Medicaid

Medicaid is a health insurance program for low-income individuals and families who cannot afford health care costs.

NC Medicaid may help pay for certain medical expenses including:

• Doctor Bills
• Hospital Bills
• Prescriptions (Excluding prescriptions for Medicare beneficiaries)
• Vision Care
• Dental Care
• Medicare Premiums
• Nursing Home Care
• Personal Care Services (PCS), Medical Equipment, and Other Home Health Services
• In-home care under the Community Alternatives Program (CAP)
• Mental Health Care
• Most medically necessary services for children under age 21

Coverage for certain health needs

NC Medicaid may also cover special services for people with certain health needs, including:

• Serious mental illness (SMI)
• Severe substance use disorders (SUD)
• Intellectual and developmental disabilities (I/DD)
• Traumatic brain injuries (TBI)

This health plan is called Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans (or “Tailored Plans”). They start July 1, 2024. Learn more about Tailored Plans.