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Frequently Asked Questions (FAQ)







What is Georgia Families?
Georgia Families is the program for people in Medicaid and PeachCare for Kids that guides them in choosing a health plan and a Primary Care Provider. Most Medicaid and PeachCare for Kids members must enroll in Georgia Families and choose a health plan and a provider.

What is a health plan?
A health plan is a group of doctors, nurses, other staff, hospitals, and clinics that provide health services and coordinate patient care.

What is a Primary Care Provider (PCP)?
Your PCP is your main doctor (or other practitioner). Your PCP will give you checkups, see you when you are sick, and refer you to specialists when needed. Your PCP will get to know you and will keep track of your health records.

When must you enroll?
Shortly after you are approved for Medicaid or PeachCare for Kids you can enroll with Georgia Families by phone. Georgia Families will mail you an enrollment packet with information about enrolling online or on paper. You will have 30 days to enroll in Georgia Families and choose a health plan.  If you do not enroll within 30 days, a health plan will be chosen for you. After you are enrolled in a health plan, you will have 90 days to switch plans one time.

Who must enroll?
Most Medicaid and all PeachCare for Kids members must enroll in a Georgia Families health plan. 

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Who should not enroll?
Medicaid members who are:

  • blind,
  • disabled,
  • children in foster care,
  • children with special health care needs,
  • or are members who can get Medicare.

See a complete list of Medicaid members who should not enroll.

You cannot enroll if you are not in Medicaid or PeachCare for Kids.

How do you enroll?
There are four ways you can enroll:

  1. Online: Go to New Member Enrollment and follow the steps.

  2. By phone: Call 1-888-GA-Enroll (1-888-423-6765). An enrollment counselor can help you enroll during business hours, or you can enroll using an automated phone system anytime, day or night. Business hours are 7 a.m. to 7 p.m., Monday through Friday.

  3. On paper: Use the form you get in the mail from Georgia Families. Mail or fax it to Georgia Families.

  4. In person: Meet with an enrollment counselor in person. To set up a meeting, call 1-888-GA-Enroll (1-888-423-6765).

Do you get to choose the health plan you want?
Yes. You can choose between at least two health plans in your area. Health plans that work with Georgia Families are:

  • Amerigroup Community Care
  • Peach State Health Plan
  • WellCare

How much time will you have to enroll and choose a health plan and PCP?
You will have 30 days to choose a health plan and a PCP. The letter in your enrollment packet will say your exact enrollment deadline.

What happens if you don't enroll or don't make a choice?
If you do not choose a health plan or PCP, they will be chosen for you.

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Do all family members have to choose the same health plan?
No. Each member of the household may have a different plan and PCP.

Can you keep seeing the doctor you go to now?
If your doctor works with a Georgia Families health plan in your region, you can choose him or her. Specialists cannot be PCPs.

Can you change doctors anytime?
Yes. Call your health plan and say you want to change your PCP.

What happens if you choose a plan and a doctor who don't work with each other?
You will join that plan, then ask the plan to help you choose a doctor.

Is there a list of PCPs?
Yes, there is a Provider Directory that comes in your Georgia Families enrollment packet. Or, you can log in on this site to see providers and plans near you. You can also call us and we can help you find doctors near you.

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Do you have to choose a doctor when you enroll?
No. A doctor (PCP) will be chosen for you, but you can change your doctor anytime.

When can you change health plans?

  • During your first 90 days in a plan, you can switch to a different plan.
  • After 90 days, you cannot change plans unless you have a special reason and get permission from Georgia Families.
  • When you have been in your plan for a year, you can change plans. Georgia Families will mail you information about changing plans at that time. If you want to stay in your plan for another year, you do not have to do anything.

Can you change PCPs when you are in a health plan?
Yes. To change PCPs, call your health plan.

What if your PCP leaves your health plan?
Call your plan to choose a new doctor.

What if you want someone else (an authorized representative) to speak for you about your health plan?
You may choose an authorized representative. Contact your DFCS office.

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Can you get extra copies of brochures, charts and directories?
Yes, you can get copies on this website or by phone:

  • Call Georgia Families at 1-888-GA-Enroll (1-888-423-6765). Use the recorded system to ask for the materials you want.
  • On this site, left menu, go to Brochures and Charts. Download the materials you want.

Where can you get more information about Georgia Families?

  • Call Georgia Families at 1-888-GA-Enroll (1-888-423-6765), Monday to Friday from 7 until 7, or
  • Use this Web site (www.georgia-families.com).

What about name changes or lost ID cards?

  • If you have a new name, call your local Medicaid or PeachCare for Kids office to let them know.
  • For new Medicaid or PeachCare for Kids cards, also call a Medicaid or PeachCare for Kids office.
  • For new health plan cards, call your health plan.

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