Program Benefits and Cost

Notice: PeachCare for Kids® now provides 12 months of postpartum care.  To receive these benefits, please report expected due date and/or delivery date at www.gateway.ga.gov or call 877-427-3224.

What are the benefits?

PeachCare for Kids® health benefits include:

• 12 months postpartum benefits
• Care from a doctor when your child is sick
• Preventive services such as immunizations and regular check-ups
• Specialist care
• Dental care
• Vision care, including vision screenings and eyeglasses.
• Hospitalization
• Emergency room services
• Prescription medications
• Mental health care

Each child will have a choice of a Georgia Families Care Management Organization (CMO), a private health plan that is responsible for coordinating your child’s health care. You will also be able to choose your child’s primary care provider.

Institutionalization:

A child must not be an inmate of a public institution or a patient in an institution for mental diseases at the time of initial application or any redetermination of eligibility.

How much does it cost?

PeachCare for Kids® will resume collecting premiums on October 1, 2024, as new applications and renewals are completed. Please pay close attention to any letters/messages you receive from PCK to know if you will need to start paying premiums.

How do I make a payment:

Internet: www.gateway.ga.gov

Phone: Call 877-427-3224 to make a payment anytime.

Mail: PeachCare for Kids® Payment

          PO Box 44031

          Jacksonville, FL 32231

Important: If you are mailing your payment, please write your Family CASE Number on your check or money order so that it will be credited properly. 

PeachCare for Kids® will resume collecting co-payments on October 1, 2024.

A co-payment is a small fee you will have to pay at the time of your visit to a medical provider. The amount of the co-payment will be different depending on the medical services you receive. While these co-payment amounts can range from $0.50 to $12.50, most will be $2 or $3. If you must make a co-payment, your medical provider will tell you at the time of your visit. 

However, there are no co-payments for these services: 

• Emergency services
• Preventive care services (routine check-ups for your child)
• Immunizations
• Routine preventive and diagnostic dental services (such as oral examinations, prophylaxis and topical fluoride applications, sealants, and X-rays).

*Exception: There are no premiums or co-payments charged for children that are under six years old, children in foster care, American Indians and Alaskan Natives (AI/AN).

You are not required to pay more than five percent of your yearly income for premiums or co-payments. If your family reaches the five percent limit, you will not be required to make premiums or co-payments for the rest of the year.