What does Medicaid cover in Georgia?

If you qualify for Georgia Medicaid, the national insurance scheme will cover mental health treatment and services and preventative services, such as physical exams, health screenings and Medicaid-covered adult immunizations. In addition, Medicaid in Georgia can include vision, dental and hearing coverage.

Is Peach State and Medicaid the same?

Peach State Health Plan provides the same benefits as Medicaid, plus more. Call us at 1-800-704-1484 (TTY/TDD 1-800-255-0056). You can also view more information about Peach State Health Plan in our Member Handbook.

Do you need a referral to see a specialist with Medicaid?

You need a referral from your Primary Care Provider (PCP) to see a specialist. Only your PCP can refer you to another doctor. Call the PCP listed on your Medicaid or Health Choice ID card.

What are the different types of Medicaid in Georgia?

Medicaid

• Medicaid.
• PeachCare for Kids®
• Georgia Families. Georgia Families 360°
• Right from the Start Medicaid (RSM)
• Waiver Programs.
• TEFRA/Katie Beckett.
• Money Follows the Person Project (MFP)
• Georgia Long-Term Care Partnership.

Does GA Medicaid cover contacts?

If medically necessary, a second exam, a second pair of glasses, contact lenses, polycarbonate lenses, and vision therapy may be covered. Replacement of broken eyeglasses may be covered with prior approval, but lost eyeglasses are not covered. A copay of up to $3 may be applicable.

Does Georgia Medicaid cover dental?

Georgia Medicaid provides comprehensive dental services for children under the age of 21, but the services for adults are significantly different. For adults, Georgia Medicaid covers only emergency dental care. Dental care is not mandatory and there are no minimum requirements for adult dental coverage.

What is the Medicaid income limit in Georgia?

Who is eligible for Georgia Medicaid?

Household Size*	Maximum Income Level (Per Year)
1	$31,814
2	$43,028
3	$54,242
4	$65,456

Does Medicaid cover orthopedic surgery?

Medicaid reimburses for orthopedic services to provide procedures for the correction or prevention of deformities, disorders, and injuries of the skeleton and associated structures. Medicaid reimburses for orthopedic services including: Arthrodesis.

What is GA Medicaid called?

Peach State Health Plan (Peach State) is a physician-driven, Georgia-based Medicaid managed care plan.