You can change your health plan for up to 90 days after the start date shown on your health plan enrollment letter. After 90 days, you must wait until your next recertification date to change health plans unless you have a special reason. You can change your health plan at any time for these reasons: […]
FAQ Category: Uncategorized FAQ
Each health plan has its own set of doctors and health care providers, who make up its network. Most people were able to keep their same doctors when moving to managed care. The NC Medicaid Managed Care website also features a provider search tool that will tell you which health plans your providers have joined, […]
The same services will continue to be covered. However, the doctors you can go to will be based on the health plan’s provider network. Your Medicaid copays will not change.
AmeriHealth Caritas (offered statewide) 855-375-8811 (TTY: 866-209-6421) 24 hours a day, seven days a week amerihealthcaritasnc.com Carolina Complete Health (only available in certain regions of the state) 833-552-3876 (TTY: 711) 7 a.m. to 6 p.m., Monday through Saturday carolinacompletehealth.com Healthy Blue (offered statewide) 844-594-5070 (TTY: 711) 7 a.m. to 6 p.m., Monday through Saturday HealthyBlueNC.com […]
Each Standard health plan works with a network, or group of doctors, hospitals and other health care providers. You should choose a health plan that will let you keep going to your doctors and other health care providers. All health plans offer the same basic benefits and services. Some may also offer added services. When […]
Make sure your local Department of Social Services (DSS) has your current mailing address, phone number and email address so you get all important notices about this change (especially if your contact information has changed due to COVID-19). Visit ncmedicaidplans.gov or call 833-870-5500 to learn more. You can also stay up-to-date by using the free […]
Coverage under the NC Medicaid Managed Care program begins July 1, 2021. If you did not choose a health plan or request to stay in NC Medicaid Direct by May 21, 2021, you were automatically enrolled in a health plan to ensure you could continue to get care. Most people were able to keep their […]
You have the right to: * Get free advice over the phone from the NC Medicaid Enrollment Broker Call Center, where someone can inform you whether you have to enroll in a health plan, and help you decide which health plan is the best choice for you and your family. * Get information in your […]
The Eastern Band of Cherokee Indians (EBCI) Tribal Option is a health plan managed by the Cherokee Indian Hospital Authority (CIHA) to meet the primary care coordination needs of federally recognized Tribal members and others eligible for services through Indian Health Service (IHS). Only IHS-eligible beneficiaries associated with the EBCI can participate in this health […]
Some people will not need to choose a health plan because of the type of health services they need. They will stay enrolled in NC Medicaid Direct. For example, individuals who receive Innovations Waiver services, Traumatic Brain Injury (TBI) Waiver services or Community Alternatives Programs for Children or Disabled Adults (CAP/C or CAP/DA) services will […]
