Option 1 Apply Online
You can apply online through the North Carolina ePASS Portal as shown in the image below.
If you have an account, you can log in or create your North Carolina ePASS Account. to be taken to the website.
The video below, from the North Carolina Department of Health and Human Services does a great job of walking you through how to apply for Medicaid online.
We highly encourage you to watch it if you are planning to apply for NC Medicaid online.
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Adult Medicaid And Long Term Care Medicaid
ADULT MEDICAID AND LONG TERM CARE MEDICAID PROGRAMS
Adult Medicaid is health insurance for low-income individuals, seniors, and people with disabilities. Eligibility is based on your familys monthly income and resources that are owned. To receive Medicaid for disability or blindness, you must meet Social Securitys definition of disability or blindness. Adult Medicaid covers individuals living at home in a Private Living Arrangement or individuals in Long Term Care living arrangements. The Medicare Savings Program is a limited assistance Adult Medicaid program for individuals enrolled in Medicare Part A and/or Part B. The Medicare Savings Program can help pay for Medicare premiums, coinsurance, and deductibles.
APPLYING FOR ADULT MEDICAID & LONG TERM CARE PROGRAMS:
- Apply online at or print here to mail in the application.
- You may also request that an application be mailed to you by calling 919-580-4034.
- Applications can be dropped off in the Social Services mail drop box located in the parking lot of Wayne County Social Services at 301 N Herman St, Goldsboro, NC 27530.
- Apply in person at the Wayne County Dept. of Social Services located on the 2nd floor at 301 N. Herman St, Goldsboro NC. Applications are taken between 8:00 am to 5:00 pm, Monday Friday .
ADULT MEDICAID & LTC RECERTIFICATIONS AND CHANGES:
Report changes by calling 919-731-1022
RELATED LINKS:
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What Are The Main Differences Between Medicare And Medicaid
Medicare is administered at the federal level and is a health insurance program. Medicaid is regulated by the federal government and administered at the state level.
Medicare has premiumsA premium is an amount that an insurance policyholder must pay for coverage. Premiums are typically paid on a monthly basis. In the federal Medicare program, there are four different types of premiums. â¦, deductibles, copays, and more. Medicaid assists with these costs, but you may be required to use an approved Medicaid health plan. The benefit is the plan will have very low copays and very few additional fees.
Medicare is for those aged 65 and older or those with disabilities or specific medical conditions. Medicaid is for people of any age, with or without medical conditions, so long as they meet the states economic conditions.
Medicare is not income-restricted. Medicaid has income limitations and is intended for those with low income.
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How Do I Go Paperless
It’s easy to go paperless. Paperless means you stop getting paper letters by mail and get them online instead. You can get an email, text message or both when you have a letter to view online. All of your letters will be online in your NC Medicaid Managed Care account.
Once you enroll in a health plan, you may choose to go paperless. There are three ways to sign up:
- Online: Log in to your NC Medicaid Managed Care account.
- Mobile app: To get the free mobile app, search for NC Medicaid Managed Care on or the App Store.
- Phone: Call us at 1-833-870-5500 . The call is toll free.
You may sign up for emails, text messages or both.
Once you go paperless, you will not get any letters by mail about your health plan. All of your letters will be online in your NC Medicaid Managed Care account.
Going paperless is faster than getting letters by mail. You can view the letters in your NC Medicaid Managed Care account as soon as they are ready, so you do not have to wait for the mail.
Going paperless is also easier. The letters in your NC Medicaid Managed Care account will never be removed, so you do not have to keep copies of letters mailed to you. You can go back to read them in your NC Medicaid Managed Care account at any time.
You may stop going paperless at any time. If you do, you will get letters by mail again.
What Is The Eastern Band Of Cherokee Indians Tribal Option
The EBCI Tribal Option is the primary care case management entity created by the Cherokee Indian Hospital Authority . It manages the primary care needs of federally recognized tribal members and others who qualify for services through Indian Health Service and live in Buncombe, Clay, Cherokee, Graham, Haywood, Henderson, Jackson, Macon, Madison, Swain or Transylvania counties.
The EBCI Tribal Option includes care coordination by Vaya Health for a mental health disorder, substance use disorder, intellectual/developmental disability or traumatic brain injury . The EBCI Tribal Option offers added services for members who qualify. As a member of the EBCI Tribal Option, you can get services from any NC Medicaid or NC Health Choice provider.
To learn more, go to ebcitribaloption.com
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What Is A Tailored Plan
A Tailored Plan is a North Carolina Medicaid and NC Health Choice health plan. It offers physical health, pharmacy, care management and behavioral health services. It is for members who may have significant mental health needs, severe substance use disorders, intellectual/developmental disabilities or traumatic brain injuries . Tailored Plans offer added services for members who qualify.
Tailored Plan auto-enrollment began . If you are auto-enrolled in a Tailored Plan or have the option to choose a Tailored Plan, you will receive a notice in the mail. Tailored Plans will start .
There are six Tailored Plans. These include:
Alliance Health
Information You May Need When Applying For Services
To assist you with the Medicaid and Food and Nutrition Services applications, listed below are verifications you may be asked to provide in order to determine your eligibility. If you do not have any of this information you may still complete an application and interview for services. Individuals can apply at or in person at the Social Service building, no appointment is necessary.
To submit required verification electronically, email them to:
Name/Identity:
- Mail received at your address
Earned Income:
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What Happens To My Medicaid If I Move
North Carolina Medicaid recipients must report changes that can influence their eligibility status, including relocating to a new address.
If you move to a new residence within North Carolina, you can update your address with the North Carolina Division of Social Services in the following ways:
- By phone at 1 662-7030.
- In person at a local Division of Social Services office. Find contact information for local DSS offices in North Carolina here.
Note: Medicaid benefits do not transfer. If you move to a new state, you must reapply for Medicaid in your new location. If you have further questions about moving with Medicaid, visit the national Medicaid Contact Us here.
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Where Do I Apply For Medicaid
Applications are taken daily Monday through Friday from 8:00 am to 5:00 pm and no appointment is needed. You may apply at The Department of Social Services.
741 North Highland Avenue Winston-Salem, NC 27101
The process of making an application for Medicaid can be complex and require a considerable amount of information.
If you have questions, please call 703-3800. We are here to answer your questions!
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Understanding Obamacare: Do I Qualify For Medicaid If I Have $60000 In The Bank And A 401k Plan
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Syracuse, N.Y. â Iâm still answering readersâ questions about Obamacare and the New York health insurance exchange.
Hereâs another one:
My husband has been unemployed for 16 months. He has been trying to launch a business. I work part time. Our total income for 2013 was $28,000. I applied for Medicaid through the state health insurance exchange website and am waiting for a Medicaid representative to contact me. The Medicaid website application did not request asset information. We have about $60,000 in savings from an inheritance, which we are spending down at $7,000 a month. We only have about eight months before we are completely out of money. We also have about $250,000 in a 401K. We own one car and have no college savings for our 16- and 14-year-old children. Are we likely to qualify for Medicaid? Right now, we are paying $1758 a month for private health insurance.â Carolyn
You should be eligible for Medicaid, even though you have some savings, according to Sara Wall Bollinger of HealtheConnections. Her Syracuse agency employs navigators who help people enroll in health plans through the state exchange.
You can qualify for Medicaid in New York if you earn up to 133 percent of the federal poverty level. Thatâs about $15,800 for a single person or $32,500 for a family of four.
Medicaid does not look at an applicantâs savings and other financial resources unless the person is 65 or older or disabled.
Sign Up: Within 8 Months After You Or Your Spouse Stop Working
- Most people dont have to pay a premium for Part A . So, you may want to sign up for Part A when you turn 65, even if you or your spouse are still working.
- Youll pay a monthly premium for Part B , so you may want to wait to sign up for Part B.
Avoid the penalty & gap in coverageIf you miss this 8-month Special Enrollment Period, youll have to wait to sign up and go months without coverage. You might also pay a monthly penalty for as long as you have Part B. The penalty goes up the longer you wait to sign up. How much is the Part B late enrollment penalty?
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How Medicaid Works With Other Coverage
You may still qualify for Medicaid even if you have other health insurance coverage, and coordination of benefits rules decide who pays your bill first. In this case, your private insurance, whether through Medicare or employer-sponsored, will be the primary payer and pays your health care provider first. Medicaid comes in as second insurance to settle what your private insurance doesnt pay, up to its limit.
If you have both Medicaid and private health insurance, you should show both your private health insurance card and Medicaid card to your medical provider every time you receive services.
A health-service provider who accepts both your Medicaid and private insurance card wont bill you for copayments or deductibles.
Any money received from an insurance company or as compensation for a medical care lawsuit must be used to pay the health provider. If Medicaid already has covered the cost of care, you must make a refund to Medicaid. If your private insurance is through an employer-sponsored plan, you may be an eligible candidate for the Health Insurance Premium Payment program. HIPP is a voluntary program that may pay your insurance premium as long as you or a family member qualifies for Medicaid coverage.
If your service provider wont take your Medicaid and private insurance card, your insurance company may help you locate a doctor in its provider network.
Do I Qualify For Medicaid
Medicaid provides free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Many states have expanded their Medicaid programs to cover all people below certain income levels. Medicaid qualifications depend partly on whether your state has expanded its program.
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Healthy First Steps Rewards
Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up.
We will help you:
- Choose a pregnancy provider and a pediatrician .
- Schedule visits and exams and arrange rides to your visits.
- Earn rewards for going to visits throughout your pregnancy and babys first 15 months of life.
- Get supplies, including breast pumps for nursing moms.
- Connect with community resources such as Women, Infants and Children services.
What Is Community Care Of North Carolina
CCNC is the primary care case management entity for NC Medicaid Direct beneficiaries. CCNC provides care management services. It also works with all Local Management Entity-Managed Care Organizations for beneficiaries with a mental health disorder, substance use disorder, intellectual/developmental disability or traumatic brain injury .
To learn more, go to communitycarenc.org.
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Extra Help To Pay For Medicare Prescription Drug Costs
Extra Help is a Medicare program to help people with limited income and resources pay Medicare prescription drug costs. You may qualify for Extra Help if your yearly income and resources are below these limits in 2021:
- Single person yearly income less than $19,320 and less than $13,290 in other resources per year
You may qualify even if you have a higher income . Resources include money in a checking or savings account, stocks, bonds, mutual funds, and Individual RetirementAccounts . Resources dont include your home, car, household items, burial plot, up to $1,500 for burial expenses , or life insurance policies.
If you qualify for Extra Help and join a Medicare drug plan, youll:
- Get help paying your Medicare drug plans costs.
- Have no late enrollment penalty.
You automatically qualify and will receive Extra Help if you have Medicare and meet any of these conditions:
- You have full Medicaid coverage.
- You get help from your state Medicaid program paying your Part B premiums .
- You get Supplemental Security Income benefits.
Drug costs in 2021 for people who qualify for Extra Help will be no more than $3.70 for each generic drug and $9.20 for each brand-name drug.
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Rate And Comment On The Answer
This site uses Akismet to reduce spam. .
I inherited $82,000 in December 2015 will I still be eligible for Obama care and do they consider that income ? And ,or will they raise my premiums?
It depends on the exact tax implications, generally yes and this will throw off your credits and cause you to have to repay them. Not a fun answer to give, but here are the details:
Regarding inheritance: We hope to sell my deceased mothers house next year and most likely there will be a capital loss on the cost basis.
Here is my question:Presently, I receive Premium Tax Credits based on a modest income. My concern is that when IRS sees the sale itself, regardless of capital loss, then it will assume I received extra income that year from the sale, causing the IRS to see I will exceed 400% of the Federal Poverty Line limit then I will need to pay back 100% of the Premium Tax Credits I might receive in that year which would be very costly.
This is not a loss I can afford to take, since the $ amount we will receive is not significant. I can find no information on any site regarding this. If I exceed 400% of the threshold then perhaps I am better off finding private insurance in that year.
Any advice is welcome.
So the only thing is to be aware of what your net gain/loss will be and act accordingly.
So I suppose this does not apply to me.
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What Is Emergency Medicaid
Traditional Medicaid benefits mimic those of private health insurance policies. If you are approved for traditional Medicaid, therefore, you will be covered for things such as doctor visits, hospital stays, and prescription medications. To be approved for emergency Medicaid, ad applicant must meet all of the general eligibility requirements except the citizenship/immigration status requirement. Note that the residency requirement must still be met, meaning that an applicant must prove an intent to remain in North Carolina. Emergency Medicaid provides similar benefits but only for a limited period of time and only if the applicant has a medical emergency.
Find And View Providers And Health Plans
This website has tools to help you find and view primary care providers and health plans.
Medicaid and NC Health Choice Provider and Health Plan Lookup ToolYou can use the Medicaid and NC Health Choice Provider and Health Plan Lookup Tool to find a PCP. Our provider search will help you find the best PCP for you and your family.
To search for a provider, go to Find a provider.
Health Care Option GuideYou can use the Health Care Option Guide to view health plans. It will help you choose the best health plan to meet your health care needs.
To view health plans, go to View health plans.
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Here Are The Ways You Will Be Able To Choose Your Health Plan And Primary Care Provider
To enroll online, you need to have an NCID account. Select Get Started to go to the NCID sign-in page first.
- If you dont have an NCID account, select Register.
- If you have an NCID account but dont know your NCID username or password, select Forgot Username or Forgot Password. You may have to answer questions or verify through your mobile device to reset your password or unlock your account.
What Is An Ncid
An NCID is a web-based application with a secure login. It gives you access to resources and your information. When you enroll in a health plan online, you will need to use your NCID sign-in. You can change your NCID username and password if you dont remember them. If you dont have an NCID account, you will need to create one to enroll in a health plan online.
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