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GA-CC-0420 Choosing your Health Plan It’s time to choose a Health Plan for you and your family. How can you choose a Health Plan? In Georgia Families ® , you will get all the health services that you get now as a member of Medicaid or PeachCare for Kids ® — plus more. While each plan offers the same basic health services, they also offer different "extra services" or benefits; such as programs to help you manage your asthma, diabetes, or weight! Take a look at the chart on the other side of this brochure to compare each plan and choose the one you like best! Do you want to keep seeing your current doctor? Is there a hospital or clinic where you often go for care? Are there specialists, counselors, or special services that you want to keep using? Find out which Health Plans they accept. Visit www.georgia-families.com, or call the providers or 1-888-GA-Enroll (1-888-423-6765). TDD: 1-877-889-4424. What are the basic health services you will get? • 24 Hour Nurse Help line • Telemedicine services • Flu shot • Member outreach services in the community • Telephonic translation services • Case management services • Smoking Cessation program • Dental benefits for children and pregnant women • Vision benefits for children and pregnant women • Member friendly website with easy access to request new ID cards, view doctors and much more Dental Services • Oral exam every six months for members 21 and older with no copay • Teeth cleaning every six months for members 21 and older with no copay • Simple tooth removal for members 21 and older with no copay • No referrals needed for primary dental services • Free Bitewing X-Rays once a year for members 21 and older with no copay. Behavioral Health Services • Case manager who works with you to tailor behavioral and medical services to your individual needs • Case management support after a behavioral health discharge • 24 Hour Nurse Crisis Support for Substance Abuse Vision Services • Free eye exam once per year for members age 21 and over with no copay • Each plan offers assistance with glasses (see plan website for more details). Non-Emergency Medical Transportation (NEMT) Services • For eligible Medicaid members (and escort, if required) • For treatment, evaluation, medication, equipment. • NEMT is a ride-share program and multiple members may be riding in the same vehicle. • Request must be made at least three workdays prior to the non-urgent, scheduled appointment. • Some plans provide transportation for PeachCare for Kids ® members.

How can you choose a Health Plan? Dental Services · • Telephonic translation services • Case management services Smoking Cessation program • Dental benefits for children and

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Page 1: How can you choose a Health Plan? Dental Services · • Telephonic translation services • Case management services Smoking Cessation program • Dental benefits for children and

GA-CC-0420

Choosing your Health Plan

It’s time to choose a Health Plan for you and your family.

How can you choose a Health Plan?

In Georgia Families®, you will get all the health services that you get now as a member of Medicaid or PeachCare for Kids® — plus more. While each plan offers the same basic health services, they also offer different "extra services" or benefits; such as programs to help you manage your asthma, diabetes, or weight! Take a look at the chart on the other side of this brochure to compare each plan and choose the one you like best!

Do you want to keep seeing your current doctor? Is there a hospital or clinic where you often go for care? Are there specialists, counselors, or special services that you want to keep using? Find out which Health Plans they accept. Visit www.georgia-families.com, or call the providers or 1-888-GA-Enroll (1-888-423-6765). TDD: 1-877-889-4424.

What are the basic health services you will get?

• 24 Hour Nurse Help line • Telemedicine services • Flu shot • Member outreach services in the community • Telephonic translation services • Case management services • Smoking Cessation program • Dental benefits for children and pregnant women• Vision benefits for children and pregnant women • Member friendly website with easy access to request

new ID cards, view doctors and much more

Dental Services

• Oral exam every six months for members 21 and older with no copay

• Teeth cleaning every six months for members 21 and older with no copay

• Simple tooth removal for members 21 and older with no copay

• No referrals needed for primary dental services• Free Bitewing X-Rays once a year for members 21

and older with no copay.

Behavioral Health Services• Case manager who works with you to tailor behavioral

and medical services to your individual needs • Case management support after a behavioral health

discharge • 24 Hour Nurse Crisis Support for Substance Abuse

Vision Services• Free eye exam once per year for members age 21 and

over with no copay• Each plan offers assistance with glasses (see plan

website for more details).

Non-Emergency Medical Transportation (NEMT) Services• For eligible Medicaid members (and escort, if required)• For treatment, evaluation, medication, equipment.• NEMT is a ride-share program and multiple members

may be riding in the same vehicle.• Request must be made at least three workdays prior

to the non-urgent, scheduled appointment. • Some plans provide transportation for PeachCare for

Kids® members.

Page 2: How can you choose a Health Plan? Dental Services · • Telephonic translation services • Case management services Smoking Cessation program • Dental benefits for children and

Georgia Families® Health Plans Compare extra benefits and choose a plan for each family member

Health Care with Heart

®

Medicaid & MORE

*Eligible members Peach State only WellCare onlyDENTAL, VISION AND PHARMACY• Two dental cleanings and exams. X-rays and simple tooth removal.• Eye exam, glasses. $100 towards contacts & upgrades for adults.*• Free electric toothbrush and dental kit. • Unlimited over the counter health items with RX. • Up to $144 per year in health items mailed to your home, no RX.HEALTHY REWARDS• Up to $500 in rewards per year for completing health actions.*• Quarterly raffle for iPad®, Apple Watch® or Gaming Package.*EXTRAS FOR PREGNANT AND NEW MOMS• Free Diapers and prizes (up to $200) Stroller, car seat or play yard.* • Free Electric Breast Pump* and breastfeeding support.• Free Smartphone.* Unlimited text and talk ($250 value).• Up to $95 with our Smart for Your Baby® Program. • Spa Package or Shopping Card* for getting well-baby check-ups.ACTIVE & HEALTHY FAMILIES • Weight Watchers® (up to $300 value)*• Boys & Girls Clubs©: Ages 6-18 at participating clubs.• Free Gym Membership* at participating gyms.• $50 Sports Scholarship* for program fee. Participating locations. • Girl Scouts: Grades K-12. Adult membership.• Boy Scouts: General membership.• Free YMCA Membership* Atlanta metro area only. MORE ACCESS TO CARE• Free cellphone: 3G data, unlimited text, up to 350 minutes. • Community Connections Help Line: Free service to connect you to help

with food, rent, utilities. • Free Ride to doctor and pharmacy for PeachCare for Kids®. • Free Marta® Breeze Card* for PeachCare for Kids® members completing

well child visit. BEYOND HEALTHCARE ADVANTAGES• Free member perks program or discount card for everyday items.• GED test: All tests no cost ($200 value)• Childcare Help: Up to $125 to help pay for childcare costs*. • Free Dorm Room Supplies. College Scholarships* ($5,000 value). • Free special bedding*: Asthma related conditions.• Alternative (Equine/horse) therapy*.

1-800-600-4441 | TTY 711www.myamerigroup.com/GA

1-800-704-1484 | TTY 711www.pshp.com

1-866-231-1821 | TTY 711http://georgia.wellcare.com

1-855-202-0729 | TTY 1-800-255-0056www.CareSource.com/Georgia

These benefits are FREE for Amerigroup members

DENTAL, VISION AND PHARMACY• Dental exams, cleanings, X-rays and more • Electric toothbrush: ages 13 and up with dental checkup• Eye exam, glasses and $75 for glasses upgrade (21 & up)• Unlimited approved over-the-counter items with a prescription

JUST FOR KIDS• Boys & Girls Club membership: Show your ID card & go! • YMCA swim lessons monthly raffle with annual checkup• Girl & Boy Scouts memberships: includes patch & book• Sports physicals for eligible members ($35 value) • Old Navy® & Foot Locker® gift cards: 9th-12th graders with all A’s• Rides to eligible doctor and pharmacy visits for PeachCare for Kids®

INVEST IN YOUR FUTURE • Tutoring program for eligible 7th graders• Comcast® Internet for 3 months for eligible teens 14-18• SAT® guide for eligible 11th-12th graders• GED exam voucher for all tests for 18 & up ($200 value)• Chromebooks for eligible graduating high school seniors• College application fee for eligible members (up to $25)• Annual oil change for college students 18 & up ($30 value) • BP® gas card or Marta® Breeze Pass: in college 18 & up• Work wardrobe kit + Lyft gift card for eligible 21 & up

HEALTHY REWARDS AND LIFESTYLE• Sam’s Club membership for eligible moms 21 & up• Rewards program: earn up to $150 in gift cards• WW®, gym vouchers and an exercise fitness bag with supplies for

eligible members• Pest control & bedding for members with asthma ($200)• Home meal delivery for eligible members (14 meals)• iPad, Apple Watch or Fitbit raffle with annual checkup• Coupon book with over $1500 in discounts to local stores• Community Resource Link: find housing, food and jobs

MOMMY AND ME• Car seat, breast pump, booster seat, stroller, diapers, potty seats and

Parents Magazine with annual checkup• Baby food for 6-month-olds with checkup• Baby showers in the community with games and prizes

DENTAL, VISION & PHARMACY BENEFITS • Expanded dental care for KIDS: Root canal treatment and permanent

crowns (caps - front and back teeth), full and limited approved BRACES and MORE

• Dental care for ADULTS: Over 100+ covered dental services including deep cleanings, fillings, dentures, partials and MORE

• FREE Electric Toothbrush• Vision care: $75 towards contacts or glasses• Over-the-counter (OTC) items for allergy relief, vitamins and pain relief

with Rx

HEALTHY & ACTIVE KIDS• FREE YMCA Family Membership ($1100 value)*• Kids First reward program - earn up to $60 or MORE• Boys & Girls Clubs® Annual Membership ($65 value)*• Girl Scout Membership - Kids and Adults ($55 value)*• FREE sports physicals*• FREE bedding for youth with asthma

HEALTHY MOMS AND BABIES • Babies First reward program - earn up to $225• Redeem rewards to purchase OTC items, car seats, strollers, health &

wellness items at retailers like Walmart® and MORE• FREE breast pump ($300 value)*• New baby Welcome Gift*

HEALTHY ADULTS• FREE Amazon Prime membership ($72 value)*• FREE Blood Pressure Monitor ($30 value)*• MyHealth reward program earn up to $105 or MORE• Shop CareSource online store for OTC, personal care and fitness

items, cosmetics and MORE… Or choose gift cards to stores like Old Navy®,TJMaxx®, Sephora® and MORE

FREE HELP AND BENEFITS• Telehealth, mobile app and 24/7 nurse advice line• Rides to doctor and pharmacy offered to PeachCare for Kids® and

P4HB® members• GED test and test prep vouchers (up to $200)• Rides to GED classes and interviews ($720 value)• Help with interviews and resumes ($500 value)

*Benefits subject to member eligibility and qualification