|Amerigroup Community Care||
|Peach State Health Plan||
Frequently Asked Questions
PeachCare for Kids® frequently asked questions and answers.
What is PeachCare for Kids®?
PeachCare for Kids® is a comprehensive health care program for uninsured children living in Georgia. The health benefits include:
- Primary services
- Preventive services
- Dental care
- Vision care
- Emergency room services
- Prescription medications
- Mental health care
Each child in the program is enrolled in a Care Management Organization (CMO) and has a primary care provider, who coordinates the child's care.
The three CMOs have toll-free numbers and websites available for members and health care providers to find out more about enrolling with Georgia Families:CMO Contact Directory
Who is eligible for PeachCare for Kids®?
Many children in Georgia under the age of 19 who don't have insurance are eligible for PeachCare for Kids®. These children are in families with incomes less than or equal to 247 percent of the federal poverty limit.
How much does it cost?
Premiums are required for children ages 6 and older. The cost per month for PeachCare for Kids® coverage is $11 to $36 for one child and a maximum of $72 for two or more children living in the same household. Premiums are due the first day of the month prior to the month of coverage. For example, premiums for coverage in February are due on January 1.
Many PeachCare for Kids® customers are required to pay co-payments for their children. These co-payments are paid to medical care providers on the date medical services are received. However, co-pays are not required for children under the age of 6, Foster children, Alaskan Natives, or American Indians. They are exempt from these co-payments and will not have to pay any fees for services received.
If you have additional questions, please feel free to contact PeachCare for Kids® at 1-877-427-3224.
What are the benefits?
The plan pays for preventive services and acute medical care, vision and dental care.
How do I apply?
You can visit www.gateway.ga.gov, call 1-877-GAPEACH (1-877-427-3224) for more information, mail in a paper application or visit one your local DFCS offices (call before visiting to ensure in-person availability). Visit the PeachCare for Kids® application page for more resources.
How many children are covered by PeachCare for Kids®?
As of October 2016, there were approximately 134,000 eligible children enrolled.
How did PeachCare for Kids® start?
In 1997, Congress established a new state Children's Health Insurance Program (SCHIP) to expand coverage to children in low income families. States could choose to expand the Medicaid program, use an established private health insurance plan or put together a combination of both.
In 1998, the Georgia General Assembly created a program that is separate from Medicaid yet still administered by the Medicaid Division of DCH. The Federal/State match is about 75 percent federal funds and 25 percent state funds -- a larger federal share than "regular" Medicaid allows.
SCHIP was reauthorized in 2009 as part of the Children's Health Insurance Program Reauthorization Act (CHIPRA).