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Medicaid is a healthcare program that provides medical assistance to low-income people, families, and children, as well as people with disabilities. In North Carolina, Medicaid is available to children, pregnant women, adults with disabilities, and people who are blind or have a disability. Some adults may also be eligible for Medicaid if they meet certain income and asset limits. Individuals who are eligible for Medicaid in North Carolina can receive a variety of healthcare services, including doctor visits, hospital care, prescription drugs, and dental care.
North Carolina Medicaid Eligibility Groups
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). To be eligible for Medicaid in North Carolina, you must meet certain criteria, including income and residency requirements.
Income Eligibility
To be eligible for Medicaid in North Carolina, your income must be at or below certain limits. The income limits vary depending on the size of your household and whether you have any dependents. You can find the current income limits on the DHHS website.
Residency Requirements
To be eligible for Medicaid in North Carolina, you must be a resident of the state. You must also be a U.S. citizen or a qualified non-citizen. Qualified non-citizens include lawful permanent residents, refugees, and asylees.
Other Eligibility Requirements
In addition to income and residency requirements, you may also need to meet other eligibility requirements to qualify for Medicaid in North Carolina. These requirements may include:
- Age: You must be under 19 years old, 65 years old or older, or disabled.
- Pregnancy: You must be pregnant.
- Disability: You must have a disability that prevents you from working.
- Caregiver status: You must be the primary caregiver for a child or disabled adult.
Medicaid Expansion in North Carolina
In 2019, North Carolina expanded Medicaid eligibility to include adults ages 18-64 with incomes up to 138% of the federal poverty level (FPL). This means that more people in North Carolina are now eligible for Medicaid coverage.
How to Apply for Medicaid
To apply for Medicaid in North Carolina, you can:
- Apply online at the DHHS website.
- Call the Medicaid Customer Contact Center at 1-888-245-0055.
- Visit your local DHHS office.
Medicaid Coverage
Medicaid covers a wide range of health care services, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health care
- Substance abuse treatment
- Dental care
- Vision care
| Household Size | Income Limit |
|---|---|
| 1 | $1,593 |
| 2 | $2,149 |
| 3 | $2,706 |
| 4 | $3,262 |
| 5 | $3,819 |
| 6 | $4,375 |
| 7 | $4,932 |
| 8 | $5,489 |
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) and is funded jointly by the state and federal governments.
Eligibility
To be eligible for Medicaid in North Carolina, individuals must meet certain income and asset requirements. Eligibility is based on household size and income, and there are different programs for children, pregnant women, people with disabilities, and low-income adults.
- Income Limits: Income limits vary depending on the program and household size. For example, in 2023, the income limit for a family of four to qualify for Medicaid is $55,500 per year.
- Asset Limits: There are also limits on the value of assets that individuals can have and still be eligible for Medicaid. For example, in 2023, the asset limit for a single person is $2,000, and the asset limit for a couple is $3,000.
- Citizenship and Residency: Individuals must be U.S. citizens or qualified non-citizens and must reside in North Carolina to be eligible for Medicaid.
Medicaid Expansion in North Carolina
In 2013, North Carolina expanded Medicaid eligibility to include adults aged 18-64 who meet certain income requirements. This expansion was made possible by the Affordable Care Act (ACA), which allows states to expand Medicaid to cover more low-income adults.
As a result of the expansion, more than 600,000 North Carolinians have gained access to health insurance. The expansion has also helped to improve the state’s economy by creating jobs and generating tax revenue.
How to Apply for Medicaid in North Carolina
Individuals who think they may be eligible for Medicaid can apply online through the DHHS website or by calling the Medicaid Customer Service Center at 1-800-662-7030.
Individuals will need to provide information about their income, assets, and household size. They may also be asked to provide proof of citizenship or residency.
Benefits Covered by Medicaid in North Carolina
Medicaid covers a wide range of health care services, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
The specific benefits covered by Medicaid vary depending on the program and the individual’s eligibility.
Contact Information
For more information about Medicaid in North Carolina, individuals can visit the DHHS website or call the Medicaid Customer Service Center at 1-800-662-7030.
Medicaid Income Limits by Household Size
| Household Size | Income Limit (2023) |
|---|---|
| 1 | $17,655 |
| 2 | $23,799 |
| 3 | $29,943 |
| 4 | $36,087 |
| 5 | $42,231 |
| 6 | $48,375 |
| 7 | $54,519 |
| 8 | $60,663 |
Citizenship and Residency Requirements for Medicaid in North Carolina
To be eligible for Medicaid in North Carolina, you must meet specific citizenship and residency requirements. In General, you must be a U.S. citizen or a qualified non-citizen and a resident of North Carolina.
U.S. Citizenship Requirements
To be eligible for Medicaid in North Carolina as a U.S. citizen, you must be:
- A U.S. citizen.
- A national of the U.S.
- A permanent resident of the U.S. (have a green card).
- A citizen of the freely associated states (Micronesia, Marshall Islands, or Palau).
Qualified Non-Citizen Requirements
To be eligible for Medicaid in North Carolina as a qualified non-citizen, you must be:
- Lawfully present in the U.S. with a valid Social Security number.
- A child under the age of 19.
- A pregnant woman.
- Legally blind.
- Disabled.
- A refugee.
- An asylee.
Residency Requirements
To be eligible for Medicaid in North Carolina, you must be a resident of the state. Residency is determined by factors such as:
- Where you live.
- Where you vote.
- Where you pay taxes.
- Where you receive your mail.
You do not have to be a U.S. citizen to be a resident of North Carolina.
| Citizenship Status | Residency Requirement |
|---|---|
| U.S. Citizen | Must be a resident of North Carolina |
| Qualified Non-Citizen | Must be lawfully present in the U.S. and a resident of North Carolina |
Income and Asset Limits for Medicaid in North Carolina
To qualify for Medicaid in North Carolina, applicants must meet certain income and asset limits. These limits vary depending on the type of Medicaid coverage sought and the applicant’s circumstances.
Income Limits
- Individuals: $1,683 per month
- Couples: $2,294 per month
- Families of three: $2,826 per month
- Families of four: $3,358 per month
These limits are based on the Federal Poverty Level (FPL). Applicants with incomes below these limits may be eligible for Medicaid coverage.
Asset Limits
- Individuals: $2,000
- Couples: $3,000
These limits do not include certain assets, such as a primary residence, one vehicle, and personal belongings. Applicants with assets above these limits may still be eligible for Medicaid coverage if they meet other requirements.
| Income Limit | Asset Limit | |
|---|---|---|
| Individuals | $1,683 per month | $2,000 |
| Couples | $2,294 per month | $3,000 |
It’s important to note that these limits may change over time. Applicants should contact their local Medicaid office for the most up-to-date information on income and asset limits.
Well guys, that’s all from me today on who’s eligible for Medicaid in North Carolina. I hope you found this helpful. I would love for you to swing by again later for more informative articles like this one. It was great talking to y’all. Later!