NC Medicaid Eligibility

Medicaid provides health care coverage for people with low incomes. There are programs for children, pregnant women, adults and people who are blind or with disabilities.

More people can get NC Medicaid now. NC Medicaid now covers people ages 19 through 64. You may be able to get health care coverage through Medicaid even if you didn’t qualify before.

If you are not sure if you are eligible, we suggest you apply anyway.

Basic eligibility requirements

  • 1

    NC Medicaid may be available to people who are:

    • Low-income individuals and families
    • Age 65 or older
    • Blind or disabled
    • Infants and children under the age of 21
    • Pregnant
    • In need of long-term care
    • Receiving Medicare

    You also must:

    • Be a U.S. citizen or show proof of eligible immigration status
      (Some non-U.S. citizens can also get health care coverage through Medicaid. If you are applying for only emergency services, you are not required to provide documentation of immigration status.)
    • Live in North Carolina and show proof of residency
    • Have a Social Security number or show you have applied for one

    You are automatically eligible for Medicaid if you receive any of the following:

    • Supplemental Security Income (SSI)
    • State/County Special Assistance for the Aged or Disabled
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    Income

    There are limits to how much money your family can make to be eligible for NC Medicaid. The income limits are based on your age, health needs and family size. Income limits are updated each year on April 1.

    Check the section that best describes you and your family:

    Accordion
    Tab/Accordion Items

    Family Size  Income Limit, Before Taxes
    1   $2,564/month or less
    2 $3,468/month or less
    3 $4,372/month or less
    4 $5,275/month or less
    5 $6,179/month or less

    Your “family size” includes you, your spouse, and children under age 21 living with you and under your care. Include anyone else listed on your federal income tax return (dependents), if applicable.

    If the family income is over the limit, you may qualify for Medicaid under another program or you may qualify and have a Medicaid deductible.

    You may still qualify even if your income is more than these limits. The best way to find out is to apply for NC Medicaid.

    Medicaid provides medical coverage for parents or other caretakers/relatives with children ages 18 and under in the household. Additionally, NC Medicaid provides medical coverage for children ages 19 and 20. A pregnant woman also may qualify.

    Family Size  Income Limit, Before Taxes
    1   $434/month or less
    2 $569/month or less
    3 $667/month or less
    4 $744/month or less
    5 $824/month or less

    Your “family size” includes you, your spouse, and children under age 18 living with you and under your care. Include anyone else listed on your federal income tax return (dependents), if applicable.

    If the family income is over the limit, you may qualify for Medicaid under another program or you may qualify and have a Medicaid deductible.

    Family Size  Income Limit, Before Taxes
    Single adult  $1,676/month or less
    2 $2,267/month or less
    3 $2,859/month or less
    4 $3,450/month or less
    Each additional person Add $591/month 

    Your “family size” includes you, your spouse, and children under age 18 living with you and under your care. Include anyone else listed on your federal income tax return (dependents), if applicable.

    Family Size  Income Limit, Before Taxes Asset Limit
    Single adult  $1,215/month or less $2,000 or less
    2 $1,644/month or less $3,000 or less 


    Your “family size” includes you and your spouse.

    “Assets” include retirement accounts, stocks and bonds, the cash value of life insurance policies and other investments.

    You may still qualify even if your income is more than these limits. The best way to find out is to apply for NC Medicaid.

    Medicaid for Pregnant Women (or Pregnancy Medicaid) is a Medicaid program for pregnant women who do not have medical insurance or are underinsured. The program helps pregnant women get prenatal (before childbirth) and postpartum (after childbirth care). 

    A pregnant woman may apply for this program before or after she has her baby. A woman who has had a recent pregnancy loss may also be eligible. The coverage for the mother continues for 12 months after the birth event, including miscarriages, live birth, and stillborn. 

    Individuals who are eligible will get full Medicaid benefits.

    Family Size (Including Unborn Child)  Income Limit, Before Taxes
    2 $3,221/month or less
    3 $4,061/month or less
    4 $4,900/month or less
    5 $5,740/month or less

    Your “family size” includes you, your spouse, and children under age 21 living with you and under your care. The unborn child should be included in the family size. Also include anyone else listed on your federal income tax return (dependents), if applicable.

    You may still qualify even if your income is more than these limits. The best way to find out is to apply for NC Medicaid.

    You are automatically eligible for NC Medicaid if you receive either: 

    If you do not receive either of these, you may be able to get a disability determination

Learn about how copays work with NC Medicaid, or about NC Medicaid's recent expansion to more adults

How to apply

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

Learn How To Apply

If you do not qualify for NC Medicaid, you have options. You may be able to get coverage through HealthCare.gov. You may also be able to get low-cost health care at community health centers.

Need more help?

Need help understanding your health care coverage options? Make a free appointment with NC Navigator Consortium online or call 1-855-733-3711.

Have questions about Medicaid eligibility? Call your local Department of Social Services (DSS). To find yours, use our DSS directory or call the NC Medicaid Contact Center at 1-888-245-0179. Help is available in other languages.