Georgia Medicaid provides health coverage to low-income residents, including children, pregnant women, parents, seniors, and individuals with disabilities.

Program NameGeorgia Medicaid
Expanded MedicaidNo
Websitehttps://medicaid.georgia.gov/
Emailhttps://dch.georgia.gov/contact-dch
Phone877-423-4746
Apply Onlinehttps://medicaid.georgia.gov/how-apply
Appeal a DenialFile an Appeal
Find a Local Officehttps://dfcs.georgia.gov/locations

Eligibility Requirements

To be eligible for Georgia Medicaid, you must be a resident of the state of Georgia, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

Annual Household Income Limits (before taxes)

Household Size*Maximum Income Level (Per Year)
1 $31,814
2 $43,028
3 $54,242
4 $65,456
5 $76,669
6 $87,883
7 $99,097
8 $110,311

*For households with more than eight people, add $11,214 per additional person.

Available Services Include:

Certain emergency dental care for adultsLaboratory services
Diagnostic and screening servicesMedical equipment and supplies
Doctor and nurse office visitsMental health clinic services
Emergency ambulance servicesNon-emergency transportation
Exams and vaccines for childrenNurse midwife
Family planning servicesNursing facilities
Hearing services for childrenPrescription drugs
Hospice care servicesPreventive dental care for children
Hospital servicesVision care for children (limited for adults)

Copayments

Ambulatory surgical centers/birthing$3.00
Durable medical equipment$2.00
Federally Qualified Health Centers$2.00
Free-Standing Rural Health Clinic$2.00
Home health services$3.00
Hospital-Based Rural Health Center$2.00
Inpatient hospital services$12.50
Oral maxillofacial surgeryCost-Based
Orthotics and prosthetics$3.00
Outpatient hospital services$3.00
Pharmacy – preferred drugs$0.50
Pharmacy – non-preferred drugsCost-Based
Physician assistant servicesCost-Based
Physician servicesCost-Based
PodiatryCost-Based
Eye careCost-Based
Cost-Based Copayment Schedule
Cost of ServiceCopayment (Amount Member Pays)
$10.00 or less$0.50
$10.01 to $25.00$1.00
$25.01 to $50.00$2.00
$50.01 or more$3.00

The following Georgia Medicaid members do not have to pay copayments:

  • Medicaid members under age 21
  • Pregnant women
  • Members with breast and/or cervical cancer
  • Members in nursing homes
  • Members in hospice care
  • American Indians
  • Alaskan natives