Carolina Complete Health Login & Coverage Guide

Carolina Complete Health (CCH) is a Medicaid managed-care health plan serving many North Carolina residents. In this guide, you’ll learn how to log in to Carolina Complete Health and manage your benefits. We cover enrollment (Medicaid eligibility), plan coverage, provider networks (doctors and pharmacies), member services (ID cards, phone support), and more. Whether you’re a new enrollee or a current member, this article will walk you through key details and tips—complete with citations to official sources.

CCH is one of North Carolina’s Medicaid plans (operated by Centene) that provides comprehensive health coverage to eligible individuals. It offers medical, pharmacy, behavioral, and preventive care through a network of doctors and providers. Members can use an online member portal (login) to view claims, request ID cards, and update info. Read on to learn how to access your account, find a doctor, and get help when you need it—all while including relevant keywords like “carolina complete health login” and other terms naturally.

Coverage Area & Plan Overview

CCH covers Medicaid recipients in North Carolina regions 3, 4, and 5, encompassing many central and eastern counties. (See the coverage map below.) In these counties including Mecklenburg, Wake, Durham, Cumberland and others eligible residents can enroll in Carolina Complete Health for their Medicaid care. The map illustrates CCH’s service area:

Region 3 includes counties such as Alexander, Gaston, and Union; Region 4 includes Durham, Wake, and Orange; and Region 5 includes Cumberland, New Hanover, and Robeson. In short, if your county is listed under Regions 3-5 on the CCH site, you may be able to enroll. This coverage area map (above) highlights all the counties served by Carolina Complete Health. By enrolling in CCH Medicaid in an eligible county, you gain access to the plan’s network of providers and covered services.

Carolina Complete Health functions under North Carolina’s Medicaid Managed Care program. It follows the NC Medicaid benefits package, so members receive standard services (doctor visits, hospital care, preventive screenings, etc.) along with extra support. CCH often refers to these extras as Value-Added Services. For example, CCH provides educational workshops and programs beyond regular care. (Think of these as “wellness bonuses” that help members stay healthy.) This is in addition to core benefits like doctor visits and prescription drug coverage, which we’ll detail below.

Eligibility & How to Apply

To join Carolina Complete Health, you must first be eligible for North Carolina Medicaid (also called NC Medicaid Managed Care). CCH is one of the five standard Medicaid health plans in the state. Applying for CCH means applying for NC Medicaid in the first place. As the CCH website explains, “To enroll in Medicaid, you must apply with the North Carolina Department of Health and Human Services” (NCDHHS). NC Medicaid covers various groups (children, pregnant women, adults with disabilities, etc.), and CCH is available to Medicaid adults and families in its service area.

There are multiple ways to apply for Medicaid and select Carolina Complete Health:

• Online: Visit the NC Medicaid enrollment portal at ncmedicaidplans.gov/enroll. You can apply or manage your enrollment online.
• By Phone: Call NCDHHS at 1-833-870-5500 (TTY 711), Monday to Saturday 7 AM to 5 PM. The state enrollment specialists can take your application and help you pick a health plan.
• By Mail/Fax: Fill out the paper enrollment form (sent by mail) and return it. For example, the NC Medicaid form can be mailed to NC Medicaid PO Box 613, Morrisville, NC 27560 or faxed to 1-833-898-9655.
• Mobile App: Use the NC Medicaid Managed Care mobile app (free on Apple/Android) to apply or change plans.
• Assistance: If you need help with plan choice, call the NC Medicaid helpline at 1-833-870-5500 (TTY 1-833-870-5588) and ask for an enrollment specialist. They can explain differences between plans.

After you apply for Medicaid, you’ll be asked to choose a health plan. At that point, select Carolina Complete Health as your plan of choice if you want CCH coverage. The NC Medicaid portal or enrollment counselor will guide you through this. (If you forget or are auto-assigned, NC Medicaid typically sends a packet with plan options.) Once enrolled, you’ll become a CCH member and receive your member ID card.

Step-by-Step Enrollment (Example):

1. Check NC Medicaid eligibility (income, residency).
2. Apply using one of the methods above.
3. When prompted, choose Carolina Complete Health as your plan.
4. Await confirmation and your CCH member packet (including an ID card).
5. If you need help at any point, call 1-833-870-5500 or visit NC Medicaid’s site.

Carolina Complete Health Coverage and Benefits

As a Medicaid plan, Carolina Complete Health offers comprehensive coverage similar to traditional Medicaid. This includes routine medical care (doctor visits, hospitalization, maternity care), behavioral health, dental and vision, and prescription drugs. Here are some highlights of what CCH provides (all covered if medically necessary and according to Medicaid rules):

• Primary & Specialty Care: Regular check-ups and specialist visits through your chosen doctor (Primary Care Provider). Preventive care (like vaccines and screenings) is fully covered.
• Hospital Services: Inpatient and outpatient hospital care, emergency room visits when needed, and any necessary follow-up care.
• Behavioral Health: Counseling, therapy, inpatient psychiatric care, substance use treatment, and other mental health services are included. (CCH covers services like outpatient counseling and inpatient mental health treatment, though some intensive services may require PCP referral or prior approval.)
• Pharmacy: Prescription drugs (discussed in the next section) most medications are covered under CCH’s pharmacy benefit.
• Vision and Dental: NC Medicaid includes dental check-ups and glasses or contacts, and CCH covers these through its network.
• Maternity and Baby Care: Pregnancy-related care, delivery, and newborn care are covered. CCH also has a “Start Smart for Baby” program to help expectant parents.
• Long-Term Supports: For eligible members, services like home health, physical therapy, and durable medical equipment are available.
• Transportation: CCH can arrange rides to and from appointments at no cost (via ModivCare, call 1-855-397-3601).
• Value-Added Services: Extra wellness programs, gym memberships, baby supplies, or other benefits may be offered as part of CCH’s Value-Added Services.

Important: While CCH covers a wide range of Medicaid benefits, some services may require prior authorization or have age/quantity limits. For example, certain medications or therapies might need approval from CCH before you receive them. Always show your CCH ID card at the doctor’s office or pharmacy, and consult your Primary Care Provider (PCP) they will coordinate any referrals or authorizations as needed.

Coverage Comparison: Carolina Complete Health’s benefits are at least as good as Medicaid fee-for-service. The plan’s Member Handbook confirms that CCH members “get health care services that are similar in amount and scope to those given under Medicaid Fee-For-Service”. In practice, this means you should expect familiar Medicaid services under CCH, plus the convenience of a managed-care network.

Carolina Complete Health Member Login & Online Account

A key tool for CCH members is the Member Portal an online account where you can review claims, see your ID card, and manage your information. The primary keyword “carolina complete health login” refers to accessing this portal.

To use it: Go to the Carolina Complete Health website and click “Member Portal Login.” The URL is usually member.carolinacompletehealth.com (or follow the “Member Portal Login” link at the top of CCH’s homepage). You’ll need to create a new account the first time by verifying your member information. After setup, you can log in anytime with your email/username and password.

Once logged in, you can:

• View claims and benefits: See past medical claims, dates of service, and any paid amounts.
• Request a new ID card: If you lose your card or need a replacement, you can order one online.
• Update contact info: Change your address, phone, or email if needed.
• See authorization requests: Check the status of any prior authorizations or referrals.
• Access health resources: Find member handbooks, forms, and wellness info.

CCH advertises that this portal is “free and easy” to use. As their homepage says, once you sign up, you “will have access to your health care information. View claims, get a new ID card, update your information, and more!”. If you’re not sure where to start, the portal has on-screen instructions. If you get stuck, CCH Member Services can also help reset your login or password (see contact section below).

Pro Tip: Keep your login credentials secure. Use the official CCH site or app (the Carolina Complete Health app is available on iOS/Android) to log in. The app, for example, lets you view your ID card digitally at the pharmacy, find a provider, and see alerts in Spanish or English. Whenever you log in, remember to log out when finished to protect your privacy.

Finding Doctors & Providers in CCH Network

As a Carolina Complete Health member, you must use in-network providers (except in emergencies). Finding a CCH doctor, specialist, or facility is easy: CCH provides an online Provider Search tool and printable directories.

• Online Provider Directory: Visit the Find A Provider section on the CCH website. This interactive directory lets you search by location, specialty, and more. (The online tool is updated frequently, so it shows real-time availability.) You can also search for pharmacies here. If you prefer, you can use your location or enter your city/ZIP to find nearby doctors and clinics.
• Printable Provider List: Carolina Complete Health also publishes a PDF directory by county. On their site’s Provider Directory page, you’ll see links like “Alamance County Provider Directory (PDF),” etc., for each county in their service area. You can download these free-of-charge. If you don’t have internet access, you can request a paper copy to be mailed at no cost by calling Member Services at 1-833-552-3876 (TTY 711).
• Primary Care Provider (PCP) Choice: When you enroll, CCH will assign a PCP (your main doctor), but you have the right to choose or change this PCP at any time. You can pick a pediatrician, family doctor, or clinic that’s listed in the directory. CCH will let you know your assigned PCP on your welcome packet, or you can call Member Services to choose a different one.
• Finding a Specialist: If you need a specialist (like a cardiologist, OB/GYN, etc.), you generally get a referral from your PCP. Then you can use the provider search to locate a specialist in-network. Make sure any specialist you see participates with Carolina Complete Health before scheduling.

Member Help: If you’re unsure where to go, Carolina Complete Health’s Member Services can help. As their site notes, Member Services “can help with… finding a doctor/provider near you” and “choosing or changing your Primary Care Doctor/Provider”. Just call 1-833-552-3876 for assistance. Keep in mind that CCH has arranged hundreds of PCPs and specialists in its network; using the directory or calling is the easiest way to confirm who’s in-network.

Pharmacy Services & Prescription Coverage

Carolina Complete Health includes a pharmacy benefit for its members. In general, most prescription medications are covered, along with some over-the-counter (OTC) drugs when prescribed by a CCH provider. Here’s what you need to know about CCH pharmacy coverage:

• Covered Drugs: CCH follows the NC Medicaid Preferred Drug List (PDL). This is a list of approved medications (brand and generic) that Medicaid covers. Carolina Complete Health “adheres to the NC Medicaid Preferred Drug List,” which means it covers the same drugs as state Medicaid. Preferred (formulary) drugs have the best coverage; non-preferred drugs may require prior authorization or might have limits.
• Prior Authorization: Some medications may need CCH approval before they’re covered. The pharmacy section on CCH’s website notes that certain drugs “require prior authorization and may have limitations on age, dosage, or maximum quantities”. If your doctor prescribes a non-formulary drug, they must submit a prior authorization request to CCH. The plan does allow doctors to request exceptions if medically necessary.
• How to Check Coverage: Use the online formulary search tool at formulary-search.envolverx.com. CCH provides a link where you can type in any drug name and see if it’s covered. This tool covers all brand/generic outpatient drugs. You can also view the full PDL on the CCH website or request a copy by calling Member Services.
• Filling Prescriptions: To get your medications, visit any in-network pharmacy. (Most chain and independent pharmacies accept Carolina Complete Health.) At the pharmacy, give the pharmacist your written prescription (from a CCH provider) and your Carolina Complete Health ID card. The pharmacy will bill the plan. If you have trouble finding a network pharmacy, you can search the online directory under “Find a Provider” (choose “pharmacy” as the specialty) or call Member Services at 1-833-552-3876 for help.
• Supply Limits: Typically, CCH allows a 30-day supply per prescription fill, but many maintenance medications (for chronic conditions) can be dispensed as a 90-day supply. In fact, members can fill a one-year (365-day) supply of birth control, as approved by Medicaid. Controlled substances (certain pain or anxiety meds) have stricter limits.
• Specialty Medications: High-cost or complex meds (like some injectables or cancer drugs) might require you to use a designated specialty pharmacy. CCH’s site indicates that “specialty drugs… are usually ordered through a specialty pharmacy”. If you need a specialty med, your provider or CCH will guide you to the correct pharmacy.
• Out-of-Pocket Cost: As a Medicaid plan, most covered drugs cost very little or nothing out-of-pocket. Medicaid plans have nominal copays (often $0) for prescriptions. You should never be charged more than a couple dollars for any covered drug. If a pharmacist says otherwise, present your Medicaid card and contact CCH.

In summary, Carolina Complete Health’s pharmacy program works closely with NC Medicaid rules. By using network pharmacies and checking the formulary, you should have smooth access to your medications.

Your Carolina Complete Health ID Card

Once you’re enrolled, CCH will send you an ID card by mail. This card shows your name, member ID number, group name, and important phone numbers (like Member Services). You must present this card at every doctor or pharmacy visit to verify coverage.

Your ID card details are crucial: it tells providers which plan you’re in and where to bill. If your card is lost or stolen, or if you need a new one (perhaps your plan year changed), you have two main options:

• Online: Log into the CCH Member Portal and select “Request ID Card.” You can view or print a digital copy.
• By Phone: Call Member Services at 1-833-552-3876 (TTY 711). They can send a replacement via mail (or confirm card details to the provider). In fact, CCH explicitly lists “Getting your ID card” as one of the things Member Services can assist with.

Tip: The Carolina Complete Health app (on your smartphone) also lets you view your ID card image. This way, you never have to wait for a physical card if you need proof of coverage immediately. Always carry your card or a digital copy, and make sure your providers copy it when you visit.

Keep it updated: If you or a family member moves or changes name, let CCH know so they can issue a new card. As a responsible member, one of your duties is to inform CCH of any address changes.

Contacting Member Services (Phone and Help Lines)

Carolina Complete Health offers robust customer support. The main Member Services phone line is 1-833-552-3876 (TTY 711). It operates Monday to Saturday from 7:00 AM to 6:00 PM Eastern. You can call this line for any questions about your benefits or CCH coverage, including:

• Questions about covered benefits or claim status
• Help finding or changing a doctor (PCP)
• Getting or replacing your ID card
• Help with the Member Portal or member materials

As the website states, “Member Services can help with… questions about your benefits, finding a doctor/provider near you, choosing or changing your Primary Care Doctor/Provider, getting your ID card, Member Handbooks, and general questions”. If you just have a quick question on coverage or need assistance navigating the system, Member Services is your first stop. They are trained to help members manage their care.

For after-hours care, there is also a 24/7 Nurse Advice Line at 1-833-552-3876 (TTY 711) (same number). You can call this anytime, day or night, to get medical advice from a registered nurse. They can help you decide if symptoms require emergency care or can wait for a doctor, especially useful when your PCP is closed.

In case of a behavioral health crisis, CCH provides a crisis line at 1-855-798-7093, 24/7. If you or a loved one are in severe distress or at risk of harming yourself, call this line for immediate help from mental health professionals. (In a life-threatening situation, always call 911.)

Ombudsman: NC Medicaid has a Managed Care Ombudsman program that can assist with enrollment or plan issues. You can reach the NC Medicaid Managed Care Ombudsman at 1-877-201-3750 or visit ncmedicaidombudsman.org for advocacy, especially if you face barriers in getting care.

Remember to have your Member ID ready when you call CCH (for verification). Their friendly representatives are required to handle your information confidentially. If you get a voicemail, you may expect a callback. When you call, use this as an opportunity to also update any personal info or ask any plan-specific questions.

Carolina Complete Health Reviews & Quality Ratings

Prospective or new members often wonder how Carolina Complete Health compares to other plans. The state of NC publishes performance and survey data for all Medicaid plans, including CCH. One resource is the NC Medicaid Plan Performance Comparison Tool (2025), which rates plans on measures like “Getting Needed Care” and “Care Experience”. This tool emphasizes the importance of choosing the right plan (as it states, “It is important to choose a health plan that works for you. Use this tool to learn how well each plan performed… in five areas: getting care, care experience, providers, reproductive health, and children’s health”). In the tool, Carolina Complete Health is listed alongside other NC Medicaid plans like AmeriHealth Caritas and UnitedHealthcare. While the PDF itself shows star ratings, the key takeaway is that the state monitors CCH’s performance and makes that information public.

In addition, CCH conducts its own patient surveys. The annual CAHPS Survey (Consumer Assessment of Healthcare Providers and Systems) collects member feedback on care quality and satisfaction. CCH notes that survey results (called CAHPS scores) are made available to the public. This means you can likely find how CCH scored in member satisfaction on the NC Medicaid website or in CCH’s Quality Improvement reports.

Overall, Carolina Complete Health is a Centene-backed plan that strives for quality. The NCQA accreditation and quality programs on CCH’s site indicate that they focus on care quality and provider support. While we won’t quote the employee Glassdoor reviews or Indeed ratings, the key for you is that the plan invests in quality measures. If you’re curious, you can visit NC Medicaid’s plan comparison page (ncmedicaidplans.gov) to see how CCH stacks up in specific categories.

Ultimately, “reviews” for Medicaid plans often come down to personal experience with access and customer service. So far, CCH’s member resources like 24/7 nurse help and extra value-added programs are positive signs. If you have feedback as a member, CCH encourages you to participate in their surveys, which in turn help improve the plan.

Additional Member Resources & Value-Added Benefits

Beyond medical coverage, Carolina Complete Health offers extra resources and programs to support members’ overall well-being. These are sometimes called value-added services. For example:

• Health Education Workshops: CCH hosts free community events and workshops (e.g., on nutrition, smoking cessation, healthy pregnancy) to educate members.
• Reward Programs: Some Medicaid plans have incentive programs (like gift cards for getting well-child visits or attending programs). Check CCH’s site to see if they offer anything like this.
• Translation Services: Free interpretation services are available if English is not your preferred language. CCH provides materials in Spanish and offers translators.
• Transportation: As noted, rides to appointments are provided at no cost, even allowing a parent/guardian to accompany a child to the doctor.
• Wellness Newsletters: CCH publishes newsletters with health tips, recipes, and seasonal advice for members (see the home page snippet about recipes and tips). These often highlight CCH benefits and local events.
• Member Advisory Committee: If you are interested, CCH has a member advisory committee where you can share feedback and learn more about the plan.

These programs are included at no extra cost. Check the Carolina Complete Health website under “Value-Added Services” for the latest offerings. Taking advantage of these can improve your health and even earn you rewards.

Conclusion

In summary, Carolina Complete Health is your Medicaid health plan (provided by Centene) covering people in specified NC counties. To make the most of your coverage, remember to use the member portal login, which lets you view claims and manage your account. Enroll in the plan through NC Medicaid (online or by phone) and then choose CCH for your coverage. Once you’re a member, use the CCH provider directory or call Member Services at 1-833-552-3876 to find in-network doctors and pharmacies. Use your ID card every time you get care, and don’t hesitate to call the nurse advice line or crisis line if you need help outside normal hours.

Carolina Complete Health login is your portal to benefits and your first step in accessing care. The plan’s wide coverage means your family can see doctors, fill prescriptions, and stay healthy under Medicaid. And remember, you’re not alone: if you ever have questions, CCH’s Member Services is ready to help with coverage details or member support. By following this guide, you should be well-equipped to navigate your Carolina Complete Health benefits. Feel free to share this article, leave comments, or reach out to CCH if you have more questions. Your health coverage is important now you know how to use it!

Frequently Asked Questions (FAQs)

• How do I log in to my Carolina Complete Health account? To access your account, visit the Carolina Complete Health website and click “Member Portal Login.” Create a new account using your member information if you haven’t already. Once set up, use your username/password to log in. The portal lets you view claims, request a new ID card, and update your details. If you forget your credentials, use the “Forgot Password” link or call Member Services for help.
• How can I apply for Carolina Complete Health (Medicaid) coverage? First, apply for NC Medicaid through the state (online at ncmedicaidplans.gov, by phone at 1-833-870-5500, or by mail). During enrollment, choose “Carolina Complete Health” as your plan if it’s available in your county. You’ll receive a confirmation and a member packet. If you need assistance with the process, NC Medicaid enrollment specialists can help over the phone.
• How do I find Carolina Complete Health doctors or providers? Use the online Find A Provider directory on CCH’s website or the county-specific PDF provider lists. Simply search by your location or specialty to see in-network doctors. You can also call Carolina Complete Health’s Member Services at 1-833-552-3876; they can recommend nearby providers and help you choose or change your Primary Care Provider (PCP). Always make sure the provider you plan to see is listed in the CCH directory.
• What is covered under Carolina Complete Health Medicaid? Carolina Complete Health covers the full range of NC Medicaid benefits. This includes doctor visits, hospital care, prenatal care, behavioral health services, pharmacy benefits, dental, and vision essentially what NC Medicaid covers. For drugs, CCH uses the NC Medicaid Preferred Drug List. Some services may need prior authorization, but core benefits are included. For details on specific services and copays, review the CCH Member Handbook or call Member Services.
• How do I get a new Carolina Complete Health ID card? If your card is lost or you need a replacement, log into the CCH member portal and order a new card, or call Member Services at 1-833-552-3876. They will mail a new card to you. You can also use the CCH mobile app to view a digital ID card immediately. Always have your card available when receiving care.
• What is Carolina Complete Health’s phone number for member help? For general questions or help, call Carolina Complete Health Member Services at 1-833-552-3876 (TTY 711), Monday to Saturday 7 AM to 6 PM. For medical advice after hours, call the same number (Nurse Advice Line 24/7). For behavioral health crises, call 1-855-798-7093 (24/7). Have your member ID number ready when you call.
• Are there reviews or ratings for Carolina Complete Health? Yes. The state of North Carolina publishes a Medicaid Plan Performance Comparison which includes CCH. Also, CCH collects member satisfaction data (CAHPS surveys) and shares scores publicly. For anecdotal reviews, you may check independent sites, but the official metrics are on the NC Medicaid website. Overall, CCH is consistently monitored for quality by both NC Medicaid and NCQA standards.

Sources: Official Carolina Complete Health website and NC Medicaid resources (see in-text citations for details).