be legal residents of the State of North Carolina.
It is important to note that specific eligibility criteria may vary based on individual circumstances, so it’s recommended to check with the North Carolina Medicaid office or visit their website for more detailed information.
| Phone | Website | |
|---|---|---|
| NC Medicaid Customer Service | 1-888-245-0040 | https://medicaid.ncdhhs.gov/ |
| DHHS Office of Public Affairs | 919-855-4868 | https://www.ncdhhs.gov/divisions/public-affairs |
Conclusion
Medicaid Family Planning coverage in North Carolina provides essential reproductive health services to eligible individuals and families, ensuring access to quality care and promoting overall well-being. By reducing financial barriers, this program strives to improve reproductive health outcomes and empower individuals in making informed choices.
Well, folks, that about wraps up our little deep dive into what Medicaid family planning covers in North Carolina. I hope you found this information helpful and informative. If you have any more questions, be sure to reach out to your local Medicaid office or visit their website. And don’t forget to check back here later for more updates and insights on all things Medicaid in North Carolina. Thanks for stopping by, and take care!