Medicaid Managed Care
Medicaid changes are coming – are you ready?
Medicaid requirements are changing with the House Reconciliation bill (H.R.1) signed into federal law on July 4, 2025. As a result of the federally mandated changes some individuals may no longer qualify or need to take action to stay enrolled in Medicaid.
Key changes that impact eligibility
- Immigration status limitations
- Work and community engagement requirements
- Increased re-certification
- Coverage and funding cuts
Don't wait until there's an issue. Take a few minutes to review the eligibility changes.
Uninsured? You may qualify for Medicaid health coverage.
You may be able to get health coverage through Medicaid even if you didn’t qualify before. Medicaid pays for doctor visits, yearly checkups, emergency care, mental health and more — at little or no cost to you.
At Novant Health, we truly care about you and your family. That’s why you should choose a Novant Health primary care physician with your Medicaid coverage.
You’ll also like our convenient locations, same-day appointments, video and e-visits, and free online tools to manage your health. Taking care of your health is easier than ever at Novant Health.
NC Medicaid covers most health services, including:
- primary care so you can go to a doctor for a check-up or when you are not feeling well
- hospital services when you need to stay overnight (inpatient) or when you can go home the same day (outpatient)
- maternity and postpartum care if you are pregnant and after giving birth
- vision and hearing services
- prescription drug benefits to pay for your medicines
- behavioral health
- preventative and wellness services
- devices and other therapies
Most people will be able to get health care coverage through Medicaid if they meet the criteria below.
- You live in North Carolina or South Carolina
- Age 19-64
- You are a citizen or have an eligible immigration status. Certain non-citizens may qualify to get health care coverage through Medicaid.
- And if your household income fits within the chart below:
| Household Size | Annual Income |
|---|---|
| Single Adults | $20,120 or less |
| Family of 2 | $27,214 or less |
| Family of 3 | $34,307 or less |
| Family of 4 | $41,400 or less |
| Family of 5 | $48,493 or less |
| Family of 6 | $55.586 or less |
Additional Questions?
Novant Health patient with enrollment questions? Contact a Novant Health financial navigator at 336-718-5393.
Obtén más información: Medicaid.ncdhhs.gov/info-de-expansion