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Medicaid Eligibility
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Phone: (828) 695-5600

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3030 11th Avenue Drive SE
Hickory, NC 28602


Mailing Address:
PO Box 669
Newton, NC 28658

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Medicaid Eligibility

Your family’s income, the number of people in your family, and the age of your children determine if you or your children qualify.

When you apply for Medicaid, your family’s monthly income is calculated by subtracting certain deductions from your gross income. Certain deductions are given for work-related expenses, child care costs, and court-ordered child support or alimony. The deductions vary with each Medicaid program. An eligibility specialist will calculate your monthly family income.

For more information please go to http://www.ncdhhs.gov/dma/medicaid/index.htm

Medicaid for Children

Medicaid for children provides medical coverage for children under age 19. The income limits are determined by the size of the family and the age of the child(ren) for whom you are applying. There is no limit on resources.

North Carolina Health Choice

North Carolina Health Choice (NCHC) is North Carolinas health insurance program for children under age 19 who have no health insurance and whose family’s income prevents them from affording health care, but who are ineligible for Medicaid.  The income limits are determined by the size of the family and the age of the child(ren) for whom you are applying. There is no limit on resources.

NCHC is coverage through Blue Cross and Blue Shield of North Carolina, but is administered through social services because it is a publicly funded program governed by federal and state laws.  This program can end or be frozen when funds are depleted.

Medicaid for Families with Dependent Children

Medicaid for Families with Dependent Children provides medical coverage for parent(s) or other caretakers with child(ren) under age 19 in the home and for children under age 21. The income limit is determined by the size of the family. You cannot have more than $3,000 in resources, such as savings, in the bank.

Medicaid for Pregnant Women

Medicaid for Pregnant Women only covers services related to pregnancy:
  • Prenatal care, delivery and 60 days postpartum care
  • Services to treat medical conditions which may complicate the pregnancy
  • Childbirth classes
  • Family planning services

A pregnant woman may apply for this program before or after she delivers. A woman who has experienced a recent pregnancy loss may also be eligible. The income limit is determined by the size of the family. There is no limit on resources.

Be Smart Family Planning Program

The Be Smart Family Planning Program is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina. The program provides free family planning and birth control services. It is voluntary and confidential. Women ages 19 through 55 and men ages 19 through 60 are eligible to apply. In order to receive services, applicants cannot be pregnant, sterile, or incarcerated.