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Child Health Insurance
How to apply

Health Check/NC Health Choice logo

Fill out one simple form -- it's easy! You apply for both the Health Check (Medicaid) and NC Health Choice for Children programs at the same time. Based on your information, your local Department of Social Services (DSS) will decide which program your child qualifies for.

Step 1. Get an Application

You can get an application any one of the following ways:

  • Print out an English application here. If you are viewing this web site in a public place (i.e. library, school) you may need to ask for help. (The application is a PDF file. To view it, the computer needs to have Adobe Acrobat Reader installed. If Acrobat Reader is not installed, it can beOpens in new windowdownloaded here for free.)

  • Pick up an application at yourOpens in new windowlocal Department of Social Services (DSS) office or health department.

Step 2. Fill Out the Application

Collect the information you need and complete the application.

Do You Need Help?

If you'd like help filling out the application, visit your local Department of Social Services. Be sure to bring:

  1. The birth certificate and social security number of each child for whom you are applying.
  2. Proof of the family's income information (most recent month's pay stubs).
  3. Proof of residency (that you live in the county) and citizenship (government issued ID).

Are You Self-employed?

If you are self-employed and are paid at least monthly, bring your business records (income and expenses) for the last six months, or for the number of months in business if less than six months.

If you are paid less often than monthly, bring your business records (income and expenses) for the last 12 months.

Step 3. Get Your Application to Your County's Department of Social Services

What happens next?

See "After you apply"!

Don't Forget to Re-enroll  Each Year!

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Last updated: October 2014

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Free or Low Cost Health Options are Available

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Application for Health Coverage and Help Paying Costs

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More Info

Does Your Child Have Health Insurance?
Fact sheet for Health Check/NC Health Choice
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