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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 Medicaid Co-payment Amounts.
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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)
