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Some health plan members may have copays. A copay is a fee you pay when you get certain health care services or prescriptions.

NC Medicaid copays



Chiropractic visits

Doctor visits

Non-emergency and emergency department visits

Optometrist and optical visits

Outpatient visits

Podiatrist visits

$4 per visit

Generic and brand prescriptions

$4 per prescription

There are no NC Medicaid copays for:

  • Members under age 21
  • Members who are pregnant
  • Members who get hospice care
  • Federally recognized tribal members
  • North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) beneficiaries
  • People living in an institution who get coverage for cost of care
  • Children/youth in foster care
  • Behavioral health, intellectual/developmental disability (I/DD) or traumatic brain injury (TBI) services