On-Line Application for Health Check/NC Health Choice
North Carolina's child health insurance program began on October 1, 1998. In its first few years, the numbers of children enrolled surpassed all expectations. The state allocation for this program was raised. The program will increase to an annual average of 82,000 children participating.
It is the commitment of the state that any child enrolled in NC Health Choice who re-enrolls by their re-enrollment deadline will not be cut off from services. If program enrollments continue to grow as fast as they have in the past and exceed current estimates, the state will stop new enrollments until it can keep its commitment. Services to enrolled children will not change.
Click on Health Check / NC Health Choice for Children Programs to learn more about these programs.
North Carolina residents may receive single copies of the campaign materials, including fact sheets and Application forms, by calling the NC Family Health Resource Line at 1-800-367-2229.
Materials, including the application forms, are available in English and Spanish. Fact sheets provide information about the programs including information about eligibility, costs, and benefits.
Application forms (in English or Spanish) can also be downloaded at North Carolina Department of Health and Human Services, Division of Medical Assistance web site. From that site, click on Application then select an English or a Spanish application.
Families can also obtain an application form (in English and Spanish) from:
To get complete ordering instructions and more detailed information about how to order single copies and bulk copies of Educational Materials, click on Educational Materials.
Order Educational Materials
The Access Project (617-654-9911) – assists local communities in developing and sustaining efforts that improve health care access and promote universal coverage, with a focus on the uninsured.
Children’s Defense Fund – national organization dedicated to child well being. Site includes information about national outreach campaigns for insuring children. Provides links to all state Child Health Insurance Programs (CHIP) and toll-free state numbers.
Covenant with North Carolina's Children – a coalition advancing public policy to benefit children in North Carolina.
Families USA – The Medicaid Clearinghouse archives and distributes reports from national organizations that focus on access issues, insurance enrollment, and outreach. Serves as a resource for information about immigration issues related to Medicaid and the Child Health Insurance Program (CHIP).
Health Care Financing Administration – provides detailed information on state plans, legislation, regulations, enrollment reports, related White House and department information, and outreach.
Insure Kids Now – national outreach effort to enroll children in state child health insurance programs. Features audio and video messages in English and Spanish.
Kaiser Family Foundation – conducts research; provides statistics and analysis of health care issues for policy makers, the media, the health care community, and the general public. Supports a commission dedicated to issues about Medicaid and the uninsured.
Robert Wood Johnson Foundation sponsors Covering Kids, a national health access initiative for low-income, uninsured children. Provides grants that focus on outreach, simplification, and coordination related to Child Health Insurance Programs (CHIP).
To access the Educational Materials Order
Send Fax or Mail:
For a child to be eligible for free or low-cost health insurance:
Add $544 for each additional family member. Additional deductions may apply. See your llocal DSS for more information.
Valid April 1, 2005.
Families who earn more than the amounts listed may still qualify if they have child care or work-related expenses, or if they are making court-ordered child support payments.
Eligible families can apply for both the Health Check and NC Health Choice for Children programs at the same time by doing one of the following:
Applications are available in English and Spanish. All applications must include proof of the family’s wage information (for one month) and the Social Security number of the child/children.
Self-employed individuals who receive their income at least monthly, need to submit business records for the previous 6 months, or for the number of months in business if less than 6 months. Individuals who receive their self-employment income annually (or less often than monthly) need to submit business records for the previous 12 months.
To download an Application Form and Instructions
(English or Spanish), click on North
Carolina Department of Health and Human Services, Division of Medical
Assistance web site. From that site, click on
Application then select an English or a Spanish application.
Eligible children receive coverage for a wide range of medical services including:
The cost is based on family income. Therefore, some families receive services at no cost; other families pay an annual fee ranging from $50 per child up to a maximum of $100 per family (with 2 or more children).
For families who pay fees, there are small co-payments for visits to a health care provider and for prescription medicines. NOTE: This policy was changed by SEHP/BCBS as a cost containment effort. Copayments apply to all provider visits, not just doctors (for example: physical, occupational, speech therapists, etc.).
No family pays for well-child care visits, check-ups, and immunizations.
Local coalitions To reach a coalition in a specific county, contact Carolyn Sexton at the NC Division of Public Health, 919-733-4173.
North Carolina Department of Health and Human Services, Division of Medical Assistance information on the development of N.C.’s child health insurance plan/other background papers. An application form in English or Spanish can be downloaded from the DMA website. Click on Application and select your language preference.
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