North Carolina Medicaid Program & Eligibility
Coverage, eligibility, and how to get Medicaid help in North Carolina.
Medicaid Expansion
State Coverage
Medicaid in North Carolina
NC Medicaid Eligibility
- Adults ages 19-64 who don't have dependent children
- Parents or caretaker relatives of dependent children
- Children and teenagers
- Pregnant individuals
- Adults ages 65 or older, blind, or living with a disability
To qualify, you must meet the following requirements:
- You live in North Carolina
- You are a U.S. citizen, national, or a qualified immigrant
- Your household income is at or below the limit for the specific program that applies to you
Applying for Medicaid
North Carolina has multiple ways to apply for Medicaid, so you can choose the option that works for you.
- Online: Apply through NC ePASS at epass.nc.gov, a website run by the North Carolina Department of Health and Human Services
- By phone: Call the NC Medicaid Contact Center at 1-888-245-0179.
- By mail: Complete the paper application and mail it to your county’s Department of Social Services (DSS) office. Find your local office at ncdhhs.gov.
- In person: Visit your county’s Department of Social Services (DSS) office. Find your local office at ncdhhs.gov.
Have the following ready for everyone in your household:
- Dates of birth
- Social Security Numbers
- Immigration documents (if applicable)
- Proof of income (pay stubs, W-2, 1099, or tax return)
- Proof of residency
- Current health insurance information, if any
After Applying
While your application is under review: Your county’s DSS office may contact you to request additional documents. Respond promptly to avoid delays. You can check your status through NC ePASS or by calling 1-888-245-0179.
If you’re approved:
- Your health coverage may be retroactive, meaning Medicaid can help cover recent medical bills.
- You'll receive enrollment information in the mail and can enroll in an NC Medicaid managed care plan.
Staying enrolled:
- Report changes in income, household size, or address promptly through NC ePASS or by contacting your local DSS office.
- Your coverage must be renewed annually. Watch for renewal notices and respond on time to avoid losing coverage.
Income Limits
Income limits for NC Medicaid depend on your household size and what program applies to you.
What’s Covered
Doctor and Hospital Visits
Preventative Care and Screenings
Mental Health and Substance Use Treatment
Prescription Drugs
Maternity and Newborn Care
Dental and Vision Services
Long-Term Care (for eligible individuals)
Emergency Transportation Services
Need help with Medicaid in North Carolina?
Below are some of the most commonly asked questions.
Medicaid in Connecticut is a public health insurance program that provides free or low-cost health coverage to eligible low-income individuals and families. In Connecticut, Medicaid is also known as HUSKY Health.
If your income is too high for Medicaid, you may still qualify for subsidized coverage through healthcare.gov, the federal health insurance marketplace. Visit healthcare.gov to explore your options.
How you apply depends on your age and situation:
- Adults under 65 typically apply through Access Health CT
- Seniors (65+) and people with disabilities usually apply through their local Department of Social Services (DSS)
Applications can be submitted online, by phone, by mail, or in person.
Filling out government forms (paper or digital) can be confusing. We know the anxiety of missing important mail from the state. We built Fortuna to take the stress out of health plan coverage.
We provide your own dedicated navigator available by phone and chat to help you out!
For most people, Medicaid in Connecticut (HUSKY) has no monthly premium and very low or no out‑of‑pocket costs. Some services may require small copayments, but many groups (such as children and pregnant individuals) are exempt.
Medicare is health insurance that generally covers people aged 65+. Medicaid covers people of all ages if you make below a certain income or face hardship based on other circumstances like disability.
Fortuna focuses on Medicaid. If you need Medicare support, we can help you enroll onto a Medicare-Medicaid program.
Yes, if Fortuna is available through our partner health plan and providers. Please contact your insurer or provider for more information.
Yes, Fortuna is only available through providers and insurers. Please contact us at info@fortunahealth.com for more information.
Ready to renew or start your coverage?
Take the next step and keep your Medicaid benefits active with Fortuna’s simple, guided process.
