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Georgia Health Insurance News


Title XXI of the Social Security act was created in 1997 to provide georgia health insurance coverage for uninsured children in the United States. With this legislation, states were given the chance to create programs that would allow underprivileged children affordable health care insurance. PeachCare For Kids was created in Georgia under this program in 1999. See

PeachCare provides health care to children up to 18 who do not otherwise qualify for Medicaid. Currently, the income requirements are set at 235% of the poverty level, which means that an average size family could earn between $40,000 and $50,000 per year and still qualify for the benefits.

There are other eligibility requirements as well. Children must be U.S. Citizens, certain qualified legal resident aliens, refugees or those seeking asylum. Children of Georgia State employees are not eligible for PeachCare benefits according to current Federal regulations. This includes employees of the public school system in Georgia. Part-time and temporary employees of the state who do not receive benefits from the state health plan can qualify to receive PeachCare benefits.

Income verification requirements are also in effect. When applying for PeachCare, applicants will be asked to provide proof of income, and this will need to be provided again annually. This process is automated and the verification process can be completed through PeachCare’s website.

Currently, children under the age of six will incur no cost for health care benefits under the PeachCare plan. For children over the age of six, costs can range from $10 to $35 up to a maximum cost of $70 for two or more children residing in the same home. The PeachCare plan contains no deductibles or co-pays. If payment is not received when due, a three month lockout provision applies. This will prevent coverage until that time-period has elapsed, and payment is made.

For those who voluntarily cease private georgia health insurance coverage, a waiting period of 6 months applies before they can qualify for PeachCare benefits. However, if private coverage was lost due to circumstances beyond the family’s control, the waiting period would not apply. Examples include loss of coverage due to the loss of a job, or if a carrier drops coverage, or if there is a death in the family that affects coverage.

Payment options are available for PeachCare that include telephone payments using credit or debit cards, or automatic withdrawals from bank accounts. Many choose the option of payment booklets to use when sending payment checks by mail.

The flexible PeachCare website allows members to log in using a secure password. Once they have accessed their account, all current account information can be viewed, and they have the option of updating any contact information as necessary. Members can also check the status of payments made to the PeachCare program.

PeachCare offers assistance to Spanish speaking families through the PeachCare website, which allows applicants to apply online.

Many uninsured children in Georgia may already qualify for PeachCare benefits, although their families may not be aware that PeachCare exists. To obtain an application, families can call 877-427-3224 or they can access the online application at Applicants may also be able to find information on PeachCare benefits at their physician’s office.


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