Medicaid eligibility in North Carolina is determined by various factors, including income, family size, and specific circumstances. To qualify, individuals must meet certain income guidelines and fall into one of the eligible groups, which include families with dependent children, pregnant women, individuals with disabilities, and seniors. In addition, there are special eligibility rules for children and adults who are blind or disabled, as well as individuals in nursing homes or in need of long-term care.
Who Qualifies for Medicaid in North Carolina?
Medicaid is a government-sponsored health insurance program that provides coverage for low-income individuals and families. In North Carolina, Medicaid is administered by the Department of Health and Human Services (DHHS). To qualify for Medicaid in North Carolina, you must meet certain eligibility requirements.
Medicaid Eligibility for Adults in North Carolina
To be eligible for Medicaid as an adult in North Carolina, you must meet the following requirements:
- Be a resident of North Carolina.
- Be a U.S. citizen or a qualified non-citizen.
- Have a Social Security number.
- Meet income and asset limits.
- Be pregnant, disabled, or responsible for a child under the age of 19.
The income and asset limits for Medicaid eligibility vary depending on your family size and composition. You can find the current income and asset limits on the DHHS website.
If you meet the eligibility requirements, you can apply for Medicaid online, by phone, or in person. You can find more information about how to apply for Medicaid on the DHHS website.
Medicaid Benefits
Medicaid provides a variety of benefits, including:
- Medical care, including doctor visits, hospital stays, and prescription drugs.
- Dental care.
- Vision care.
- Mental health care.
- Substance abuse treatment.
- Long-term care.
The specific benefits that you are eligible for will depend on your individual needs.
If you have questions about Medicaid eligibility or benefits, you can contact the DHHS customer service line at 1-800-662-7030.
Who Qualifies for Medicaid in North Carolina? (Table)
| Category | Eligibility Requirements |
|—|—|
| **Children** | Children under the age of 19 who meet income and asset limits |
| **Pregnant Women** | Pregnant women who meet income and asset limits |
| **Parents and Caregivers** | Parents and caregivers of children under the age of 19 who meet income and asset limits |
| **Adults with Disabilities** | Adults with disabilities who meet income and asset limits |
| **Seniors** | Seniors aged 65 and older who meet income and asset limits |
| **Other Eligible Individuals** | Other individuals who meet income and asset limits, such as individuals who are blind or have a disability |
Medicaid Coverage for Children in North Carolina
Medicaid is a health insurance program that provides coverage to low-income individuals and families. In North Carolina, Medicaid covers children up to the age of 19 who meet certain income and eligibility requirements. Children who qualify for Medicaid can receive a wide range of health care services, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Dental care
- Eye care
- Mental health care
To qualify for Medicaid in North Carolina, children must meet the following income and eligibility requirements:
- Be a United States citizen or a qualified immigrant.
- Be a resident of North Carolina.
- Be under the age of 19.
- Have a household income that is at or below the poverty level.
There are a few exceptions to the income and eligibility requirements for Medicaid in North Carolina. For example, children who are in foster care or who have a disability may qualify for Medicaid even if their household income is above the poverty level. To learn more about the Medicaid program in North Carolina, you can visit the North Carolina Department of Health and Human Services website or call the Medicaid customer service line at 888-245-0008.
| Household Size | Poverty Level | Medicaid Income Limit |
|---|---|---|
| 1 | $12,880 | $16,956 |
| 2 | $17,420 | $22,804 |
| 3 | $21,960 | $28,652 |
| 4 | $26,500 | $34,496 |
| 5 | $31,040 | $40,340 |
| 6 | $35,580 | $46,184 |
Medicaid Eligibility in North Carolina
Medicaid is a health insurance program for people with low incomes and limited resources. In North Carolina, Medicaid is administered by the Department of Health and Human Services (DHHS). To qualify for Medicaid in North Carolina, you must meet certain income and resource limits.
Income and Resources Limits for Medicaid in North Carolina
The income and resource limits for Medicaid in North Carolina vary depending on your household size and composition. The following table shows the income and resource limits for Medicaid in North Carolina for 2023:
| Household Size | Income Limit | Resource Limit |
|---|---|---|
| 1 | $1,563 | $2,000 |
| 2 | $2,121 | $3,000 |
| 3 | $2,678 | $4,000 |
| 4 | $3,236 | $5,000 |
| 5 | $3,793 | $6,000 |
| 6 | $4,351 | $7,000 |
| 7 | $4,908 | $8,000 |
| 8 | $5,466 | $9,000 |
| 9 | $6,023 | $10,000 |
| 10 | $6,581 | $11,000 |
The income limits for Medicaid are based on the Federal Poverty Level (FPL). For 2023, the FPL is $12,880 for a single person and $26,500 for a family of four.
The resource limits for Medicaid are based on the value of your assets. Assets include cash, bank accounts, stocks, bonds, and real estate. Excluded assets are your primary residence, personal property (such as furniture and appliances), and one vehicle (or two vehicles if you are disabled).
If you meet the income and resource limits for Medicaid, you may be eligible for Medicaid coverage. To apply for Medicaid, you can contact your local Department of Social Services (DSS) office or apply online at the NCDHHS website.
Applying for Medicaid in North Carolina
You can apply for Medicaid online, by mail, or in person. To apply online, you’ll need to create an account with the North Carolina Medicaid website. You can also apply by mail by downloading and completing the Medicaid application form. To apply in person, you can visit your local Department of Social Services office.
When you apply for Medicaid, you’ll need to provide information about your income, assets, and household size. You’ll also need to provide proof of your identity and citizenship. If you’re applying for Medicaid for a child, you’ll also need to provide proof of the child’s age and identity.
Once you’ve submitted your application, it will be reviewed by the North Carolina Medicaid office. If you’re approved for Medicaid, you’ll receive a Medicaid card in the mail. You can use your Medicaid card to get health care services from any provider that accepts Medicaid.
Eligibility Requirements
- Be a resident of North Carolina.
- Be a U.S. citizen or a qualified immigrant.
- Meet the income and asset limits.
- Be pregnant, or have a child under 19, or be blind, or be disabled.
The income and asset limits for Medicaid in North Carolina vary depending on your household size and circumstances. To find out if you’re eligible for Medicaid, you can use the Medicaid eligibility calculator on the North Carolina Medicaid website.
Income Limits
| Household Size | Income Limit |
|---|---|
| 1 | $1,482 |
| 2 | $2,027 |
| 3 | $2,573 |
| 4 | $3,118 |
| 5 | $3,664 |
| 6 | $4,209 |
| 7 | $4,755 |
| 8 | $5,300 |
Asset Limits
The asset limits for Medicaid in North Carolina are:
- $2,000 for an individual.
- $3,000 for a couple.
- $10,000 for a child under 18. For children under 6, the limit is $15,000.
Assets that are not counted for Medicaid eligibility include:
- Your home.
- One car.
- Personal belongings.
- Money in a retirement account.
Thanks a bunch for taking the time to learn about Medicaid eligibility in North Carolina. I know it can be a little complicated, but I hope this article helped clear things up. If you still have questions, feel free to reach out to your local Medicaid office. They’re always happy to help. In the meantime, keep an eye on our blog for more updates on Medicaid and other healthcare topics. We’re always adding new content, so you never know what you might find. Thanks again for reading, and we hope to see you again soon!