Care without insurance — NC Guide for Peer Support Specialists

Low-cost care is available even with no insurance.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

113 Mayo Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask about adult Medicaid, Food and Nutrition Services, energy assistance, or another benefit you need.
Confirm application options, required documents, interview arrangements, and any emergency processing.
Use ePASS where available, keep confirmation, and agree on the next follow-up. Eligibility is assessed by the program.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

414 East Main Street, Durham, NC 27701

Ask about adult Medicaid, Food and Nutrition Services, energy assistance, or another benefit you need.
Confirm application options, required documents, interview arrangements, and any emergency processing.
Use ePASS where available, keep confirmation, and agree on the next follow-up. Eligibility is assessed by the program.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

220 Swinburne Street, Raleigh, NC 27610

Ask about adult Medicaid, Food and Nutrition Services, energy assistance, or another benefit you need.
Confirm application options, required documents, interview arrangements, and any emergency processing.
Use ePASS where available, keep confirmation, and agree on the next follow-up. Eligibility is assessed by the program.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Community health centers (FQHCs) charge on a sliding scale by income and can't turn people away for inability to pay.
NC has free and charitable clinics in many counties.
Local health departments offer vaccines, STI testing, family planning, and more.
Alliance Health manages public behavioral-health services for Orange, Durham, and Wake. Ask a local provider to confirm uninsured funding and assessment requirements.
Hospitals that are nonprofits must have financial assistance (charity care) policies. Ask for the application.
NC MedAssist and drug-maker assistance programs help with prescriptions.

Last checked October 2026. Amounts and rules change, so confirm with the official source before sharing.

Orange · Durham · Wake, NC · Adults 18+ · Crisis: 988 · Immediate danger: 911