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What is
Georgia Families?
Georgia Families is a program just for members in Medicaid and
PeachCare for Kids. Medicaid and PeachCare for Kids members must enroll
in Georgia Families to choose a health plan and Primary
Care Provider, or PCP. If you don’t enroll, a health plan and
PCP will be chosen for you.
What
is a health plan?
A health plan is a group of doctors, nurses, hospitals, and other
health care providers who give the members of the plan all of the
health services that they need. As a member of a health plan, you won't
have to look for doctors or other providers yourself. Your health plan
will have all the health care professionals you need.
What
is a PCP?
A PCP, or Primary Care Provider, is the person you will go to for
regular checkups and other basic health care services. Over time, your
PCP will get to know you and your health care needs. Your PCP will also
refer you to specialists and other health care providers if you need
more specialized health care.
Who
should enroll?
Most Medicaid and all PeachCare for Kids members must enroll in a
Georgia Families health plan to continue getting health care
services.
Who
should not enroll?
These Medicaid members will not enroll in Georgia Families:
- Members who can get Medicare
- Blind
- Disabled
- Children in foster care
- Children with special health care needs
Click here
to see a complete list of Medicaid members that do NOT need to enroll
in Georgia Families.
Please
note: Georgia Families is only for members already
enrolled in Medicaid or PeachCare for Kids. If you want to
apply for Medicaid or PeachCare for Kids, call or visit your county
DFCS (Department of Family and Children Services Office) office.
How do
I enroll in a health plan?
There are five ways you can enroll in a Georgia Families health plan:
- Enroll easily and quickly on this Web
site;
- Call Georgia Families at 1-888-GA-ENROLL
(1-888-423-6765) to enroll by phone;
- Enroll by mail;
- Fax the enrollment form;
- Enroll in your community with a Georgia
Families staff member. Click here
to find a community enrollment session near you.
Will
my benefits change?
No. You will get the same Medicaid or PeachCare for Kids benefits and
services that you get now. The only difference is that now you will get
these health care services through a health plan.
Will I
still have to pay premiums to PeachCare for Kids?
Yes. If you have a child in PeachCare for Kids, you must continue to
pay your monthly premium directly to PeachCare for Kids.
Do I
get to choose the health plan I want?
Yes. You will have a choice 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 I have to enroll and choose a health plan and PCP?
After you get your enrollment packet by mail, you will have at least 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 I 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.
Can I
keep seeing the doctor I go to now?
If the doctor you go to now works with a Georgia Families health plan
that serves your region, you can choose him or her to be your PCP.
Specialists cannot be PCPs. You can find out which PCPs are in which
plans by looking on this Web site after you have logged in or by
looking in the Provider Directory that comes in your enrollment packet.
Do all
my family members in Medicaid and PeachCare have to choose the same
health plan?
No. Each member of the household may have a different plan and PCP.
I got a letter saying I can change
my health plan after being in Georgia Families for a year. What does this mean?
After being in a Georgia Families health plan for a year, you will be
eligible for your "Enrollment Anniversary." During your Enrollment
Anniversary, you will have 30 days to change your current health plan.
After this 30-day period ends, you will not be able to change plans
until your next Enrollment Anniversary the following year.
If you want to change your health plan during your Enrollment
Anniversary, login to this website or call Georgia Families at
1-888-GA-ENROLL.
Do I
have to change my health plan during my "Enrollment Anniversary" period?
No. You do not have to change your health plan during your Enrollment
Anniversary. If you want to stay with your same plan, you do not have
to do anything. You will be automatically enrolled with the same health
plan for the next year.
Do I
have to wait until I get my enrollment packet in the mail before I can
enroll?
No. You can enroll in a Georgia Families health plan anytime on or
after the enrollment start date in your region.
Where
can I get more information?
- Call Georgia Families at 1-888-GA-ENROLL
(1-888-423-6765), Monday to Friday from 7 until 7, and Saturday, 8:30
until 12:30, or
- Use this Web site
(www.georgia-families.com).
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