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North Carolina Medicaid Income Limits 2024

In North Carolina, it is mandatory for people to meet the eligibility income limits imposed under the program by the concerned department to receive the benefits of the Medicaid program. Because the income limit for applying in the Medicaid program has been made according to different members. By completing these, you can get the benefits of joining the Medicaid program. In this article, you have been given information related to North Carolina Medicaid Income Limits 2024 chart and guidelines.

North Carolina Medicaid Income Limits Guidelines

North Carolina Medicaid plays a crucial role in providing healthcare assistance to individuals and families with limited financial resources. To ensure fair access to healthcare services, the program establishes income limits based on household size. In this article, we'll delve into the North Carolina Medicaid income limits for various household sizes, shedding light on the eligibility criteria.

North Carolina Medicaid is a state and federally funded program designed to assist individuals and families with low incomes in obtaining essential healthcare services. Eligibility is determined in part by income, making it vital to understand the income limits set by the program.

North Carolina Medicaid Income Limits by Household Size

The income limits for North Carolina Medicaid vary depending on the number of individuals in a household. Let's break down the figures:

  • Household Size 1: $19,392
  • Household Size 2: $26,228
  • Household Size 3: $33,064
  • Household Size 4: $39,900
  • Household Size 5: $46,737
  • Household Size 6: $53,573
  • Household Size 7: $60,409
  • Household Size 8: $67,245

These figures represent the maximum annual income allowed for eligibility, and applicants must fall below these thresholds to qualify for Medicaid assistance.

North Carolina Medicaid Income Limits 2024

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household SizeMaximum Income Level (Per Year)

For households with more than eight people, add $6,836 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

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Who is eligible for North Carolina Medicaid Program?

To be eligible for North Carolina Medicaid, you must be a resident of the state of North Carolina, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. You must also be one of the following:

  • Pregnant, or
  • Be responsible for a child 18 years of age or younger, or
  • Blind, or
  • Have a disability or a family member in your household with a disability, or
  • Be 65 years of age or older.

Required Eligibility for the North Carolina Medicaid Program

Medicaid eligibility in North Carolina is based on various factors, including income, family size, age, disability, and other circumstances. However, Medicaid programs can undergo changes, and eligibility criteria may be subject to updates. Therefore, it's crucial to check with the North Carolina Department of Health and Human Services or visit their official website for the most current and accurate information. Below are some general considerations for Medicaid eligibility:

  • Income: Medicaid eligibility is often determined by household income, which is compared to the federal poverty level (FPL). Different eligibility thresholds may apply to various groups, such as children, pregnant women, parents, and individuals with disabilities.
  • Family Size: The size of the household, including the number of dependents, is a factor in determining eligibility. As family size increases, the income threshold for eligibility may also increase.
  • Age: Different age groups may have different eligibility criteria. For example, there may be specific provisions for children, pregnant women, parents, and elderly individuals.
  • Pregnancy: Pregnant women may be eligible for Medicaid during their pregnancy and for a specific period after childbirth. This coverage helps ensure access to prenatal and postpartum care.
  • Disability: Individuals with disabilities may qualify for Medicaid based on their disability status. Eligibility criteria for disabled individuals may consider both income and functional impairments.
  • Citizenship or Immigration Status: Eligibility is typically restricted to U.S. citizens, U.S. nationals, and qualified non-citizens. Documentation of citizenship or immigration status is usually required.
  • Residency: Medicaid is generally available to residents of the state. Applicants may need to provide proof of residency, such as utility bills or lease agreements.
  • Other Considerations: Other factors, such as being a parent or caretaker relative of a dependent child, may influence eligibility. Additionally, some individuals may qualify for Medicaid through special provisions, such as the Breast and Cervical Cancer Medicaid program.

It's important to note that Medicaid eligibility determination is a complex process, and individuals may fall into different eligibility categories based on their unique circumstances. The application process often involves submitting documentation to verify the information provided.

For the most accurate and current information regarding Medicaid eligibility in North Carolina, including income limits and specific requirements, it is recommended to contact the North Carolina Department of Health and Human Services or visit their official website. They can provide guidance on the application process and eligibility criteria tailored to the state's Medicaid program.

North Carolina Medicaid Program

Medicaid is a health insurance program for certain low-income and needy people paid with federal, state, and county dollars. It covers more than 1 million people in our state, including children, the aged, blind, and/or disabled, and people who are eligible to receive federally assisted income maintenance payments. 

North Carolina Medicaid includes Baby Love for prenatal and infant health care, Health Check for children up to age 21, Carolina ACCESS for managed care, and community alternatives to provide home and community care as a cost-effective alternative to institutionalization. Covered individuals are elderly or disabled individuals, children and their parents, persons needing long-term care and some Medicare recipients.

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FAQ's-North Carolina Medicaid Income Limits 2024

How is Household Size Defined in the Context of North Carolina Medicaid?

Household size, in the context of North Carolina Medicaid, refers to the number of individuals living together and sharing common living expenses. It includes all family members, including dependents, and is a crucial factor in determining eligibility for Medicaid benefits.

What Types of Income are Considered When Calculating Medicaid Eligibility?

Medicaid considers various sources of income when determining eligibility. This includes wages, self-employment income, Social Security benefits, pensions, alimony, and other forms of financial support. It's essential for applicants to provide accurate and comprehensive information about all income sources during the application process.

How Often Are Medicaid Income Limits Updated?

Income limits for Medicaid are subject to periodic updates, typically on an annual basis. These adjustments may be influenced by factors such as inflation and changes in the cost of living. It's advisable for individuals to stay informed about these updates, especially if there have been changes in their financial circumstances.

Where Can Individuals Apply for North Carolina Medicaid?

Individuals can apply for North Carolina Medicaid through various channels, including online applications and in-person visits to the Department of Health and Human Services. It's essential to gather all necessary documentation, such as proof of income and household size, to facilitate a smooth application process.

What are the Benefits of Enrolling in North Carolina Medicaid?

Enrolling in North Carolina Medicaid provides access to a range of healthcare services, including doctor visits, hospital stays, prescription medications, and preventive care. The program aims to improve the overall health and well-being of its recipients by removing financial barriers to essential medical services.

Are There Additional Programs for Individuals Exceeding the Income Limits?

Individuals or families exceeding the income limits for North Carolina Medicaid may explore other healthcare assistance programs or subsidized insurance options offered through the Affordable Care Act (ACA) Health Insurance Marketplace. It's advisable to consult with healthcare navigators or advisors for guidance on alternative options.