NC Medicaid Expansion to Launch Dec. 1, 2023
Medicaid expansion will allow more people to get health care coverage. The eligible population will increase for adults ages 19 through 64 earning up to 138% of the Federal Poverty Level.
Single adults earning about $20,000 per year or families of three with an annual income of about $34,000 may be eligible.
Learn more: Medicaid.nc.gov
Apply now: ePASS.nc.gov or HealthCare.gov
MEDICAID EXPANSION ENROLLMENT CRITERIA
Most people will be able to get health care coverage through Medicaid if they meet the guidelines. Some of these include:
- Live in North Carolina
- Are Ages 19-64
- Are an US citizen. Non-US citizens with a valid immigration status may be eligible.
- If your household income fits within the list below
| HOUSEHOLD SIZE | TOTAL INCOME, BEFORE TAXES |
|---|---|
|
Single Adults |
$1,676/month or less ($20,120/year) |
|
Family of 2 |
$2,267/month or less ($27,214/year) |
|
Family of 3 |
$2,859/month or less ($34,307/year) |
|
Family of 4 |
$3,450/month or less ($41,400/year) |
|
Each Additional Person |
Add $591/month (add $7,094/year) |
*Income limits are updated April 1 each year. Medicaid Expansion Populations
Medicaid expansion is expected to provide coverage for the following:
- ~300K members moving from family planning program
- ~100K members currently on Medicaid that lost their eligibility during recertification in the absence of expansion
- ~200K individuals are expected to apply and be eligible for this program in the first two years
HOW TO APPLY FOR MEDICAID
Apply for Medicaid in one of these ways:
- Apply online at epass.nc.gov
- Visit or call your local Department of Social Services (DSS). Find an office near you at ncdhhs.gov/localDSS
- Mail, email, fax or drop off a paper application (English | Spanish) to your local DSS
- Apply online at HealthCare.gov
More information on how to apply through ePASS:
- Watch our video Navigating ePASS / Guide to Providing Application Assistance
- Read how to create an ePASS account and enhance it, What is ePASS? English | Spanish
- Read the guidelines on how to help someone apply.
MORE INFORMATION ON MEDICAID EXPANSION
- Medicaid Expansion Website: Stay updated with current information about Medicaid expansion
- Day 1 Flyer: An overview of who is eligible and how to enroll
- Family Planning Flyer: Information for the approximately 300,000 people who receive limited benefits through Family Planning Medicaid who will be automatically enrolled in full Medicaid
- FAQ: Answers to common questions
- ePass Video: An overview of how to apply online through ePass
