NC Medicaid Eligibility

Basic eligibility requirements

• 1

  Residency and citizenship

  To receive NC Medicaid, a person must:

  • Be a U.S. citizen or have an eligible immigration status.
  • Live in North Carolina.
  • Have a Social Security number or show you have applied, if you are eligible for one.

  Families that include non-U.S. citizens can apply. You can apply for your child even if you are not eligible for coverage. Applying will not affect your immigration status or chances of becoming a permanent resident or citizen.

• 2

  Family income

  To see income limits, check the section that matches your family size.

  Accordion

  • Who to include in your family size
  • Family size of 1 (single person)
  • Family size of 2
  • Family size of 3
  • Family size of 4
  • Family size of 5

  Tab/Accordion Items

  Who to include in your family size

  Include these people in your family size, even if they do not need Medicaid:

  • You
  • Your spouse
  • Your children under 21 including stepchildren
  • Any other person on the same federal income tax return (including any children over age 21 who are claimed on a parent’s tax return). You don’t need to file taxes to get health coverage.
  • If someone in your family is pregnant, do not include the unborn child in your family size on this page

  Do not include:

  • Your parents who live with you, but file their own tax return (if you are over 21)
  • Other adult relatives who file their own tax return

  Family size of 1 (single person)

  You are a family of one (1) if you live alone or if you do not claim anyone as a dependent on your tax returns.

  Who may be eligible for NC Medicaid - Family size of 1
  A pregnant person may be eligible if the family income is $3,339/month or less (includes one unborn child).
  A child ages 0-18 may be eligible if the family income is $2,649/month or less.
  An adult ages 19-64 may be eligible if the family income is $1,732/month or less.
  An adult ages 65+ may be eligible for full Medicaid if the family income is $1,255/month or less, and for other Medicaid programs if the family income is $1,695/month or less. Additional requirements apply.
  Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $2,448/month or less.
  People with certain health needs may be able to get special coverage. These include, but are not limited to: Physical or cognitive disabilities, or Traumatic brain injury, or Breast or cervical cancer

  This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

  Learn How to Apply

  All dollar amounts are before taxes. Figures are current until April 1, 2025.

  Family size of 2

  Check for each person in your family.
  Even if one person is not eligible, others in the family could be.

  Who may be eligible for NC Medicaid - Family size of 2
  A pregnant person may be eligible if the family income is $4,218/month or less (includes one unborn child).
  A child ages 0-18 may be eligible if the family income is $3,595/month or less.
  An adult ages 19-64 may be eligible if the family income is $2,351/month or less.
  An adult ages 65+ may be eligible for full Medicaid if the family income is $1,704/month or less, and for other programs if the family income is $2,300/month or less. Additional requirements apply.
  Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $3,322/month or less.
  People with certain health needs may be able to get special coverage. These include, but are not limited to: Physical or cognitive disabilities, or Traumatic brain injury, or Breast or cervical cancer

  This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

  Learn How to Apply

  All dollar amounts are before taxes. Figures are current until April 1, 2025.

  Family size of 3

  Check for each person in your family.
  Even if one person is not eligible, others in the family could be.

  Who may be eligible for NC Medicaid - Family size of 3
  A pregnant person may be eligible if the family income is $5,096/month or less (includes one unborn child).
  A child ages 0-18 may be eligible if the family income is $4,541/month or less.
  An adult ages 19-64 may be eligible if the family income is $2,970/month or less.
  Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $4,196/month or less.
  People with certain health needs may be able to get special coverage. These include, but are not limited to: Physical or cognitive disabilities, or Traumatic brain injury, or Breast or cervical cancer

   

  This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

  Learn How to Apply

  All dollar amounts are before taxes. Figures are current until April 1, 2025.

  Family size of 4

  Check for each person in your family.
  Even if one person is not eligible, others in the family could be.

  Who may be eligible for NC Medicaid - Family size of 4
  A pregnant person may be eligible if the family income is $5,975/month or less (includes one unborn child).
  A child ages 0-18 may be eligible if the family income is $5,486/month or less.
  An adult ages 19-64 may be eligible if the family income is $3,588/month or less.
  Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $5,070/month or less.
  People with certain health needs may be able to get special coverage. These include, but are not limited to: Physical or cognitive disabilities, or Traumatic brain injury, or Breast or cervical cancer

   

  This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

  Learn How to Apply

  All dollar amounts are before taxes. Figures are current until April 1, 2025.

  Family size of 5

  Check for each person in your family.
  Even if one person is not eligible, others in the family could be.

  Who may be eligible for NC Medicaid - Family size of 5
  A pregnant person may be eligible if the family income is $6,854/month or less (includes one unborn child).
  A child ages 0-18 may be eligible if the family income is $6,432/month or less.
  An adult ages 19-64 may be eligible if the family income is about $4,207/month or less.
  Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $5,945/month or less.
  People with certain health needs may be able to get special coverage. These include, but are not limited to: Physical or cognitive disabilities, or Traumatic brain injury, or Breast or cervical cancer

   

  This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

  Learn How to Apply

  All dollar amounts are before taxes. Figures are current until April 1, 2025.