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Learn about NC Medicaid including eligibility, co-payment amounts, coverage for families up to 200% FPL, and benefits package offered. Health Choice for Children income limits, enrollment details and how families can buy into the program.
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Medicaid Eligibility • Low-income by federal poverty level (FPL) • Us citizen or lawful immigrant • Pregnant Women and newborn • Children 18 years and younger (some states cover up to 21 yrs of age) • Aged, Blind, and/or Disabled
NC State Children’s Health Insurance Program • Cover families up to 200% of Federal Poverty Level (FPL) • Benefits package provided by NC Teacher’s and State Employees Comprehensive Major Medical Plan plus dental, vision, and hearing
NC State Plan (cont) • Families above 150% pay co-payments $6 for prescription $5 for physician, clinic, dental, and optometry visits $5 for outpatient hospital visit $20 co-payment for unnecessary emergency room use
NC State plan (cont) • Enrollment fee for those above 150% of FPL $50 per child per year $100 maximum for 2 or more children • Allow families whose income increases above 200% of FPL to buy into the program for 1 year at full cost
Income Limits: Health Choice for Children (Effective April 2009)
