NC Medicaid Eligibility

NC Medicaid provides health care coverage for people with lower incomes.

New: NC Medicaid now provides health care coverage to more people, including people ages 19-64. You may be eligible now even if you were not before.

The best way to find out if you are eligible is to apply.

Basic eligibility requirements

Residency and citizenship

Families that include non-U.S. citizens can apply. You can apply for your child even if you are not eligible for coverage. Applying will not affect your immigration status or chances of becoming a permanent resident or citizen.

Family income

To see income limits, check the section that matches your family size. Tab/Accordion Items

Who to include in your family size

Include these people in your family size, even if they do not need Medicaid:

Family size of 1 (single person)

You are a family of one (1) if you live alone or if you do not claim anyone as a dependent on your tax returns.

Who may be eligible for NC Medicaid - Family size of 1

A pregnant person may be eligible if the family income is $3,339/month or less (includes one unborn child).

A child ages 0-18 may be eligible if the family income is $2,649/month or less.

An adult ages 19-64 may be eligible if the family income is $1,732/month or less.

An adult ages 65+ may be eligible for full Medicaid if the family income is $1,255/month or less, and for other Medicaid programs if the family income is $1,695/month or less. Additional requirements apply.

Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $2,448/month or less.

People with certain health needs may be able to get special coverage. These include, but are not limited to:

This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

All dollar amounts are before taxes. Figures are current until April 1, 2025.

Family size of 2

Check for each person in your family.
Even if one person is not eligible, others in the family could be.

Who may be eligible for NC Medicaid - Family size of 2

A pregnant person may be eligible if the family income is $4,218/month or less (includes one unborn child).

A child ages 0-18 may be eligible if the family income is $3,595/month or less.

An adult ages 19-64 may be eligible if the family income is $2,351/month or less.

An adult ages 65+ may be eligible for full Medicaid if the family income is $1,704/month or less, and for other programs if the family income is $2,300/month or less. Additional requirements apply.

Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $3,322/month or less.

People with certain health needs may be able to get special coverage. These include, but are not limited to:

This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

All dollar amounts are before taxes. Figures are current until April 1, 2025.

Family size of 3

Check for each person in your family.
Even if one person is not eligible, others in the family could be.

Who may be eligible for NC Medicaid - Family size of 3

A pregnant person may be eligible if the family income is $5,096/month or less (includes one unborn child).

A child ages 0-18 may be eligible if the family income is $4,541/month or less.

An adult ages 19-64 may be eligible if the family income is $2,970/month or less.

Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $4,196/month or less.

People with certain health needs may be able to get special coverage. These include, but are not limited to:

This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

All dollar amounts are before taxes. Figures are current until April 1, 2025.

Family size of 4

Check for each person in your family.
Even if one person is not eligible, others in the family could be.

Who may be eligible for NC Medicaid - Family size of 4

A pregnant person may be eligible if the family income is $5,975/month or less (includes one unborn child).

A child ages 0-18 may be eligible if the family income is $5,486/month or less.

An adult ages 19-64 may be eligible if the family income is $3,588/month or less.

Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $5,070/month or less.

People with certain health needs may be able to get special coverage. These include, but are not limited to:

This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

All dollar amounts are before taxes. Figures are current until April 1, 2025.

Family size of 5

Check for each person in your family.
Even if one person is not eligible, others in the family could be.

Who may be eligible for NC Medicaid - Family size of 5

A pregnant person may be eligible if the family income is $6,854/month or less (includes one unborn child).

A child ages 0-18 may be eligible if the family income is $6,432/month or less.

An adult ages 19-64 may be eligible if the family income is about $4,207/month or less.

Anyone may be eligible for family planning services, including screening and treatment of some sexually transmitted infections, if the family income is $5,945/month or less.

People with certain health needs may be able to get special coverage. These include, but are not limited to:

This a general guide. If you are unsure, we encourage you to apply. A caseworker will review your application to see what is available to you and if certain deductions might help you qualify. For more detailed information, see a list of programs and their requirements.

All dollar amounts are before taxes. Figures are current until April 1, 2025.