Your Benefits

North Carolina Medicaid benefits and health care services are covered by your plan.

Healthy Opportunities Pilot program

Through the Healthy Opportunities Pilot (HOP) program, AmeriHealth Caritas North Carolina can help connect you to resources in your community to help with housing, food, transportation or personal safety concerns. The HOP program is offered in select counties only. For more information, call Member Services at 1-855-375-8811 (TTY 1-866-209-6421) or go to the Healthy Opportunities Pilot program page.

AmeriHealth Caritas North Carolina will provide or arrange for most services you need. Your health benefits can help you stay as healthy as possible if you:

  • Are pregnant
  • Are sick or injured
  • Experience a substance use disorder or have behavioral health needs
  • Need assistance with tasks like eating, bathing, dressing or other activities of daily living
  • Need help getting to and from your primary care provider's (PCP's) office
  • Need medicines

You can get some services without getting a referral from your PCP. These include primary care, emergency care, women's health services, family planning services, children's screening services, services provided at local health departments, school-based services and some behavioral health services.

Covered and non-covered services

"Covered services" means AmeriHealth Caritas North Carolina will pay for the services. These are also called benefits. "Non-covered services" means AmeriHealth Caritas North Carolina will not pay for the services. Find out more about what is and isn't covered by our plan.

Still have questions?

Get in touch if you need more information about any of your AmeriHealth Caritas North Carolina benefits. Call AmeriHealth Caritas North Carolina Member Services, 24 hours a day, seven days a week, at 1-855-375-8811 (TTY 1-866-209-6421).