You can check the status of your Medicaid application by calling the NCDHHS Customer Service Center at 1 (800) 662-3224. What Happens After You Apply for Medicaid? The North Carolina Division of Social Services will review your application to verify if you are eligible for Medicaid.
Full Answer
How long does it take to qualify for Medicaid in NC?
Call us 24/7 at (800) 439-6916or Find an Agentnear you. Some may think that Medicare eligibility in North Carolina is complicated. However, understanding the qualifications for Medicare is the easy part. Making a decision about your NC Medicare options is where it can get difficult.
How does NCNC Medicaid work in NC?
Sep 16, 2018 · If you do not receive your Medicare red, white and blue card three months prior to turning age 65 or receiving disability , you may manually enroll by visiting your local Social Security office , enrolling online, or signing up over the phone. Visit the Social Security website.
How to apply for Medicare in North Carolina?
Aug 12, 2014 · If the recipient is eligible in NCTracks, there is no need to contact the Call Center to check NC FAST. Eligibility information can be verified in NCTracks using the provider portal, the Automated Voice Response System (AVRS), or a 270/271 X12 transaction. Consult the provider training materials in SkillPort for more guidance regarding verification of recipient eligibility in …
What is NC Medicaid and NC Health Choice?
Information about Medicare Advantage plans in North Carolina is available from SHIIP by calling 1-855-408-1212. You may enroll in a Medicare Advantage plan during your Initial Enrollment Period or during the Open Enrollment Period for Medicare Advantage and Medicare Part D from October 15 through December 7. Call SHIIP for more information
Types of Medicare Coverage in North Carolina
In North Carolina, as in every state, you’re typically eligible for Medicare when you turn 65 or collect disability benefits. Most beneficiaries ar...
Local Resources For Medicare in North Carolina
1. North Carolina State Health Insurance Counseling and Assistance Program (SHIP): North Carolina SHIP staff members counsel the state’s Medicare b...
How to Apply For Medicare in North Carolina
Enrollment in Original Medicare works the same in all states. To qualify for Medicare, you must be either a United States citizen or a legal perman...
How long do you have to enroll in Medicare?
Medicare Prescription Drug Plans (PDPs) are sold by private insurance companies approved by Medicare. All people new to Medicare have a seven-month window to enroll in a PDP – three months before, the month of and three months after their Medicare becomes effective. The month you enroll affects the PDP’s effective date. All people with Medicare are eligible to enroll in a PDP; however, unless you are new to Medicare or are entitled to a Special Enrollment Period, you must enroll or change plans during the Open Enrollment Period for Medicare Advantage and Medicare Part D, Oct. 15 through Dec. 7. There is a monthly premium for these plans. If you have limited income and assets/resources, assistance is available to help pay premiums, deductibles and co-payments. You may be entitled to “Extra Help”#N#(link is external)#N#through the Social Security Administration. To apply for this benefit contact SHIIP at 1-855-408-1212 or the Social Security Administration at 800-772-1213 or www.socialsecurity.gov#N#(link is external)#N#.
How old do you have to be to get Medicare?
If you or your spouse have paid into the Social Security System for 10 or more years, you are eligible for premium-free Medicare Part A (Hospital Insurance) at age 65. If you have paid in fewer than 10 years, you can buy Medicare Part A coverage. Everyone pays a premium for Medicare Part B (Medical Insurance).
How to get health insurance at 65?
Working Past Age 65 (Special Enrollment) 1 Talk to your employer's benefits officer and ask for information about company health insurance options for people who continue working past their 65th birthday. Ask specifically how many hours you must work to keep your health insurance plan and whether the EGHP will be "primary" or "secondary" coverage to Medicare. Carefully study the company's current benefit booklet to determine cost and benefits of the plan. 2 If your EGHP is primary to Medicare, you do not have to enroll in Medicare Part B at this time. You will need to enroll in Medicare Part B within eight months of the EGHP's termination of coverage or when it stops being primary. If your EGHP will be secondary to Medicare despite active employment, you must enroll in Medicare Part B during the seven-month Initial Enrollment Period to avoid future penalties. If you voluntarily disenroll from your EGHP before terminating your employment, you could lose any EGHP benefits when you retire. 3 Contact the Social Security Administration at 800-772-1213 or www.socialsecurity.gov#N#(link is external)#N#or the nearest Social Security Administration office to contirm that you have enrolled in Medicare Part A (Hospital Insurance). 4 Give written notice to your company of your intention to continue working past age 65. When you decide to stop working, notify the Social Security Administration immediately. It is also advisable to notify the Social Security Administration that you or your spouse, if covered under your EGHP, will continue to work beyond age 65.
What is creditable coverage?
Creditable coverage means the insurance is as good as, or better than, a standard Part D plan. Check with your HR department to verify if your policy is creditable coverage. Typically, prescription insurance through work (and other sources like VA) offers better coverage than what you can get through Medicare.
When is Medicare effective?
Three months before 65th birthday. Enroll during this time and your Medicare is effective the first day of your birth month. Birthday month. Enroll during this time and your Medicare effective date will be delayed until the first day of the month following the month you actually enrolled.
How long does Medicare open enrollment last?
If you have been on Medicare due to disability, you have a brand new six month Open Enrollment Period for purchasing Medicare supplemental insurance when you turn 65. Talk to your employer's benefit officer and ask for any information about company health insurance after age 65.
When will Medicare Part B premiums increase?
Your monthly Medicare Part B premium will increase to include a permanent ten percent penalty for each year of delayed enrollment (unless you are eligible for Special Enrollment): January 1 through March 31. Enroll during this time.
NC Medicaid Managed Care Launches
Starting July 1, nearly 1.6 million Medicaid beneficiaries in North Carolina began receiving the same Medicaid services in a new way through NC Medicaid Managed Care health plans. Most beneficiaries will continue to get care from the same doctors they saw previously, but they will now be a member of a health plan.
NC Medicaid Managed Care: Info for Beneficiaries
NC Medicaid Managed Care means most Medicaid beneficiaries will receive the same Medicaid benefits in a new way – through a health plan’s provider network.
What is Medicaid in North Carolina?
Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income people of all ages, including pregnant women, children, families, disabled, and the elderly. However, this page is focused on Medicaid eligibility for North Carolina senior residents (65 and over), ...
What is the medically needy pathway?
1) Medically Needy Pathway – via this pathway, Medicaid applicants who have income over the eligibility limit may still be eligible for Medicaid services, given they have high medical expenses in comparison to their income. In North Carolina, this program is called the Medically Needy program.
What is the spousal impoverishment rule?
This spousal impoverishment rule is intended to prevent the non-applicant spouse from having too little income from which to live. To be very clear, when one spouse of a married couple applies for Regular Medicaid, the non-applicant spouse is not entitled to an income allowance from his/her applicant spouse.
How much can a spouse keep in 2021?
In 2021, the community spouse (the non-applicant spouse) can retain half of the couple’s joint assets, up to a maximum of $130,380, as the chart indicates above. There is also a minimum CSRA, which is set at $26,076, and enables the community spouse to keep 100% of the couple’s joint assets up to this amount.
Is a nursing home exempt from Medicaid?
The home is also exempt, regardless of where the applicant lives and his / her equity interest, if a non-applicant spouse lives in it. For married couples with one spouse as a Medicaid nursing home or Medicaid waiver applicant, the non-applicant spouse is entitled to an asset allowance.
What are countable assets?
Countable assets include cash, stocks, bonds, investments, IRAs, credit union, savings, checking accounts, and real estate in which one does not reside. However, for Medicaid eligibility, there are many assets that are considered exempt (non-countable).
What is Medicaid spend down?
Sometimes referred to as a “Spend-down” program, or a “Medicaid Deductible,” the way this program works is one’s “excess income,” (income over the Medicaid eligibility limit), is used to cover medical bills, which may include insurance premiums, prescription drugs, doctor visits, hospitalizations, and medical supplies.
What are the requirements for CHIP?
The eligibility requirements for CHIP are: 1 Applicant must be 19 or younger 2 Must be a citizen of the U.S or legal resident 3 Applicant must meet the income guidelines set for the program 4 Applicant must not be on any type of private health insurance or Medicaid
What is a chip?
CHIP or Children’s Health Insurance Program is a program designed for families with children that are not eligible to receive Medicaid but still need medical insurance for their children. While they may seem as if they are part of the same program, the rules and regulations that govern them are different.