Planes de salud de Medicaid en Regions 3, 4 and 5, NC

Servicios para miembros: 1-855-375-8811

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• Doula services

  Licensed doula services are available to expecting members at no cost in select areas.

• Home delivered meals

  Pregnant members and new moms can get up to 14 days of home delivered meals.

• Extra adult vision coverage

  Members ages 21 to 64 get an extra pair of glasses and an eye exam every two years.

• Rides to medical visits

  The plan provides round trip rides to medical visits and wellness center programs.

• AmeriHealth Caritas North Carolina Obtenido el 2026-07-17
• AmeriHealth Caritas North Carolina Obtenido el 2026-07-17

Geography model: North Carolina organizes NC Medicaid Managed Care into 6 official regions, but the state's own current Standard Plan roster page (medicaid.ncdhhs.gov/about-nc-medicaid/health-plans, last modified 07/08/2026, captured as nc-health-plans-list.txt) shows the roster is NOT identical statewide: AmeriHealth Caritas North Carolina, Healthy Blue, and UnitedHealthcare of North Carolina are listed Statewide, while Carolina Complete Health, Inc. is listed only for Regions 3, 4 and 5. Per the frozen spec's addendum (which names NC explicitly), this file models the real regional variation instead of forcing a statewide frame: two roster-distinct service_areas group NC's 6 official regions by shared plan roster (Regions 1, 2 and 6 with 3 plans; Regions 3, 4 and 5 with 4 plans), each with a quote-gate verified roster fact against that same snapshot. A second, corroborating (non-primary) fact on the Regions 3/4/5 area cites a live headless capture of the enrollment broker's own site (ncmedicaidplans.gov/en/nc-medicaid-managed-care-health-plans, captured today) stating 'There are 4 Standard Plans to choose from: AmeriHealth Caritas, Carolina Complete Health, Healthy Blue, UnitedHealthcare Community Plan', independently confirming the same 4-plan roster and that WellCare no longer appears as a separate plan. Region-to-county assignment: NC DHHS's own official region map (ncdhhs.gov/medicaid/managed-care-regions-and-rollout/download) is a graphic PDF with county names positioned spatially rather than listed as machine-quotable text, so the 100-county region roster used here (verified county-for-county against NC's 100 counties, cross-referenced against the visual positions in that PDF) is drawn from two informally-cited corroborating sources: Carolina Complete Health's own coverage-area page (carolinacompletehealth.com, tier 2, gives 5 of 6 regions' full county lists verbatim) and a Community Care Physician Network regional table PDF (tier 3) that supplied the 2 counties (Transylvania and Yancey, both Region 1) missing from the Carolina Complete Health page; all three sources agree on every other county placement. KNOWN UNRESOLVED DISCREPANCY FOR HUMAN REVIEW: a separate NC DHHS bulletin page (medicaid.ncdhhs.gov/beneficiaries/medicaid-health-plans-and-programs, last modified 03/03/2026, captured as nc-beneficiary-health-plans.txt) states WellCare of North Carolina merged into Carolina Complete Health effective April 1, 2026 and that 'The new unified health plan will be available to Medicaid beneficiaries statewide.' The health-plans roster page above was updated more recently (07/08/2026, more than three months after that merger date) and still lists Carolina Complete Health as Regions 3, 4 and 5 only, not statewide, so this file trusted the more recently updated, more specific operational page over the earlier merger announcement. A human should confirm whether Carolina Complete Health has since expanded statewide. Enrollment: enrollment.portal_url (value https://ncmedicaidplans.gov/en, quote-gated against nc-beneficiary-health-plans.txt, a tier-1 medicaid.ncdhhs.gov page that names and links the NC Medicaid Enrollment Broker website as the enrollment channel), enrollment.portal_name (quote-gated against a live headless capture of the enrollment broker's own homepage), and enrollment.phone (quote-gated against a live headless capture of the broker's contacts page, which also independently corroborates every Standard Plan's member phone number used in plans[] below) are all quote-gate verified. enrollment.choice_window_days is an honest not_found: two official medicaid.ncdhhs.gov PDF fact sheets (a September 2025 'How to Change NC Medicaid Managed Care Plans' fact sheet and a February 2024 beneficiary contacts reference guide) both state Standard Plan members get a 90-day choice period, and choice_window_note/switch_note reflect that figure informally, but neither PDF is served at a URL containing a literal .pdf extension, so scripts/fetch-plan-snapshots.ts's automatic PDF-vs-HTML detection cannot correctly extract their text and no quote-gated fact could be produced without risking a false snapshot; a human with script-editing access could add a content-type based (rather than URL-suffix based) PDF check to close this gap. Per-plan fields: each plan's member_phone was independently confirmed live on the plan's own official page (matching the broker's own contacts page, see above); provider_directory_url, formulary_url, and extra_benefits were also researched live on each plan's own official NC Medicaid page but are not cited by a quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only enrollment and roster fields carry facts[] entries. All 4 Standard Plans share the same statewide NC Medicaid Preferred Drug List (formulary_url), confirmed by a tier-1 fact sheet quote: 'All health plans will follow the same policy as NC Medicaid Direct does today including following the same single NC Preferred Drug List (PDL)' (not separately quote-gated here for the same URL-extension reason as choice_window_days). Healthy Blue's carrier is listed as Blue Cross and Blue Shield of North Carolina (the underwriting entity per healthybluenc.com's own site); NC Medicaid's own contract page names the contracted plan 'Healthy Blue of North Carolina'. Carolina Complete Health is a Centene Corporation affiliate per its own site's copyright notice. Out of scope, confirmed live: NC's separate Behavioral Health and I/DD Tailored Plan track, the EBCI Tribal Option, and the new Children and Families Specialty Plan (launched December 1, 2025, run by Blue Cross NC as 'Healthy Blue Care Together') are all distinct from the 5 (now 4) Standard Plans and were excluded, matching how other states in this corpus model only the general-population managed-care plan choice. NCQA ratings stay null for all 4 plans (unverifiable). Because most per-plan fields are informally sourced rather than fact-cited, and because of the unresolved WellCare/Carolina Complete Health merger discrepancy above, this file stays verified: false, the same standing as TX.json, CA.json, NY.json, and FL.json today.

Servicios para miembros: 1-833-552-3876

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• Rides to medical appointments

  The plan covers non emergency medical transportation to appointments, plus supplemental transportation for other needs.

• Over the counter product catalog

  Members can order over the counter health items through an over the counter catalog benefit.

• Doula education services

  The plan offers doula education services to pregnant members.

• Home delivered meals

  The plan offers home delivered meals as a value added service.

• Carolina Complete Health Obtenido el 2026-07-17

Geography model: North Carolina organizes NC Medicaid Managed Care into 6 official regions, but the state's own current Standard Plan roster page (medicaid.ncdhhs.gov/about-nc-medicaid/health-plans, last modified 07/08/2026, captured as nc-health-plans-list.txt) shows the roster is NOT identical statewide: AmeriHealth Caritas North Carolina, Healthy Blue, and UnitedHealthcare of North Carolina are listed Statewide, while Carolina Complete Health, Inc. is listed only for Regions 3, 4 and 5. Per the frozen spec's addendum (which names NC explicitly), this file models the real regional variation instead of forcing a statewide frame: two roster-distinct service_areas group NC's 6 official regions by shared plan roster (Regions 1, 2 and 6 with 3 plans; Regions 3, 4 and 5 with 4 plans), each with a quote-gate verified roster fact against that same snapshot. A second, corroborating (non-primary) fact on the Regions 3/4/5 area cites a live headless capture of the enrollment broker's own site (ncmedicaidplans.gov/en/nc-medicaid-managed-care-health-plans, captured today) stating 'There are 4 Standard Plans to choose from: AmeriHealth Caritas, Carolina Complete Health, Healthy Blue, UnitedHealthcare Community Plan', independently confirming the same 4-plan roster and that WellCare no longer appears as a separate plan. Region-to-county assignment: NC DHHS's own official region map (ncdhhs.gov/medicaid/managed-care-regions-and-rollout/download) is a graphic PDF with county names positioned spatially rather than listed as machine-quotable text, so the 100-county region roster used here (verified county-for-county against NC's 100 counties, cross-referenced against the visual positions in that PDF) is drawn from two informally-cited corroborating sources: Carolina Complete Health's own coverage-area page (carolinacompletehealth.com, tier 2, gives 5 of 6 regions' full county lists verbatim) and a Community Care Physician Network regional table PDF (tier 3) that supplied the 2 counties (Transylvania and Yancey, both Region 1) missing from the Carolina Complete Health page; all three sources agree on every other county placement. KNOWN UNRESOLVED DISCREPANCY FOR HUMAN REVIEW: a separate NC DHHS bulletin page (medicaid.ncdhhs.gov/beneficiaries/medicaid-health-plans-and-programs, last modified 03/03/2026, captured as nc-beneficiary-health-plans.txt) states WellCare of North Carolina merged into Carolina Complete Health effective April 1, 2026 and that 'The new unified health plan will be available to Medicaid beneficiaries statewide.' The health-plans roster page above was updated more recently (07/08/2026, more than three months after that merger date) and still lists Carolina Complete Health as Regions 3, 4 and 5 only, not statewide, so this file trusted the more recently updated, more specific operational page over the earlier merger announcement. A human should confirm whether Carolina Complete Health has since expanded statewide. Enrollment: enrollment.portal_url (value https://ncmedicaidplans.gov/en, quote-gated against nc-beneficiary-health-plans.txt, a tier-1 medicaid.ncdhhs.gov page that names and links the NC Medicaid Enrollment Broker website as the enrollment channel), enrollment.portal_name (quote-gated against a live headless capture of the enrollment broker's own homepage), and enrollment.phone (quote-gated against a live headless capture of the broker's contacts page, which also independently corroborates every Standard Plan's member phone number used in plans[] below) are all quote-gate verified. enrollment.choice_window_days is an honest not_found: two official medicaid.ncdhhs.gov PDF fact sheets (a September 2025 'How to Change NC Medicaid Managed Care Plans' fact sheet and a February 2024 beneficiary contacts reference guide) both state Standard Plan members get a 90-day choice period, and choice_window_note/switch_note reflect that figure informally, but neither PDF is served at a URL containing a literal .pdf extension, so scripts/fetch-plan-snapshots.ts's automatic PDF-vs-HTML detection cannot correctly extract their text and no quote-gated fact could be produced without risking a false snapshot; a human with script-editing access could add a content-type based (rather than URL-suffix based) PDF check to close this gap. Per-plan fields: each plan's member_phone was independently confirmed live on the plan's own official page (matching the broker's own contacts page, see above); provider_directory_url, formulary_url, and extra_benefits were also researched live on each plan's own official NC Medicaid page but are not cited by a quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only enrollment and roster fields carry facts[] entries. All 4 Standard Plans share the same statewide NC Medicaid Preferred Drug List (formulary_url), confirmed by a tier-1 fact sheet quote: 'All health plans will follow the same policy as NC Medicaid Direct does today including following the same single NC Preferred Drug List (PDL)' (not separately quote-gated here for the same URL-extension reason as choice_window_days). Healthy Blue's carrier is listed as Blue Cross and Blue Shield of North Carolina (the underwriting entity per healthybluenc.com's own site); NC Medicaid's own contract page names the contracted plan 'Healthy Blue of North Carolina'. Carolina Complete Health is a Centene Corporation affiliate per its own site's copyright notice. Out of scope, confirmed live: NC's separate Behavioral Health and I/DD Tailored Plan track, the EBCI Tribal Option, and the new Children and Families Specialty Plan (launched December 1, 2025, run by Blue Cross NC as 'Healthy Blue Care Together') are all distinct from the 5 (now 4) Standard Plans and were excluded, matching how other states in this corpus model only the general-population managed-care plan choice. NCQA ratings stay null for all 4 plans (unverifiable). Because most per-plan fields are informally sourced rather than fact-cited, and because of the unresolved WellCare/Carolina Complete Health merger discrepancy above, this file stays verified: false, the same standing as TX.json, CA.json, NY.json, and FL.json today.

Servicios para miembros: 1-844-594-5070

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• Doula support

  Pregnant members can get doula support during pregnancy.

• Fresh produce or a grocery card

  Eligible members can get three months of fresh fruits and vegetables, or a grocery card worth up to 120 dollars.

• Rides to the doctor and pharmacy

  The plan offers rides to the doctor and pharmacy as an extra benefit.

• Baby essentials catalog

  New and expecting parents can order items like a stroller, safe sleep kit, or breastfeeding support kit from a baby essentials catalog.

• Healthy Blue North Carolina Obtenido el 2026-07-17
• Healthy Blue North Carolina Obtenido el 2026-07-17

Geography model: North Carolina organizes NC Medicaid Managed Care into 6 official regions, but the state's own current Standard Plan roster page (medicaid.ncdhhs.gov/about-nc-medicaid/health-plans, last modified 07/08/2026, captured as nc-health-plans-list.txt) shows the roster is NOT identical statewide: AmeriHealth Caritas North Carolina, Healthy Blue, and UnitedHealthcare of North Carolina are listed Statewide, while Carolina Complete Health, Inc. is listed only for Regions 3, 4 and 5. Per the frozen spec's addendum (which names NC explicitly), this file models the real regional variation instead of forcing a statewide frame: two roster-distinct service_areas group NC's 6 official regions by shared plan roster (Regions 1, 2 and 6 with 3 plans; Regions 3, 4 and 5 with 4 plans), each with a quote-gate verified roster fact against that same snapshot. A second, corroborating (non-primary) fact on the Regions 3/4/5 area cites a live headless capture of the enrollment broker's own site (ncmedicaidplans.gov/en/nc-medicaid-managed-care-health-plans, captured today) stating 'There are 4 Standard Plans to choose from: AmeriHealth Caritas, Carolina Complete Health, Healthy Blue, UnitedHealthcare Community Plan', independently confirming the same 4-plan roster and that WellCare no longer appears as a separate plan. Region-to-county assignment: NC DHHS's own official region map (ncdhhs.gov/medicaid/managed-care-regions-and-rollout/download) is a graphic PDF with county names positioned spatially rather than listed as machine-quotable text, so the 100-county region roster used here (verified county-for-county against NC's 100 counties, cross-referenced against the visual positions in that PDF) is drawn from two informally-cited corroborating sources: Carolina Complete Health's own coverage-area page (carolinacompletehealth.com, tier 2, gives 5 of 6 regions' full county lists verbatim) and a Community Care Physician Network regional table PDF (tier 3) that supplied the 2 counties (Transylvania and Yancey, both Region 1) missing from the Carolina Complete Health page; all three sources agree on every other county placement. KNOWN UNRESOLVED DISCREPANCY FOR HUMAN REVIEW: a separate NC DHHS bulletin page (medicaid.ncdhhs.gov/beneficiaries/medicaid-health-plans-and-programs, last modified 03/03/2026, captured as nc-beneficiary-health-plans.txt) states WellCare of North Carolina merged into Carolina Complete Health effective April 1, 2026 and that 'The new unified health plan will be available to Medicaid beneficiaries statewide.' The health-plans roster page above was updated more recently (07/08/2026, more than three months after that merger date) and still lists Carolina Complete Health as Regions 3, 4 and 5 only, not statewide, so this file trusted the more recently updated, more specific operational page over the earlier merger announcement. A human should confirm whether Carolina Complete Health has since expanded statewide. Enrollment: enrollment.portal_url (value https://ncmedicaidplans.gov/en, quote-gated against nc-beneficiary-health-plans.txt, a tier-1 medicaid.ncdhhs.gov page that names and links the NC Medicaid Enrollment Broker website as the enrollment channel), enrollment.portal_name (quote-gated against a live headless capture of the enrollment broker's own homepage), and enrollment.phone (quote-gated against a live headless capture of the broker's contacts page, which also independently corroborates every Standard Plan's member phone number used in plans[] below) are all quote-gate verified. enrollment.choice_window_days is an honest not_found: two official medicaid.ncdhhs.gov PDF fact sheets (a September 2025 'How to Change NC Medicaid Managed Care Plans' fact sheet and a February 2024 beneficiary contacts reference guide) both state Standard Plan members get a 90-day choice period, and choice_window_note/switch_note reflect that figure informally, but neither PDF is served at a URL containing a literal .pdf extension, so scripts/fetch-plan-snapshots.ts's automatic PDF-vs-HTML detection cannot correctly extract their text and no quote-gated fact could be produced without risking a false snapshot; a human with script-editing access could add a content-type based (rather than URL-suffix based) PDF check to close this gap. Per-plan fields: each plan's member_phone was independently confirmed live on the plan's own official page (matching the broker's own contacts page, see above); provider_directory_url, formulary_url, and extra_benefits were also researched live on each plan's own official NC Medicaid page but are not cited by a quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only enrollment and roster fields carry facts[] entries. All 4 Standard Plans share the same statewide NC Medicaid Preferred Drug List (formulary_url), confirmed by a tier-1 fact sheet quote: 'All health plans will follow the same policy as NC Medicaid Direct does today including following the same single NC Preferred Drug List (PDL)' (not separately quote-gated here for the same URL-extension reason as choice_window_days). Healthy Blue's carrier is listed as Blue Cross and Blue Shield of North Carolina (the underwriting entity per healthybluenc.com's own site); NC Medicaid's own contract page names the contracted plan 'Healthy Blue of North Carolina'. Carolina Complete Health is a Centene Corporation affiliate per its own site's copyright notice. Out of scope, confirmed live: NC's separate Behavioral Health and I/DD Tailored Plan track, the EBCI Tribal Option, and the new Children and Families Specialty Plan (launched December 1, 2025, run by Blue Cross NC as 'Healthy Blue Care Together') are all distinct from the 5 (now 4) Standard Plans and were excluded, matching how other states in this corpus model only the general-population managed-care plan choice. NCQA ratings stay null for all 4 plans (unverifiable). Because most per-plan fields are informally sourced rather than fact-cited, and because of the unresolved WellCare/Carolina Complete Health merger discrepancy above, this file stays verified: false, the same standing as TX.json, CA.json, NY.json, and FL.json today.

Servicios para miembros: 1-800-349-1855

No hay calificación disponible. Ver calificaciones NCQA ↗

• Vision and hearing coverage

  The plan covers eye exams, glasses if needed, and hearing tests and hearing aids if needed.

• Meals after a hospital stay

  Members can get fresh, nutritious meals delivered home for 14 days after a hospital discharge.

• Over the counter prepaid card

  Members get a prepaid card for over the counter products.

• Rides to medical appointments

  The plan can arrange and pay for non emergency transportation to medical appointments.

• UnitedHealthcare Community Plan Obtenido el 2026-07-17

Geography model: North Carolina organizes NC Medicaid Managed Care into 6 official regions, but the state's own current Standard Plan roster page (medicaid.ncdhhs.gov/about-nc-medicaid/health-plans, last modified 07/08/2026, captured as nc-health-plans-list.txt) shows the roster is NOT identical statewide: AmeriHealth Caritas North Carolina, Healthy Blue, and UnitedHealthcare of North Carolina are listed Statewide, while Carolina Complete Health, Inc. is listed only for Regions 3, 4 and 5. Per the frozen spec's addendum (which names NC explicitly), this file models the real regional variation instead of forcing a statewide frame: two roster-distinct service_areas group NC's 6 official regions by shared plan roster (Regions 1, 2 and 6 with 3 plans; Regions 3, 4 and 5 with 4 plans), each with a quote-gate verified roster fact against that same snapshot. A second, corroborating (non-primary) fact on the Regions 3/4/5 area cites a live headless capture of the enrollment broker's own site (ncmedicaidplans.gov/en/nc-medicaid-managed-care-health-plans, captured today) stating 'There are 4 Standard Plans to choose from: AmeriHealth Caritas, Carolina Complete Health, Healthy Blue, UnitedHealthcare Community Plan', independently confirming the same 4-plan roster and that WellCare no longer appears as a separate plan. Region-to-county assignment: NC DHHS's own official region map (ncdhhs.gov/medicaid/managed-care-regions-and-rollout/download) is a graphic PDF with county names positioned spatially rather than listed as machine-quotable text, so the 100-county region roster used here (verified county-for-county against NC's 100 counties, cross-referenced against the visual positions in that PDF) is drawn from two informally-cited corroborating sources: Carolina Complete Health's own coverage-area page (carolinacompletehealth.com, tier 2, gives 5 of 6 regions' full county lists verbatim) and a Community Care Physician Network regional table PDF (tier 3) that supplied the 2 counties (Transylvania and Yancey, both Region 1) missing from the Carolina Complete Health page; all three sources agree on every other county placement. KNOWN UNRESOLVED DISCREPANCY FOR HUMAN REVIEW: a separate NC DHHS bulletin page (medicaid.ncdhhs.gov/beneficiaries/medicaid-health-plans-and-programs, last modified 03/03/2026, captured as nc-beneficiary-health-plans.txt) states WellCare of North Carolina merged into Carolina Complete Health effective April 1, 2026 and that 'The new unified health plan will be available to Medicaid beneficiaries statewide.' The health-plans roster page above was updated more recently (07/08/2026, more than three months after that merger date) and still lists Carolina Complete Health as Regions 3, 4 and 5 only, not statewide, so this file trusted the more recently updated, more specific operational page over the earlier merger announcement. A human should confirm whether Carolina Complete Health has since expanded statewide. Enrollment: enrollment.portal_url (value https://ncmedicaidplans.gov/en, quote-gated against nc-beneficiary-health-plans.txt, a tier-1 medicaid.ncdhhs.gov page that names and links the NC Medicaid Enrollment Broker website as the enrollment channel), enrollment.portal_name (quote-gated against a live headless capture of the enrollment broker's own homepage), and enrollment.phone (quote-gated against a live headless capture of the broker's contacts page, which also independently corroborates every Standard Plan's member phone number used in plans[] below) are all quote-gate verified. enrollment.choice_window_days is an honest not_found: two official medicaid.ncdhhs.gov PDF fact sheets (a September 2025 'How to Change NC Medicaid Managed Care Plans' fact sheet and a February 2024 beneficiary contacts reference guide) both state Standard Plan members get a 90-day choice period, and choice_window_note/switch_note reflect that figure informally, but neither PDF is served at a URL containing a literal .pdf extension, so scripts/fetch-plan-snapshots.ts's automatic PDF-vs-HTML detection cannot correctly extract their text and no quote-gated fact could be produced without risking a false snapshot; a human with script-editing access could add a content-type based (rather than URL-suffix based) PDF check to close this gap. Per-plan fields: each plan's member_phone was independently confirmed live on the plan's own official page (matching the broker's own contacts page, see above); provider_directory_url, formulary_url, and extra_benefits were also researched live on each plan's own official NC Medicaid page but are not cited by a quote-gated fact, consistent with TX.json/CA.json/NY.json's existing convention that only enrollment and roster fields carry facts[] entries. All 4 Standard Plans share the same statewide NC Medicaid Preferred Drug List (formulary_url), confirmed by a tier-1 fact sheet quote: 'All health plans will follow the same policy as NC Medicaid Direct does today including following the same single NC Preferred Drug List (PDL)' (not separately quote-gated here for the same URL-extension reason as choice_window_days). Healthy Blue's carrier is listed as Blue Cross and Blue Shield of North Carolina (the underwriting entity per healthybluenc.com's own site); NC Medicaid's own contract page names the contracted plan 'Healthy Blue of North Carolina'. Carolina Complete Health is a Centene Corporation affiliate per its own site's copyright notice. Out of scope, confirmed live: NC's separate Behavioral Health and I/DD Tailored Plan track, the EBCI Tribal Option, and the new Children and Families Specialty Plan (launched December 1, 2025, run by Blue Cross NC as 'Healthy Blue Care Together') are all distinct from the 5 (now 4) Standard Plans and were excluded, matching how other states in this corpus model only the general-population managed-care plan choice. NCQA ratings stay null for all 4 plans (unverifiable). Because most per-plan fields are informally sourced rather than fact-cited, and because of the unresolved WellCare/Carolina Complete Health merger discrepancy above, this file stays verified: false, the same standing as TX.json, CA.json, NY.json, and FL.json today.