North Carolina Expands Medicaid
North Carolina has expanded health care coverage to more people.
NC Medicaid now covers people ages 19 through 64 years with higher incomes. You may be able to get health care coverage through Medicaid even if you did not qualify before. NC Medicaid pays for doctor visits, yearly check-ups, emergency care, dental care, mental health and more – at little or no cost to you.
Most people can get health care coverage through NC Medicaid if:
- You live in North Carolina
- You are ages 19 through 64 years old
- You are a citizen (some non-US citizens can also get health care coverage through Medicaid).
- And if your household income falls within the chart below:
| Household size | Total income, before taxes |
|---|---|
| Single Adults | $1,676/month or less ($20,120/year) |
| Family of 2 | $2,267/month or less ($27,214/year) |
| Family of 3 | $2,859/month or less ($34,307/year) |
| Family of 4 | $3,450/month or less ($41,400/year) |
| Each additional person | add $591/month (add $7,094/year) |
If someone is pregnant, they may be eligible for other Medicaid programs to get full health benefits.
NC Medicaid covers most health services. It includes doctor visits, check-ups, emergency care, hospital services, maternity and postpartum care, vision and hearing services, prescription drugs, behavioral health, preventive and wellness services, dental care, medical-related devices and more. There is no monthly fee and copays are never more than $4.
Use these free materials to promote expanded Medicaid in your community. We will keep adding flyers, graphics and more.
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Medicaid Expansion Flyer (English/Spanish) A one-page flyer explaining Medicaid services and who is eligible. |
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Family Planning Medicaid Flyer (English/Spanish) A one-page flyer explaining the new coverage available to participants in the Family Planning Medicaid program. |
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Medicaid Essentials PowerPoint Additional languages: Spanish A short PowerPoint deck that can be used to explain Medicaid expansion to your community. |
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Medicaid Expansion and Marketplace Plans Flyer A two-page flyer explaining how those currently enrolled in HealthCare.gov marketplace plans may be able to get Medicaid instead. |
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Video: Navigating ePASS / Guide to Providing Application Assistance Additional languages: Spanish A webinar and walks through ePASS, North Carolina's secure, self-service online portal to apply for various benefits without having to visit your local DSS office. |
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Video: NC Medicaid Expansion (American Sign Language/English)
Last updated: December 7, 2023
Information about NC Medicaid Expansion for Deaf, Hard of Hearing, and DeafBlind North Carolinians, including information on the Medicaid Communication Access Service. Signed in ASL and voiced in English.
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Social Media Toolkit Additional languages: Spanish Graphics and posts to share on your channels. |
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Newsletter Template (English/Spanish) Language that's easy to copy-and-paste for you to let your community know about Medicaid expansion. |
Get email updates, volunteer opportunities, and the tools you need to help spread the word about NC Medicaid expansion.
Some people who have limited benefits through the NC Family Planning Medicaid Program automatically got full Medicaid coverage starting December 1, 2023. If that’s the case, you should have gotten a letter from your local Department of Social Services office in late November.
You will get a packet in the mail. Here is what will happen next.
If you did not get this letter by December 15, but you are enrolled in the Medicaid Family Planning Program and you meet the rules for full Medicaid benefits, call your local Department of Social Services office.
For questions about:
- NC Medicaid expansion, including who is eligible, benefits, enrollment and more: Questions and answers about Medicaid expansion
- If you are eligible for NC Medicaid: Check our eligibility guidelines or contact your local Department of Social Services (DSS) office.
- Standard Plan benefits or how to change your primary care provider (PCP): Call your Standard Plan:
- WellCare: 1-866-799-5318 (TTY: 711)
- UnitedHealthcare Community Plan: 1-800-349-1855 (TTY: 711)
- HealthyBlue: 1-844-594-5070 (TTY: 711)
- AmeriHealth Caritas: 1-855-375-8811 (TTY: 1-866-209-6421)
- Carolina Complete Health: 1-833-552-3876 (TTY: 711 or 1-800-735-2962)
- How to change your PCP if you are in NC Medicaid Direct: Call the NC Medicaid Contact Center at 1-888-245-0179.
- Your Local Management Entity/Managed Care Organization (LME/MCO) or Tailored Care Management (TCM): Call your LME/MCO:
- Alliance Health: 1-800-510-9132 (TTY: 711 or 1-800-735-2962)
- Eastpointe: 1-800-913-6109 (TTY: 1-888-819-5112)
- Partners Health Management: 1-888-235-4673 (TTY: 1-800-735-2962)
- Sandhills Center: 1-800-256-2452 (TTY: 711 or 1-866-518-6778)
- Trillium Health Resources: 1-877-685-2415 (TTY: 711)
- Vaya Health: 1-800-962-9003 (TTY: 711)
- If you are a federally recognized tribal member or an IHS-eligible beneficiary with questions on Eastern Band of Cherokee Indians (EBCI) Tribal Option: Call the EBCI Tribal Option.
- EBCI Tribal Option: 1-800-260-9992 (TTY: 711)
- Your health care options or changing your health plan: visit ncmedicaidplans.gov, use the NC Medicaid Managed Care mobile app, or call 1-833-870-5500 (TTY: 711 or RelayNC.com)
- If you need help with resources or help you understand your rights and responsibilities: Call the NC Medicaid Ombudsman at 1-877-201-3750.
- For all other questions, check the NC Medicaid Beneficiary Portal or call the NC Medicaid Contact Center at 1-888-245-0179.