Medicaid is a crucial program that provides free or low-cost health care coverage to eligible individuals and families who are in need. In Georgia, this program is administered by the Georgia Department of Community Health (DCH) and offers various benefits and services to its members.

medicaid written on a tablet being held by a nurse

What is Medicaid?

Medicaid is a medical assistance program that helps many Georgians who can’t afford medical care pay for some or all of their medical bills. This program can be used on its own or along with another healthcare plan.

Who is Eligible for Medicaid in Georgia?

Eligibility for Medicaid in Georgia varies depending upon several factors including age, income level, and specific needs. For instance, children up to age 1 with family income up to 210% of the federal poverty level (FPL) qualify for Medicaid. Similarly, children ages 1-5 with family income up to 149% of FPL are also eligible.

elderly couple

Benefits and Services

The services and benefits offered under Georgia’s Medicaid program are comprehensive. Members under the age of 21, pregnant women, nursing facility residents, members in hospice care (end-of-life care), and members in the breast and cervical cancer program are exempt from copays.

Medicaid members who are employed may also be eligible for health insurance premium assistance through a Medicaid program called the Health Insurance Premium.

In addition to these, the Georgia Medicaid program also includes the PeachCare for Kids® program, which provides comprehensive health care to children through the age of 18 who do not qualify for Medicaid and live in households with incomes at or below 200% of the federal poverty level.


Accessing Information about Medicaid Coverage

The best way to access information about your Medicaid coverage and other benefits is through the Gateway online portal.

Georgia Medicaid Insurance and Coverage

Various insurance providers offer coverage under Georgia’s Medicaid program. Amerigroup, for instance, provides information about Georgia Medicaid, Planning for Healthy Babies, Georgia Families 360, coverage, and benefits. Similarly, Peach State Health Plan focuses on improving the health of its beneficiaries through focused, compassionate, and coordinated care.

In conclusion, Medicaid in Georgia serves as a lifeline for many individuals and families, providing them with access to necessary medical services and care. Its comprehensive benefits and broad eligibility requirements ensure that those most in need receive assistance.