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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.
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