Extra services offered by health plans

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Extra Services Offered by Health Plans
In Georgia Families, you will get all the health services that you
get now as a member of Medicaid or PeachCare for Kids® — plus more. This chart shows the extra services that each
health plan offers.
Because each plan offers the same basic health services, but ­different
extra services, you might want to choose a plan because it has extra
services that you like. This chart can help you choose.
Health Plan
Dental
•Free Oral Exam every six
months for members 21 and older
Amerigroup
with no copay
Community
• Free Bitewing X-Rays once a
Care
year for members 21 and older
with no copay
• Free Simple Tooth REMOVAL
for members 21 and older with no
copay
• Free Teeth Cleaning every six
months for members 21 and older
with no copay
• No Referrals Needed for
primary dental services
• FREE oral exams and cleanings for
Peach State members age 21 and over. No copay
Health Plan • FREE bitewing X-rays for members
age 21 and over. No copay
• FREE simple tooth removal for
members age 21 and over. No copay
• FREE dental hygiene supplies.
Includes toothbrush, toothpaste,
floss and mouthwash.
• FREE unlimited dental services
for children for covered services
•No referrals required
WellCare
•FREE oral exams and cleanings
every six months for members age
21 and older, no co-pay
•FREE annual bitewing X-ray for
members age 21 and older, no co-pay
•FREE simple tooth removals for
members age 21 and over, no co-pay
•FREE toothpaste, toothbrushes,
dental floss and denture adhesive
•FREE children’s medication to
relieve teething pain
•No referrals needed for primary and routine dental care
After you choose a health plan, complete the
Health Plan Enrollment Form and:
• Mail it in the return envelope, or
• Fax it to Georgia Families at 1-866-4U2ENROLL (1-866-482-3676), or
• Enroll on our website at www.Georgia-families.com
Vision
Behavioral Health
•Free Eye Exam each year for
members 21 and older with no
copay
• Free Glasses (frames/lenses)
once per year for members 21
and older with no copay
• $40 Allowance toward the cost
of nonstandard glasses
• Free Contact Lenses for
members 21 and older if
medically necessary
• No Referrals Needed for routine
vision services
• Free Personalized behavioral
health and medical management
services from an in-house care
manager
• Free Case management
coordination with behavioral and
physical health for members with
complex medical needs
• Free Behavioral health support
after a behavioral health discharge
• Free AGP Bear for children
in behavioral health case
management
• Free Access to certain schedule
services in the Georgia Partnership
for TeleHealth (GPT) network
• FREE eye exam each year for
members age 21 and over. No
copay
• No office copay for PeachCare for
Kids® members age six and under
• FREE pair of glasses. Once per
year for members age 21 and
over. No copay. Contact lenses if
medically necessary
• $50 allowance towards glasses,
broken frames or contact lenses
outside of what is covered by
Medicaid
• 20% discount on a second pair of
prescription glasses or sunglasses.
• FREE vision care supplies for
adults
•FREE Cell Phone – Caring
Voices gives members with
behavioral health and medical
needs access to a phone
•FREE Hope Bear Program
- offers a bear and book for
children who complete their
post hospital visit within 7 days
•FREE In Home Appointment
- with a behavioral health
therapist
•FREE Personalized Case
Manager
•FREE 24/7 nurse help line,
NurseWise®
•FREE eye exam: one per year for members age 21 and over, no co-pay
•$40 toward glasses for members age 21 and over.
Members can choose glasses outside of what is covered by Medicaid
•FREE eye care supplies such as over-the-counter eye wash and eye drops
•Free support that pairs you
with a case manager who works
with you to tailor behavioral
and medical services to your
individual needs •Free Case Management
support after a behavioral health
discharge
•Free 24-hour crisis support for
substance abuse
•Free 24-Hour Nurse Advice
Line
Have you moved? Please remember to call the DFCS change center at 1-877-423-4746.
If you have questions: please call 1-888-GA-ENROLL (1-888-423-6765). Monday to Friday, 7:00 am to 7:00 pm.
TTY:1-877-889-4424. The call is free.
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Extra Services Offered by Health Plans, continued
Health Plan
Special Programs
Amerigroup
Community
Care
Peach State
Health Plan
WellCare
• FREE Boys & Girls Club Memberships: for kids 6 - 18 at participating clubs (not summer camps)
• FREE Girl Scout Memberships: for girls K - 5th grade
• FREE Gym Voucher: toward the cost of fees for eligible
members (in participating areas)
• FREE Weight Watchers Meetings: qualified members
10 and older
• Over-The-Counter Medicines (OTC): eligible
members can get over $200 a year of certain OTCs
prescribed by a doctor at network pharmacies.
Plus Free Flu Shot
• FREE Transportation: eligible members can get rides to qualifying doctor visits and help with doctor’s
appointment
• FREE Sesame Street Cookbook: for eligible kids 5 - 12
and PowerZone Packets: to help fight child obesity
• Member Website & App: view your ID card, search for
doctors, view symptom checker or call AGP
• FREE Cell Phone Program Plus 200 Bonus Minutes
and unlimited text messages: 250 minutes every
month for new eligible SafeLink subscribers
• FREE Entertainment Coupons: members can get
coupons to local retailers
• Prenatal Rewards Program: moms-to-be can get up
to $65 in gift cards, free booklets, & free community
baby showers. Free Magazine Subscription on
parenting
• Being Healthy Brings Rewards Program: eligible
members who complete preventive services can win
prizes like gift cards & more
• Covered Diabetic Supplies: FREE diabetic testing
supplies from network pharmacies, magazine, $25 gift
card with complete annual screenings
• FREE Community Events: Fun family events joined
by Community Outreach RV with fitness challenges
& more Plus Member Outreach Team to help with
benefits questions
• FREE Boys & Girls Club Membership in Metro
Atlanta and at participating clubs only for eligible
members age 6-18. No summer camp fees
• FREE Very Important Baby (VIB) program. New
moms can earn $50 when their baby completes three
doctor visits within their first 90 days •FREE Master Card that adds up to $90 for members
who participate in our “Healthy Rewards” Program
•FREE Health Coach for adults - Route To Health Fitness Program for Children and Adults includes meal
planning and fitness supplies
•FREE SAT, ACT Guide (up to $150 value), ESL, GED
tutoring information for eligible members
•Unlimited Over The Counter Medicines (OTC) eligible members can get unlimited medicines
prescribed by a doctor at a participating pharmacy
• FREE Translation Services for eligible members at
all doctors’ visits
• FREE Transportation Assistance for eligible
members to all doctor visits and participating pharmacies
• FREE 24/7 nurse help line, NurseWise®
• FREE MemberConnections® outreach program
that includes home visits, healthy lifestyle events and
personalized outreach
• Member Friendly Website: easy, secure access via
your smartphone for members to view their health
records, request new ID cards and change doctors.
• FREE Neighborhood Events - fun activities
in your neighborhood (Spirit of Health Fairs at
your church, 1st Day at School and Birthday Party
Celebrations.) •FREE Cell Phone Program (CONNECTIONS Plus®)
for eligible members to stay connected to their case
manager, doctor and family members.
•FREE Start Smart for Your Baby® program for
pregnant members and new moms. Includes a breast
pump for qualified moms and FREE gifts at Start
Smart Birthday showers.
• FREE Over-the-Counter (OTC) Items: Get up to
$120 dollars of products. Choose from diapers, pain
relievers, vitamins and more. That’s $10 dollars a
month in free products mailed right to your home!
• FREE Boys & Girls Club Membership for children
ages 6-18 (does not include summer camps and
program fees).
• FREE Weight Watchers Membership qualified
members can attend 26 meetings
• FREE Baby Stroller or Play Yard: Go to all your
doctor visits during and after delivery.
• FREE Baby Showers: Members receive lunch, health
screenings, and get to hear about services in the
community. Plus a chance to win a free prize.
• WellCare Hugs Encourages prenatal and post-partum
care. Speak one on one with a case manager to guide
you through each stage of your pregnancy.
• FREE Hypoallergenic Bedding for qualified
members with Asthma.
• FREE Cell Phone for qualified members to stay in
touch with their case manager, doctor and family
members.
• FREE GED Exam for members age 16 and over,
without a high school diploma, can take the GED
tests for FREE.
• Health and Wellness tools: Includes a Health
Coach and tips on our website to help you stay
healthy.
• Healthy Kids Club: Get health tips and tools for
children ages 4 - 11, to promote vaccinations and
checkups. Attend a local event for fitness, fun, and a
chance to win a prize.
• FREE Personalized Case Manager to help meet
your health care needs.
• FREE 24-Hour Nurse Advice Line
• FREE Flu Shots
Have you moved? Please remember to call the DFCS change center at 1-877-423-4746.
If you have questions: please call 1-888-GA-ENROLL (1-888-423-6765). Monday to Friday, 7:00 am to 7:00 pm.
TTY:1-877-889-4424. The call is free.
GA-CC-0214
please Turn this page over ➥
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