Some Peach State Health Plan members must get a new Primary Care Physican

 

Picture of a woman looking at a calendar.Are you in Peach State Health Plan and do you use the Grady Health System? Grady is no longer part of Peach State, so you need to find a new Primary Care Physician (PCP). We’ll tell you all about finding a new PCP. You must stop using Grady services December 31, 2009, so read on about choosing a new PCP.

Just for members who use the Grady Health System: If you chose a new PCP in early December, you are fine. If you did not choose one, Peach State chose one for you near your home. If you do not want that PCP, call Peach State Member Services now at 1-866-229-2892 (TDD/TTY 1-800-659-7487). Peach State Health Plan can help you choose. You can also see a list of PCPs on the Peach State website at www.pshp.com.

Getting medical care at Grady now?

  • If you have treatment or tests scheduled in the hospital or at a clinic, or
  • If you are in the hospital now, or
  • If you are more than three months pregnant and getting pregnancy care

Peach State Health Plan will work with you to make sure you get the services that have already been scheduled and approved by Grady. Peach State will contact you, so if you get mail or a phone call from Peach State, be sure to answer.

Emergency services: If you or your children need emergency services, you can still go to any emergency room, including Grady’s.

Call Peach State Health Plan with questions: 1-866-229-2982 (TDD/TTY 1-800-659-7487). Peach State wants to make this change as smooth as possible for you.

If you have questions about Georgia Families, call our call center. You can also find answers on our Facebook page and Twitter feed.

Do you have a topic you’d like us to write about in a blog?  Send us an email at blog@georgia-families.com.  Please know that email is not private. Messages you send can be copied or read by others. If you send us an email, this tells us that you know and accept the risks. You may email us, but please consider calling, faxing, or sending us a letter if you want to send personal health information (PHI). PHI includes a Medicaid ID number, Social Security number and a member’s medical information.

Newborns

Congratulations on your newborn!  Here at Georgia Families we want you and your baby to remain happy and healthy.  This is why it is important for you to choose a health plan that is right for you both from the start.

Some health plans offer extra benefits for new moms!  Some of them are:

  • Special programs like community baby showers
  • Reward cards and incentive programs
  • Discounts for vitamins
  • Baby items like free strollers
  • Breast pumps for nursing

Did you know that when your baby is born, the child will automatically be enrolled into your (the baby’s mother’s) health plan starting on the baby’s date of birth? 

You will then have 90 days from the baby’s date of birth to make a one-time change if you choose to.  But on the 91st day, if no changes are made, your child will stay in that health plan until the next year.

If you have more questions about this, please call our call center and speak with one of our counselors!  You can also find more information on Facebook and Twitter.

Do you still have questions about the Georgia Families program? Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

Creating an Online Profile

You can create an online profile to help manage your own Georgia Families’ information.  Members who have an online profile are allowed to:

  • Update their telephone number
  • Update their address information
  • Enroll into a health plan
  • Select a Primary Care Provider (PCP)
  • Transfer health plans
  • Send secure emails to Georgia Families

Now that you know about the advantages of having an online profile, would you like to create one?  It’s easy to make one!

  1. Click “New Member Enrollment” on the left side of the homepage.
  2. Enter the member’s Medicaid or PeachCare for Kids I.D. number. (This is the number that begins with 111… or  222…)
  3. Enter the member’s last name.
  4. Enter the “initial password” into the last space. (The “initial password” is found on the first letter you received from Georgia Families about enrolling. If you have misplaced this letter, please call our enrollment center at 1-888-GA-ENROLL.)
  5. Click “Submit”

 

 

Do you still have questions about creating an online profile? Write a comment below or send an email to blog@georgia-families.com. Remember that comments and email are not private. Do not write comments or send email with personal information in it such as your Social Security or account numbers.

New Interactive Blog

Welcome to the new Georgia Families interactive blog! 

What do we mean by “interactive”?  Well, with this new and exciting way to blog, you may now leave us comments or ask us important questions and get our feedback!  It’s quick, it’s fun and it’s easy!

We want to hear from you! 

We look forward to answering your questions and receiving your opinions about our program and services.  And our new interactive blog is a perfect way to start our conversation!

Please remember not to put anything private in a blog post to us or to anyone else; don’t send your Social Security Number, your Medicaid ID number, or anything you don’t want the whole world to see.  Keep your personal health information private!

So, check our interactive blog for updates regarding Georgia Families events, program changes, and other information to make the most of your health plan selection.

Some upcoming blog topics to look for are:

  • Special Children’s Programs
  • Member Surveys
  • Creating an Online Profile

Let us know what topics you’re interested in learning more about!

Something on your mind?  Simply write a comment below or send an email to blog@georgia-families.com.  Remember that comments and email are not private.  Do not write comments or send email with personal information in it such as your Social Security or account numbers.

What to do if you are pregnant

 

Woman looking at a calendar.Congratulations! Pregnancy can be a magical time for moms-to-be. It is also an important time for your baby’s health. At Georgia Families we want you and your baby to be happy and healthy, and we want to make sure you get pregnancy care right from the start.

If you are already on Medicaid and enrolled in Georgia Families when you find out you are pregnant, ask your doctor how to take care of yourself and your baby, and how often to come for pregnancy (prenatal) care.

If you are choosing a health plan and you want to keep seeing the doctor you have now during pregnancy, ask your doctor which health plan you should join. Remember that when you choose a health plan, you are choosing a group of doctors and clinics. Your doctor has to work with the health plan you join if you want to keeping seeing him or her.

The sooner you go to a doctor after you find out you’re pregnant, the better chance you have of staying healthy and having a healthy baby. Call our call center if you have questions or if you need help choosing the right health plan for you.

Some health plans even offer extra benefits for expectant moms! Some of them are:

  • Special programs like community baby showers
  • Reward cards and incentive programs
  • Discounts for vitamins
  • Baby items like free strollers
  • Breast pumps for nursing

Make sure you are taking advantage of every health care benefit, so that you and your baby get the best possible start. Talk to your doctor or call our call center as soon as you find out you are expecting! You can also find some answers on our Facebook page and Twitter feed.

Do you have a topic you’d like us to write about in a blog? Send us an email at blog@georgia-families.com. Please know that email is not private. Messages you send can be copied or read by others. If you send us an email, this tells us that you know and accept the risks. You may email us, but please consider calling, faxing, or sending us a letter if you want to send personal health information (PHI). PHI includes a Medicaid ID number, Social Security number and a member’s medical information.

Keeping the doctor you like

A medical exam.If you go to a doctor now who knows you and your family–we want you to be able to keep going to that doctor to get your Medicaid health services.

We understand how important that relationship is, and we want you to be able to keep going to the same doctor if you want to.

When you join a health plan, you can choose any doctor in the plan to be your primary care provider (PCP). Ask your doctor if his office works with a Georgia Families plan. The office may work with one or more plans, and if that’s so — you can sign up for one of them.

If you need a doctor and you don’t have one now, check out our blog about choosing doctors.

If you need more information about choosing a health plan or a doctor, call our call center. You can find out more about your health choices at our Facebook page or Twitter feed, too.

Do you have a topic you’d like us to write about in a blog? Send us an email at blog@georgia-families.com. Please know that email is not private. Messages you send can be copied or read by others. If you send us an email, this tells us that you know and accept the risks. You may email us, but please consider calling, faxing, or sending us a letter if you want to send personal health information (PHI). PHI includes a Medicaid ID number, Social Security number and a member’s medical information.

Finding health plans in your area

Group of people in a health plan.At Georgia Families, we want to help you join the health plan that’s right for you.

Each county has a different choice of health plans. Because of that, we’ve created charts for each county that you can use to compare what’s available.

For example, if you live in Atlanta you can join AMERIGROUP Community Care, Peach State Health Plan, and WellCare.

Your enrollment packet will show you which plans are available in your area so that you can make the right decisions for you and your family.

Be sure to check out the health plan comparison charts to understand the different health plan extras each plan offers!

If you have any questions, call our call center. You also can find answers on our Facebook page and Twitter feed.

Did this help you to understand your choice of health plans? Let us know! Send us an email at blog@georgia-families.com. Please know that email is not private. Messages you send can be copied or read by others. If you send us an email, this tells us that you know and accept the risks. You may email us, but please consider calling, faxing, or sending us a letter if you want to send personal health information (PHI). PHI includes a Medicaid ID number, Social Security number and a member’s medical information.

All about the enrollment packet

Family a home.If you qualify for Georgia Families, we will send you an enrollment packet in the mail. An enrollment packet is just an envelope with information in it. Open your enrollment packet as soon as it comes, and read everything in it. Here’s what you will find:

You will also find a health plan chart. Read it to compare the plans available in your county. While all health plans offer the same basic services, there are small differences, including extra benefits that each plan offers.

Enrolling!

After you look over the packet, it’s time to enroll. When you enroll, you are telling us (1) which health plan you choose, and (2) which main doctor you choose for each person who is listed on the enrollment form. You can enroll by filling out the enrollment form, or you can call us to enroll over the phone, or you can enroll on this website.

If you have any questions about the packet or anything in it, call our call center. We’ll get you the answers quickly so you can sign up for the right plan. You can find out more about your health choices at our Facebook page and Twitter feed, too.

Do you have a topic you’d like us to write about in a blog? Send us an email at blog@georgia-families.com. Please know that email is not private. Messages you send can be copied or read by others. If you send us an email, this tells us that you know and accept the risks. You may email us, but please consider calling, faxing, or sending us a letter if you want to send personal health information (PHI). PHI includes a Medicaid ID number, Social Security number and a member’s medical information.

Reading the health plan comparison charts

People looking at charts.The health plan comparison charts are very, very important to use when you’re ready to choose a health plan. We want to make sure you understand them completely.

The first thing you need to know is that every health plan has the same Medicaid services. But each plan may have different “extras.” Extras may be bonuses for your family, so be sure to look for them. Here are some other things to think about:

  • Do you want to be able to use the same hospital that you go to now? If so, check to see which health plans the hospital works with.
  • Are there specialists, counselors, or special services that you and your children use now? For example, you or someone in your family may be getting pregnancy care, or mental health services, or physical therapy. If so, check to see if you can use the same providers and get the same services in the health plan you’re thinking about choosing.

If you have any more questions or need help understanding the comparison charts, call our call center.  You can also find answers on our Facebook page and Twitter feed.

Do you have a topic you’d like us to write about in a blog? Send us an email at blog@georgia-families.com. Please know that email is not private. Messages you send can be copied or read by others. If you send us an email, this tells us that you know and accept the risks. You may email us, but please consider calling, faxing, or sending us a letter if you want to send personal health information (PHI). PHI includes a Medicaid ID number, Social Security number and a member’s medical information.

PeachCare for Kids

Father and son at computer.PeachCare for Kids is a low-cost health insurance for children. This is the way that Georgia takes care of Georgia’s uninsured kids.

Georgia children under age 19 may qualify for PeachCare if they don’t have other insurance. They must be U.S. citizens or qualified legal residents. A child may not qualify for PeachCare for Kids if one of the parents works for the State of Georgia.

There are some income limits for joining, too. The child’s family income must be less than or equal to 235% of the federal poverty level. For example, for a family of three you need to make less than $43,030 a year and for a family of four you should earn less than $51,819.

If you have any questions, call PeachCare for Kids at 1-877-GA-PEACH (877-427-3224) or check out their website. You can also find information about the federal poverty level here.

At Georgia Families, we want to help keep kids healthy, and help you keep your children up-to-date with Health Check visits.

Do you have a topic you’d like us to write about in a blog? Send us an email at blog@georgia-families.com. Please know that email is not private. Messages you send can be copied or read by others. If you send us an email, this tells us that you know and accept the risks. You may email us, but please consider calling, faxing, or sending us a letter if you want to send personal health information (PHI). PHI includes a Medicaid ID number, Social Security number and a member’s medical information.

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