Children's Health Insurance Program (North Carolina)
More State Children's Health Insurance Programs
North Carolina Health Choice (NCHC)
Eligibility Requirements
To qualify for the North Carolina Health Choice program, a child must under the age of 21 and who reside with a family who meets the posted income guidelines that must be below 200% of the federal poverty level.
Waiting Periods
Waiting periods are not imposed on most applicants. Contact NCHC for additional information pertaining to possible waiting periods.
Covered Services and Benefits
NCHC provides medical coverage for:
- Hospital Care
- Outpatient Care
- Surgical Services
- Prescription Drugs
- Vision and Hearing
- Lab and Radiology
- Home Health Care
- Drug Abuse
- Physical Therapy
- Dental Care
- Hospice Care
- And More
Health Plan Options
There are two plan options available. The family income will determine in which plan you are enrolled. Health Check is the medicaid program for the lowest income families and Health Choice is available to families that are not eligible for medicaid but meet the NCHC income guidelines.
Premium Payments, Co-Payments and Coinsurance
There may be some out-of-pocket costs associated with services received under the NCHC program. The total share paid by any family may not exceed 5% of the total family income. For children in higher income families, there is a $50 enrollment fee and minimal co-payments for doctor's visits and emergency room use. Small co-payments may also be required for prescription drugs. There are no premiums payments required to participate in this health care program.
Program Length, Enrollment and Renewal
For information on coverage lengths and renewal requirements, contact NCHC directly.
NCHC Contact Information
North Carolina. Health Choice
PO Box 30111
Durham, NC 27702-3111
1-800- 422- 4658
North Carolina Health Choice Website
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