Medicaid

In North Carolina, low-income individuals and families who cannot afford health-care costs may be eligible for Medicaid. NC Health Choice is an additional health coverage program for low-income children. 

The State of North Carolina has decided not to expand Medicaid eligibility at this time. Currently, you must fall into one of the following categories to access coverage: low-income parents, children, seniors, and people with disabilities. If you are a single adult without a dependent you will likely not be eligible for Medicaid under the current rules.

Who is eligible?

There are different types of coverage for people with different needs. Each group may have income and resource limits that vary. To be eligible for Medicaid, you must also: 

  • Be a U.S. citizen or provide proof of eligible immigration status. Individuals only applying for emergency services are not required to provide documentation of immigration status 
  • Live in North Carolina, and provide proof of residency
  • Have a Social Security number or have applied for one 

Many are automatically eligible if they are receiving any of the following benefits:

  • Supplemental Security Income (SSI)
  • Work First Family Assistance 
  • State/County Special Assistance for the Aged or Disabled 
    • (Adult Care Home Assistance )
  • Special Assistance to the Blind

You do not have to get a physical or other type of exam to enroll. However, if you are applying because you are disabled, a medical exam may be required. If you are applying for Medicaid because you are pregnant, proof of pregnancy is required.

What Does Medicaid Cover? 

Medicaid may help pay for certain medical expenses such as (not a full list): 

  • Doctor Bills
  • Hospital Bills 
  • Prescriptions (Excluding prescriptions for Medicare beneficiaries) 
  • Vision Care 
  • Dental Care 
  • Nursing Home Care 
  • Mental Health Care
  • Most medically necessary services for children under age 21 

How do I apply?

Individuals who believe they are eligible for Medicaid are encouraged to apply for coverage using one of three options:

  • Apply online using North Carolina’s ePASS application
    • You can also apply for food and nutrition assistance, and other benefits
  • Apply at a local Division of Social Services Office (find offices here)
  • Find local assistance from a community partner by completing an application