What Are the Income Eligibility Requirements for Medicaid in North Carolina?


Quick Answer

As of 2015, an individual Medicaid applicant in North Carolina must make no more than $867 per month and couples no more than $1,167 per month. Applicants must be in need of health care assistance, in a low-income situation and meet at least one other category of need.

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Full Answer

The income requirements for Medicaid eligibility in North Carolina are based on monthly income and are calculated as a percentage of the Federal Poverty Level. Considered income includes pensions, retirement benefits, wages, Veterans Benefits and Social Security. In cases of over-limit income, the patient must meet a deductible of $242 for an individual and $317 for a couple. Additionally, applicants cannot have resources worth more than $2,000 individually or $3,000 for couples. Resources include cash, bank account contents, retirement accounts and investment activity. It also includes a second car and any real estate that is not a first home.

Applicants must be a resident of North Carolina and a U.S. national, permanent resident, legal alien or citizen. An applicant must also be either pregnant, blind, disabled or caring for a disabled family member. Other qualified applicants are adults over age 65, as well as children or parents with children under 19 years of age. Applicants must provide proof of citizenship or eligible immigration status as well as proof of North Carolina residency. In addition, they must have a Social Security number or have applied for one.

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