Health Check (Medicaid)
For Health Check (Medicaid), there
are no yearly enrollment fees or co-payments.
NC Health Choice
For NC Health Choice,
how much you pay depends on your family's income.
- You will have small co-payments for prescription drugs
- You will have a yearly enrollment fee and small co-payments
for prescription drugs, some office visits and non-emergency
visits to the Emergency Room
All children in the NC Health
Choice program have small co-payments for prescription
- $2 for each generic drug
- $2 for each brand name drug which doesn't have a generic
- Either $5 or $10 for each brand name drug which does
have a generic substitute
Whether you have to pay $5 or $10 depends on your family's
income when you applied for NC
Health Choice. Your child's NC
Health Choice insurance card will tell you what you
can expect to pay.
To reduce co-payments, you may want to ask your doctor
if a generic drug substitution would be a good choice.
Yearly Enrollment Fee
Depending on your family's income, you may have to pay
a yearly enrollment fee. The fee is $50 for one child or
two or more
Office Visits and ER Co-payments
If you pay a yearly enrollment fee, you will have small
co-payments for some visits to
You WON'T have co-payments for:
- Checkups (well-child care visits)
- Shots (immunizations)
- Regular teeth cleaning (routine dental visits)
Co-payments are $5 for an office visit and $10 or $25 for a non-emergency visit to the emergency room
Note: Members of federally-recognized Indian tribes are
exempt from co-payments and yearly enrollment fees.
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Last updated: October 2014