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We are here for you, North Carolina

North Carolinians, we got you covered! Get a health care plan that gives you more coverage through Medicaid. We’re here to help make things a little easier. That’s why our Medicaid health plan includes so many extras for your health and everyday life.

All North Carolinians deserve affordable health care, including you. That includes adults, people with disabilities, pregnant women and children. UnitedHealthcare has services and extras that can make a real difference in your life.

See why North Carolina chooses UnitedHealthcare

As one of the largest provider networks in North Carolina, we give you many options to choose doctors and specialists that fit your health care needs. We offer members more ways to get your benefits and get the most out of your plan so that you can get the care needed.

Medicaid

UnitedHealthcare Community Plan Medicaid

UnitedHealthcare Community Plan of North Carolina offers a range of benefits for children, families, pregnant women and adults, who qualify based on income. Choose your own doctor and get many extras that other plans don’t cover.

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Dual Special Needs plans

Dual Special Needs plans (also known as Dual Health plans or D-SNPs) are for people who have both Medicaid and Medicare. D-SNPs cover most doctor visits, hospital stays and prescription prescriptions. They offer many extra benefits beyond those you get with either original Medicare or Medicaid.

View all D-SNP plans

Individual & Family ACA plans

UnitedHealthcare offers Individual & Family ACA plans in North Carolina. They’re designed to give you the coverage you need without breaking the bank.

Choose from plans in the Bronze, Silver and Gold metal levels. They each come with a variety of benefits, including reliable support from our customer service experts.

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North Carolina Medicaid eligibility and enrollment

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Eligibility

To receive NC Medicaid, you must:

  • Be a U.S. citizen or have an eligible immigration status
  • Live in North Carolina
  • Have a Social Security number or show you have applied, if you are eligible for one

Enrollment

You can enroll at any time of the year. Start now:

Apply for Medicaid easily online, by phone, mail, or through the NC Medicaid Managed Care mobile app.

Visit the steps to enroll for more information about eligibility and enrollment in Medicaid.

Steps to enroll

Renewals

Don’t lose benefits

Update your information as soon as possible on North Carolina’s secure self-service site. With ePass, you can:

  • Apply for various benefits
  • View your case details
  • Renew your Medicaid coverage
  • Update your information without having to visit your local DSS

What is ePASS?

For more information, visit North Carolina Medicaid’s Frequently Asked Questions (FAQs) View FAQs

Renew my coverage (Opens in a New Tab)

Benefits and features

We want to help you live healthier lives and to have the best possible member experience. 

One Pass fitness benefit

Stay fit and healthy with UnitedHealthcare® One Pass™ and get:

  • Free membership to 300+ fitness locations in North Carolina, including Anytime Fitness, Golds Gym, H2 Health, LA Fitness, Planet Fitness, Rehab Associates, Snap Fitness and YMCA
  • Over 20,000 livestream class videos
  • A guide to tailor your workouts
Mother and baby

Mother and baby

Mother and baby’s health is vital. Member benefits can help you with:

  • Prenatal care
  • Baby items
  • Doula programs ($1,200 max)
  • Community baby shower ($100 max)
  • Rewards and support through the BabyScripts® myJourney™ pregnancy app
  • Helpful tips and reminders
  • Breast pump and 6 virtual breastfeeding sessions
Transportation

Transportation

UnitedHealthcare Community Plan of North Carolina provides free round-trip rides to appointments, including:

  • Personal cars
  • Taxis
  • Vans
  • Mini-buses
  • Mountain transports
  • Public transit
Extra member benefits

Extra member benefits

Sometimes you need help. Extra benefits include:

  • Education vouchers
  • Prenatal care
  • Wellness perks
  • Gift cards for youth, up to age 18
  • Free live 24/7 virtual doctor visits
  • Meals delivered at home
  • Help to quit tobacco
  • Weight support
  • And more
Value-added services

Connect to care—from your local pharmacy

Chat live with a UHC Doctor and get help with:

  • Coughs, fever, sore throat
  • Earaches, diarrhea
  • Rashes, allergies, bites
  • Back or belly pain
  • Sports injuries, burns
  • UTIs
  • And more

Test your symptoms quickly at a local pharmacy with UHC Doctor Chat.

New on-demand self care for $0

Get AbleTo’s free Self Care app to:

  • Meditate for relaxation
  • Track your mood and habits to spot behavioral patterns
  • Guide you on topics you care about
  • Get weekly check-ins

Get started with AbleTo

Download the Medicaid newsletter

Our HealthTalk newsletter is now online so that you can read it whenever, wherever you want. These newsletters are a great way to learn about our plans and important health topics. Check back quarterly for a new edition.


Disclaimer information

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Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2025.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.