What is the Monthly Income Limit for Medicaid in NC?
In North Carolina, Medicaid is a government-sponsored health insurance program that provides medical coverage to low-income individuals and families. To be eligible for Medicaid in NC, an individual must meet certain income and resource requirements. In this article, we will explore the monthly income limits for Medicaid in NC and provide a detailed breakdown of the eligibility criteria.
Monthly Income Limits for Medicaid in NC
The monthly income limits for Medicaid in NC vary based on family size, age, and other factors. Here are the general income limits for Medicaid eligibility in NC:
| Family Size | Monthly Income Limit |
|---|---|
| 1 person | $1,316 (138% FPL) |
| 2 people | $1,778 (138% FPL) |
| 3 people | $2,241 (138% FPL) |
| 4 people | $2,704 (138% FPL) |
| 5 people | $3,166 (138% FPL) |
| 6 people | $3,629 (138% FPL) |
| 7 people | $4,091 (138% FPL) |
| 8 people | $4,554 (138% FPL) |
FPL stands for Federal Poverty Level, which is the basis for determining Medicaid eligibility in NC.
Eligibility Criteria for Medicaid in NC
To be eligible for Medicaid in NC, an individual must meet the following criteria:
- Income: The individual’s monthly income must be at or below the income limits listed above.
- Resources: The individual’s resources (such as cash, savings, and assets) must be at or below a certain limit, which varies based on family size and age.
- Citizenship: The individual must be a U.S. citizen or meet certain immigration requirements.
- Residency: The individual must reside in North Carolina.
- Medically Needy: The individual must have significant medical expenses that leave them with little or no income and resources.
How Medicaid is Administered in NC
In NC, Medicaid is administered by the North Carolina Medicaid Program, which is responsible for providing health insurance coverage to eligible individuals and families. The program is divided into several components, including:
- NC Medicaid for Adults: This program provides health insurance coverage to low-income adults who are not eligible for Medicaid due to immigration status.
- NC Medicaid for Children: This program provides health insurance coverage to low-income children under the age of 19.
- NC Medicaid for Pregnant Women: This program provides health insurance coverage to low-income pregnant women.
- NC Medicaid for Parents: This program provides health insurance coverage to low-income parents with dependent children.
Other Medicaid Programs in NC
In addition to the Medicaid programs mentioned above, there are several other Medicaid programs in NC that provide health insurance coverage to specific populations, including:
- NC Health Choice: This program provides health insurance coverage to low-income children and pregnant women who are not eligible for Medicaid due to immigration status.
- NC Breast and Cervical Cancer Program: This program provides breast and cervical cancer screening and treatment services to low-income women.
- NC AIDS Drug Assistance Program: This program provides medication and medical care services to low-income individuals living with HIV/AIDS.
Conclusion
In conclusion, the monthly income limit for Medicaid in NC varies based on family size, age, and other factors. To be eligible for Medicaid in NC, an individual must meet the income and resource requirements, as well as certain citizenship, residency, and medically needy criteria. The North Carolina Medicaid Program administers several Medicaid programs, including NC Medicaid for Adults, NC Medicaid for Children, NC Medicaid for Pregnant Women, and NC Medicaid for Parents. Additionally, there are several other Medicaid programs in NC that provide health insurance coverage to specific populations.