Plan Member Copays
Some members may be required to pay a copay, or a fee you pay when you get certain health care services from a provider or pick up a prescription from a pharmacy.
| Service | Your copay |
|---|---|
| Physicians Outpatient services Podiatrists |
$4 per visit |
| Generic and brand prescriptions | $4 per prescription |
| Chiropractic Optical services/supplies |
$4 per visit |
| Optometrists Non-emergency emergency department visit |
$4 per visit |
*There are no copays for the following members or services:
- Members under age 21
- Members who are pregnant
- Members receiving hospice care
- Federally recognized tribal members
- North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) beneficiaries
- Children in foster care
- People living in an institution who are receiving coverage for cost of care
- Behavioral health services
A provider cannot refuse to provide services if you cannot pay. If you have any questions about Medicaid copays, please call Member Services at 1-855-375-8811 (TTY 1-866-209-6421).