NC Medicaid Copays

Versión en español

NC Medicaid is low or no-cost to you. NC Medicaid pays the cost for most health care services. You do not have to pay any monthly premiums. The highest copay is $4 and that is only needed for some services.

Copays

A copay is a fee you pay when you get certain health care services or prescriptions.

Service Copay
  • Doctor visits
  • Non-emergency and emergency department visits
  • Optometrist and optical visits
  • Outpatient visits
  • Podiatrist visits
  • Chiropractic visits
$4 per visit
Generic and brand prescriptions $4 per prescription

There are no NC Medicaid copays for:

  • Members under age 21
  • Members who are pregnant
  • Members who get hospice care
  • Federally recognized tribal members
  • North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) beneficiaries
  • People living in an institution who get coverage for cost of care
  • Children/youth in foster care
  • Behavioral health, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI) services

How to apply

The best way to find out if you are eligible is to apply.

Learn How To Apply