Health Choice Income and Resources Requirements

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Services Covered by Health Choice

The NC General Assembly sets the amount of income and resources to qualify for N.C. Health Choice (NCHC).

Family Size 133% (a) 211% (b)
  Monthly Income Annual Income Monthly Income Annual Income
1 $1,415 $16,980 $2,244 $26,928
2 $1,911 $22,932 $3,032 $36,384
3 $2,408 $28,896 $3,820 $45,840
4 $2,904 $34,848 $4,607 $55,284
5 $3,401 $40,812 $5,395 $64,740
6 $3,897 $46,764 $6,183 $74,196
7 $4,394 $52,728 $6,972 $83,664
8 $4,890 $58,680 $7,758 $93,096
         

Enrollment Fees

  • If your family monthly income is above 159% of the federal poverty level, there is an enrollment fee of $50 for one child or $100 for two or more children. The enrollment fee must be paid for each 12-month continuous enrollment period.
  • If your family monthly income is at or below the 159% poverty level, there is no enrollment fee.

Copayments

If your monthly income is above 159% of the federal poverty level, copayments are:

  • $25 for non-emergency emergency room use
  • $5 per physician visit
  • Prescription drugs: $1 for a generic drug, $1 for a brand drug for which no generic is available, and $10 for brand drug for which there is a generic available

If your family monthly income is less than or equal to 159% of the federal poverty level, copayments are:

  • $0 per physician visit
  • $10 for non-emergency emergency room use
  • Prescription drugs: $1 for a generic drug, $1 for a brand drug for which no generic is available, and $3 for brand drug for which there is a generic available.

Contact

Local Division of Social Services Directory