Copays | NC Medicaid Managed Care

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

Service	Copay
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

Service

Copay

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