Health & Medical Health & Medical Insurance

Difference Between Carolina Access & Regular Medicaid

    Medicaid Benefits

    • Medicaid partially funds care for poor individuals, families with children, the elderly and disabled, some of whom are completely dependent on social service benefits and others who are low- income workers. The program covers doctor and dental visits, prescription drugs, hospital stays, emergency treatment, mental health services, nursing home stays, in-home care and medical equipment, and long-term disabilities. However, federal rules do not provide guidance to patients for choosing health-care providers or a long-term treatment plan.

    Carolina Access Benefits

    • Carolina Access provides social service counseling that encourages Medicaid recipients to choose a "medical home'' where a primary care physician is assigned and an individual medical record of routine visits, tests and treatments is established. Counselors help patients develop a routine for preventive care. Under the CA managed-care system, recipients also have 24-hour-a-day access to medical advice and emergency treatment.

    Eligibility

    • To be eligible for Medicaid, you must have a social security number and provide proof of U.S. citizenship or legal immigration status. In North Carolina, applicants for Carolina Access also must prove state residency. Eligible residents include those receiving Social Security disability, state or county assistance for the blind and elderly, state Work First Family benefits, foster children, those adopted under state programs, and pregnant women and dependent children living in low-income households within specific wage ranges.

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