Enrollment Form For Medicaid Recipients (Page 2 of 2) in pdf

Enrollment Form For Medicaid Recipients Page 2

Your Health Care

If you have Medicare already, this will help you.

 Medicare pays for most medical and mental health services.

Your

 No co‐pay when Medicare pays for all or part of a service.

Medicare…

 No limit to the number of times you can see your doctor.

 No restrictions on who you can see as long as they participate in Medicare.

Your physician will help refer you.

 Medicaid will pay if there are costs left over after Medicare pays.

 For some services that are not Medicare services, Medicaid limits the

Your

number of times it will pay for you to see a doctor from July to June of each

Medicaid…

year.

 You may have to pay a co‐pay for services that Medicare does not cover.

 Check the Medicaid web site:

 Stands for Community Care of North Carolina/Carolina ACCESS.

 It is North Carolina’s Medicaid special health care plan.

CCNC/CA

 CCNC/CA has helped many people find a primary doctor.

What is it?

 Your primary doctor will refer you to a specialist if you need one. Let your

doctor know which specialist you want to see.

 A primary care doctor.

Benefits of

 Trained people to make sure you get the care you need.

CCNC/CA!

 A nurse care manager if your health problems are hard to manage.

 You are enrolled automatically. You don’t have to do anything.

 You can choose not to enroll at this time or you can choose to enroll with

another primary doctor. You may also enroll later.

 If you choose not to enroll, your Medicaid and Medicare benefits will not be

How do I

reduced or stopped.

enroll?

 When enrolled, you can choose to disenroll at anytime.

 You can choose your own primary care doctor. You can also change your

primary care doctor. Most changes are effective the month after you request

a change.

 For more information, call your local department of social services or call

Medicaid at 1‐888‐245‐0179

Division of Medical Assistance

Community Care of North Carolina/Access Care

Revised 1/10/11

Enrollment Form For Medicaid Recipients Page 2

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