Children's Health Insurance Program (Georgia)
More State Children's Health Insurance Programs
Georgia PeachCare for Kids
PeachCare for Kids provides comprehensive health care to Georgia children through the age of 18 who do not qualify for Medicaid and who meet certain income requirements.
Eligibility Requirements
To be eligible for coverage under PeachCare your child must be a citizen of the United States, certain qualified legal residents, refugees or asylees. Children that have existing health insurance coverage are not eligible. Your family's income has to be lower than the allowable maximum level for the size of your family, which is based on 235% of the federal poverty level. Your child must not have the option to be covered under an employer sponsored group plan or be a dependent of a State of Georgia employee. This includes employees of the public school system and the Board of Regents who have access to state health benefits. The exclusion does not apply to part-time and temporary employees who are not eligible to enroll in the state health benefit plan.
Waiting Periods
There is a six month waiting period from the date of termination of prior group health insurance coverage if it was terminated voluntarily. This waiting period does not apply for children who were covered under private insurance. There is a one month waiting period for reinstatement if a family fails to pay the monthly premium.
Covered Services and Benefits
The Peach Care for Kids program contains the following benefits:
- Care from a doctor when necessary
- Preventative services such as check-ups, shots, etc
- Specialist care
- Hospital Care
- Prescription drugs
- Lab work & X-rays
- Vision care, including screening and eyeglasses
- Dental care
- Mental health care
- Emergency room services and ambulance services
Health Plan Options
There is one plan available that offers the same level of benefits to all eligible members. Each child will have a choice of a Georgia Families Care Management Organization, 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.
Premium Payments, Co-Payments and Coinsurance
There is no cost to children under the age of six. Currently the cost per month for PeachCare for Kids coverage is $10 to $35 for one child and a maximum of $70 for two or more children living in the same household. There are no co-payments or deductibles required for covered medical services when using a PeachCare provider.
Program Length, Enrollment and Renewal
Enrollment length for the Peach Care for Kids program is for 12 months. Coverage may be renewed and prior to renewal you will need to complete a new application. You will be mailed an application 60 days prior to the termination date on current enrollment period. Your income is verified during the annual renewal process.
Georgia PeachCare for Kids Contact Information
P.O. Box 2583
Atlanta, GA 30301-2583
877-427-3224
* Important Notice: The information on this page, and the Children's State Health Insurance Program pages dedicated to each state, are subject to change without notice. We do not guarantee that any of the plan details, eligibility requirements, benefit limits, enrollment periods or premium payment calculations are accurate. Always refer to the Evidence of Coverage and CHIP contracts for the most accurate information. Links to the appropriate source for the most current information is provided throughout these pages. Never assume eligibility for a Children's Health Insurance Program until you have received approval of your application and been given an effective date of coverage.