The Medical Access Program, or “MAP”, is a grant-funded program created to assist patients who are not eligible for Medicaid or other reimbursement programs and seek financial assistance with the cost of their medical care.
Eligibility Criteria:
- Must have no Primary Health Care (Medical) coverage and meet certain financial criteria
- Patients are expected to make Mt. Olive Family Medicine Center (MOFMC) their “primary care home” and to use it for their primary care needs.
- Established patients at MOFMC are also eligible. Benefits include assistance with outstanding MOFMC bills to those who qualify
- Patients must reside and/or pay income taxes in North Carolina.
- Patients must bring proof of household income.
- As of 12/01/2023: Patients must apply for NC Medicaid. If denied for this coverage, proof of denial is required.
Items to Bring to Application Appointment:
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Household Member Information
- Names and ages of ALL individuals living in the household, including relatives and non-relatives
- Documentation of the insurance of those individuals, if they are insured
- Last employer and year worked for all individuals in the household
-
Proof of Income for ALL Members of Household ( One of the following for each employed member of the household)
- Signed and dated past year’s completed tax form that was submitted to the IRS, or
- Past year’s W-2 form(s), or
- 3 most recent consecutive paycheck stubs, or
- Letter(s) from employer(s) stating annualized income
-
Proof of any other income, including
- Child support
- Alimony
- Unemployment
- Social Security
- Disability Benefits
-
If no income
- Bring proof of expenses and how they are being paid. This can be in the form of a letter if someone is helping you financially.
Approval Information:
If you are approved, MAP will cover the majority of your medical visits. Depending on your income and the number of people in your household, you will be responsible for a copay ranging from $5.00 to $20.00. You will be informed of your copay during the application process. Copays are due at the time of service.
For an Application Appointment, please call: 919-581-4961