Patients who lack adequate health insurance in Georgia can look into a number of programs that are offered by the state and its partner organizations. Resources can help the low income and underinsured access services such as medications, basic health care, and specialty services.
Much of the funding comes from the federal government with additional resources provided directly by Georgia and other non-profit agencies. Several programs are provided to children and people with specific medical conditions, such as cancer. In addition, families in Georgia with pre-existing medical needs and conditions may also receive coverage.
Income limits are in place as well. While some of these resources may require enrollees to pay a portion of the bill, other programs will provide free health care to the needy and cover all costs. Oftentimes care is available on a sliding fee scale, so participants will need to pay only what they can afford to. The primary medical assistance programs in Georgia are listed below.
Assertive Community Treatment (ACT) is a program for those who are mentally ill. It can provide them with medications, educational programs, referrals, and help in applying for public aid. Case managers will help individuals live independently in the community. Patients will have access to nurses, psychiatrists, clinical therapists, case managers and other specialists. They will enter into a recovery-focused plan to enable clients to both continue to live and actively participate in the community. This program is offered in most cities and regions, including Marietta Georgia. Call 800-715-4225.
Babies Can't Wait is a statewide, early intervention program for toddlers and infants with special needs. Applicants need to be 3 years of age or younger, and they need to have a diagnosed mental or physical condition known as Down Syndrome, blindness, Spina Bifida, etc. This program has no income restrictions. 888-651-8224.
Cancer screening is offered for breast and cervical cancer. This is an early detection program for uninsured and low-income women, as well as people who are under-served (so have limited insurance). Applicants need to be under age 64, and among other things the program will pay for pelvic examinations, diagnostic follow-up services, and Pap tests. Phone number is 404-657-7735.
Cancer State Aid, or CSA, is available as well. It provides affordable cancer treatment to uninsured and also to underinsured low-income cancer patients. The government can help coordinate outpatient and inpatient cancer treatment at participating non-profit hospitals. Other assistance offered includes radiation therapy, outpatient chemotherapy, and payments for various cancer related drugs. Some services are also available at regional home health agencies. Call 404-463-5111.
Children's Medical Services is health and medical assistance for children from low income families with chronic medical conditions. It provides for diagnostic testing, comprehensive physical assessment, inpatient/outpatient hospital services, prescription medications, medical treatments, therapy, medical equipment, dental care, and general care coordination for client and family. Telephone: 404-657-4855
Georgia ADAP (AIDS Drug Assistance Program) is for people living with HIV/AIDs. This is only an option if the applicant has no health insurance or if they are underinsured. There are over 20 different centers and clinics that people can apply for help at. 404-657-3127
Health Coverage Tax Credit Bridge Program is offered for patients who are receiving benefits from the Pension Benefit Guaranty Corporation, the Trade Act, or for those who lost jobs due to foreign competition. The state will pay about 72.5% of your health insurance premiums while the patient is waiting for federal government HCTC approval. This is a time limited program and it will expire in the future. Call 404-232-3501.
Hemophilia of Georgia provides various support and services for people who have an inherited bleeding disorder, including, but not limited to, von Willebrand Disease, hemophilia, and other bleeding disorders. The so called HOG program will pay for pharmacy services, health related services, outreach nursing care, and offer other social support and educational programs. Call 770-518-8272.
The Medication Access Program for Solid Organ Transplant is when non-profits, volunteers, and others will help families with obtaining medications for solid organ transplant recipients. Apply for financial assistance as well. The resource can help eligible organ transplant recipients who live in Georgia get access to any and all prescription medications that they may need for solid organ transplants. 800-736-2273.
Georgia PeachCare for Kids is the state’s leading free or low-cost health insurance resource. It is offered for children under the age of 18 who currently lack insurance. All applicants need to be a legal immigrant or US citizen and also meet low income or poverty guidelines. The state will pay for checkups, immunizations, sick visits, eyeglasses, dental and specialist care, vision screenings, hospitalization, emergency room services, mental health care, and even prescription medications.
Residents with a so called pre-existing medical condition can get assistance as well from PCIP, or the Pre-Existing Condition Insurance Plan. It is for people who have no other options and who have been denied coverage in the past. The state offers a wide range of health benefits, including primary and specialty care, lab work, and prescription drugs. Participants will need to pay some money towards their bills, premiums, deductibles and there are some out of pocket limits in place. Call 866-717-5826.
TEFRA/Katie Beckett Medicaid Program is for disabled children, and the goal is to help them continue to live in their homes. A number of bills can be paid for, and health care is coordinated. 678-248-7449
Vaccines are available for infants, children, and teenagers. The state will provide items to regional clinics and non-profit health centers, and those locations will administer all vaccines/medications. These immunization can prevent many diseases and illnesses. Families will need to pay a minimal fee for the items. 800-848-3868.
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