Understanding the NC Health Choice Program: Eligibility Requirements, Benefits, and Coverage

Understanding the NC Health Choice Program: Eligibility Requirements, Benefits, and Coverage

The North Carolina Health Choice (NCHC) program is a health insurance program for children aged 18 years old or younger who may not qualify for Medicaid but also cannot afford to pay for private health insurance. The program is designed to provide affordable, comprehensive health coverage to children in low and moderate-income families. In this article, we will discuss the eligibility requirements, benefits, and coverage of the NC Health Choice Program.

Eligibility Requirements

To be eligible for the NCHC program, children must meet certain criteria. First, the child must be a resident of North Carolina and a US citizen or a lawfully residing immigrant. Second, families must meet certain income requirements. A family’s income must not exceed 211% of the federal poverty level. The income limit varies by family size and is adjusted annually to reflect changes in the federal poverty guidelines.

Benefits and Coverage

The NCHC program provides comprehensive health coverage for children, including preventative care, primary care, mental health services, and dental care. The program covers a wide range of medical services, such as doctor’s visits, laboratory testing, X-rays, hospitalizations, prescription drugs, and medical equipment. Additionally, the program covers immunizations, well-child checkups, and vision and hearing screenings.

Enrollment Process

Families can apply for the NCHC program by completing an application form, which is available online or through a local county department of social services. Families may also apply by completing a paper application and mailing it to the appropriate county department of social services. Once the application is approved, the child will receive a health insurance card and will be eligible for services.

Conclusion

Overall, the NC Health Choice Program provides comprehensive health coverage to children in low to moderate-income families who cannot afford private health insurance. The program is designed to improve access to health care services and to help ensure that children can receive the care they need to grow and thrive. By understanding the eligibility requirements, benefits, and coverage of the program, families can make informed decisions about their child’s health care options.

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