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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 $1,385 $16,620 $2,197 $26,364
2 $1,875 $22,500 $2,974 $35,688
3 $2,365 $28,380 $3,751 $45,012
4 $2,854 $33,248 $4,528 $54,336
5 $3,344 $40,128 $5,305 $63,660
6 $3,834 $46,008 $6,083 $72,996
7 $4,324 $51,888 $6,860 $82,320
8 $4,814 $57,768 $7,637 $91,644
         

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