Beginning on Dec. 1, 2023, NC Medicaid will cover people ages 19 through 64 years with higher incomes. You may be able to get health care coverage through Medicaid even if you didn’t qualify before. Learn more.

Choose Healthy Blue for your NC Medicaid Managed Care plan

Low- or no-cost health insurance with Healthy Blue

Since 1933, Blue Cross and Blue Shield of North Carolina has helped millions of North Carolinians get and stay healthy. With our Healthy Blue plan for Medicaid, we cover low-income adults and pregnant women. Put the Power of Blue℠ to work for you.

Benefits with Healthy Blue

Nothing is more important than keeping you and your family healthy. We offer the care you need, plus extra benefits just for our members. Some members may have a small copay for certain health care services or prescriptions.

Doctor visits and healthy checkups

Get the care you need from a doctor you choose. We have thousands of doctors in our plan, including many specialists. Your wellness visits (annual exams) are also covered. You won’t pay anything for these visits or the immunizations (shots) you need to stay healthy.

Prescriptions

Your benefits include a wide range of prescription and over-the-counter (OTC) medicines. We can even deliver your medicines to your home.

Hospital and urgent care

If you must get care in the hospital, you’re covered. Benefits also include urgent and emergency care.

Pregnancy and newborn care

If you are pregnant, all your pregnancy care, including labor and delivery, is included in your benefits. Your newborn baby’s care is also covered.

Vision care

Your benefits include routine eye exams and eyeglasses, if needed.

Extra benefits for Healthy Blue members

We know that health care is more than just doctor visits. As a Healthy Blue member, you have access to no-cost extras to help you live your best.

For kids and young adults

$50 annual credit for school supplies with completion of yearly well-child visit
Up to $150 for after-school activities
Free STEM puzzle set ― a fun way for kids to learn about science, technology, engineering and math
24 hours of virtual tutoring for eligible members ages 6 to 18
$25 gift card to Foot Locker or Old Navy yearly for members in 11th or 12th grade with a 3.5 GPA or higher

For getting around

Uber gift card
Free rides to doctor visits
Up to 10 rides to personal appointments for members who get long-term services and supports (LTSS)

For pregnant members and new moms

Rewards for going to doctor visits (up to $50)
Baby essentials catalog with choice of up to two (2) items for completing one (1) prenatal visit. Options include booster seat, stroller, breastfeeding support kit, safe sleep kit, and more.

For taking the next step

GED or high school equivalency exam voucher (up to $160 value)

For housing

Up to $500 to help qualified members move into permanent housing
Up to $200 to help qualified members cover any unexpected housing expenses, bills and rent
Up to $1,500 for qualified members to cover repairs or changes to help you stay in your home
Up to $500 allowance for qualified members to help cover the cost of a hotel post discharge

For your health

Up to $75 in yearly rewards for doctor visits
Three months of fresh fruits and veggies (up to $120 value) for qualifying members
Selection from one of two pre-packaged bundles for asthma relief (one adult or child kit)
Up to $25 for pain management products
13-week voucher for WW® (formerly Weight Watchers)
Access to online fitness coach
Visits to the chiropractor
Acupuncture treatment
Cellphone with monthly data, minutes, and bonus minutes

Note: Some benefits have eligiblity requirements

Doctors and hospitals

The Healthy Blue provider network includes major hospital systems throughout the state. We work with thousands of doctors and experts to make getting medical care easier. Use our search tool to see all the providers in our plan.

Find a doctor

How to join

Apply for NC Medicaid benefits

Medicaid helps low-income individuals aged 19-64, pregnant women, and children get health care coverage. You can apply in one of these ways:

Go online to North Carolina ePass

Call or visit your local DSS office. Find one near you

Apply now

You can apply year-round. If you qualify, you can choose Healthy Blue as your health plan. For more information on how to apply, visit the North Carolina Department of Health and Human Services.

Choose your health plan

Once you are approved for benefits, you will be assigned to a health plan. You have 90 days to switch to the health plan of your choice. You can choose your health plan in one of these ways:

Choose now

If you need help choosing a plan, an independent team of enrollment specialists can give you more information about the health plans available to you. Call an enrollment specialist at 833-870-5500 (TTY 833-870-5588) or visit www.ncmedicaidplans.gov.

Don’t miss your chance to choose the plan you want!