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Open Enrollment for NC Medicaid Managed Care active through May 14

Open enrollment for Macon County residents who receive North Carolina Medicaid Managed Care is currently underway. The new NC Medicaid Managed Care program will begin July 1, 2021. There are several ways that NC Medicaid recipients can enroll in a managed care plan:

  •   Call the NC Medicaid Managed Care Call Center at 833-870-5500 (TTY: 833-870-5588)
  •   Use the FREE NC Medicaid Managed Care mobile app available on Google Play (https://play.google.com/store/apps/details?id=com.maximus.enrollment.nc)
  •   Use the FREE NC Medicaid Managed Care mobile app available on the App Store (https://apps.apple.com/us/app/nc-medicaid-managed-care/id1465910986)
  •   Mail in the forms that were sent in the enrollment packet

    Open enrollment ends May 14, 2021. Beneficiaries who enroll in 1 of 5 health care plans during open enrollment will have the opportunity to select a primary care provider (PCP) from a list of contracted providers. If beneficiaries do not choose a health plan before May 14, 2021, a plan will be assigned to them by NC Medicaid. In the first 90 days after their coverage effective date, beneficiaries can change health plans for any reason. After that, unless there is a special reason, beneficiaries cannot change health plans until the next Medicaid recertification date.

Macon County Department of Social Services Director, Patrick Betancourt, reminds Medicaid recipients that a variety of tools are available on the NC Medicaid Managed Care website, https://ncmedicaidplans.gov, to assist with choosing a PCP and a health plan for their families’ care. Betancourt urges all Macon County NC Medicaid recipients to use this opportunity to make decisions about their health care plans that best meet their specific needs.

The NC Medicaid Managed Care website offers a wide variety of tools and information to assist beneficiaries in choosing a primary care provider (PCP) and a health plan for their families’ care. Tools include frequently asked questions, a chat function, the Medicaid and NC Health Choice Provider, and Health Plan Lookup Tool with four categories of search capabilities, advanced search based on specialty, and the ability to view all providers within an organization/location and by practice name.

Most people who receive Medicaid can choose from five health plans as part of the state’s transition to managed care. Some people will not need to choose a health plan because of the type of health services they need. All health plans are required to have the same Medicaid services, such as office visits, blood tests, and X-rays. Health plans each have their own network of qualified doctors and health care professionals. Health plans also have added services such as educational assistance and programs to have a healthy pregnancy. People can choose a PCP from their health plan’s network to deliver their families’ Medicaid services.

For more information, beneficiaries can reference the enrollment packets that were mailed to them, visit the NC Medicaid Managed Care website (https://ncmedicaidplans.gov), or call the NC Medicaid Managed Care Call Center at 833-870-5500 (TTY: 833-870-5588).

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