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Attention Providers Affected by Hurricane Helene: If your organization is facing challenges due to Hurricane Helene and need assistance with medical, personal care, or specialized supplies, we are here to support you.  Please reach out to Carolina Complete Health as we are coordinating relief efforts for providers in the affected areas of Western North Carolina.  Click Here for More Information.

Benefits and Services


In this section, you can learn about plan Benefits, Pharmacy Services, and Value Added Services Carolina Complete Health offers.

Need help understanding Benefits and Services? Call us at 1-833-552-3876 (TTY: 711).    

All services must be medically necessary. Your Primary Care Doctor/Provider will work with you to make sure you get the care and services you need. These services must be given by your Primary Care Provider/Doctor or by another provider that your Primary Care Provider/Doctor refers you to.

Some services may:

  • Have copays
  • Have coverage limits
  • Need a provider's/doctor’s order
  • Need prior approval

You can also view more information about Carolina Complete Health in our Member Handbook that is posted on this website.

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*Some Medicaid members may not have all the benefits listed.