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 $1,337 $16,044 $2,121 $25,452
2 $1,800 $21,600 $2,856 $34,272
3 $2,264 $27,168 $3,591 $43,092
4 $2,727 $32,724 $4,326 $51,912
5 $3,190 $38,280 $5,061 $60,732
6 $3,654 $43,848 $5,796 $69,552
7 $4,117 $49,404 $6,531 $78,372
8 $4,580 $54,960 $7,266 $87,192
         

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

Medical Assistance Operations Section
Phone: 919-855-4050
Fax: 919-715-8548