We accept the following NC Medicaid plans:

• AmeriHealth Caritas
• Carolina Complete Health
• HealthyBlue
• NC Medicaid Direct
• Trillium Health Resources
• United Healthcare Community Plan
• WellCare

📞 Call us at 910-845-5333 to verify your eligibility and schedule an appointment.

The New Hope Clinic Charity Care Program helps uninsured individuals access healthcare, including hospital financial assistance programs.

Application Process

Step 1: Complete the Eligibility Application

• Download the application:
  • [English Application Packet]
  • [Spanish Application Packet]
• No printer? Pick up a copy at:
  • 201 W Boiling Spring Rd, Southport, NC 28461
• Or request a mailed copy by calling 910-845-5333

Step 2: Gather Required Documents

Proof of Identity (Provide one of the following):

• State-issued ID or driver’s license
• Permanent Resident Card (Green Card)
• Passport

Proof of Residency (Provide two documents with your full name and current address,
dated within the last 90 days):

• Unexpired photo ID with current address
• Utility bill, lease agreement, or bank statement
• Tax return, pay stub, or phone bill
• Benefits award/denial letter or other government-issued statement

Proof of Income (Provide all applicable, most recent documents):

• One month of recent paystubs
• Two months of self-employment records or bank statements
• Social Security, Disability, or Unemployment Benefits Letter
• Rental income, family support documentation, or Letter of Support if no income
• Previous year’s tax return (Form 1040) or IRS verification of non-filing (Form 4506-T)

Proof of Uninsured Status (If applicable, we can help you obtain these):

• VA Benefits Denial Letter
• Medicaid Denial Letter or Family Planning Medicaid Approval Letter
• Employer Insurance Verification Form
• Private Insurance Cancellation/Termination Letter

Step 3: Submit Your Application

• Drop off or mail: 201 W Boiling Spring Rd, Southport, NC 28461
• Email: info@newhopeclinicnc.org
• Fax: 910-845-5366

Step 4: Application Review

• We’ll notify you if additional information is needed.
• If you don’t hear from us within one week, please call or email.
• You’ll be informed of the final decision by phone or mail.

If Approved:

• Coverage lasts 90 days to 1 year based on eligibility.
• We will schedule your appointment over the phone.
• Notify the clinic within 7 days if your eligibility changes.

❌ If Denied:

• We’ll provide a list of alternative resources and help you connect with other services.