Georgia Peach Care for Kids Program Benefits

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Georgia Peach Care for Kids Program Benefits
Georgia Peach Care for Kids Program Benefits

What is Georgia PeachCare for Kids®?

PeachCare for Kids® began covering children in 1999, providing comprehensive health care to children through the age of 19 who do not qualify for Medicaid and live in households with incomes at or below 247 percent of the Federal poverty level.

PeachCare for Kids® health benefits include: care from a doctor when your child is sick; preventive services such as immunizations and regular check-ups; specialist care; dental care; vision care, including vision screenings and eyeglasses; hospitalization; emergency room services; prescription medications; and mental health care. Each child will have a choice of a Georgia Families Care Management Organization (CMO), a private health plan that is responsible for coordinating your child’s health care.

There is no cost to families for children under age 6. Starting at age 6, premiums are determined based on the FPL and household size. Currently, the cost per month for PeachCare for Kids® coverage is $11.00 to $36.00 for one child and $16.00 to a maximum of $72.00 for two or more children living in the same household. Once you complete the application, information about paying your premium and the amount will be provided to you.

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Purpose of Georgia Georgia PeachCare for Kids


The purpose of Georgia PeachCare for Kids is to provide affordable and comprehensive health insurance coverage for children in the state of Georgia. Administered by the Georgia Department of Community Health (DCH), PeachCare for Kids is the state’s Children’s Health Insurance Program (CHIP) and serves as an extension of the Medicaid program. The key purposes of the program include:

  • Access to Affordable Health Coverage: PeachCare for Kids is designed to ensure that eligible children have access to affordable health insurance coverage. It provides a safety net for families who may not qualify for Medicaid but still need assistance in obtaining healthcare coverage for their children.
  • Preventive and Primary Care Services: The program emphasizes preventive and primary care services for children. By offering comprehensive coverage, PeachCare for Kids aims to support regular check-ups, vaccinations, and early intervention to promote overall health and well-being.
  • Covers a Range of Healthcare Services: PeachCare for Kids provides coverage for a wide range of healthcare services, including doctor visits, hospital stays, prescription medications, preventive care, dental and vision services, mental health services, and other necessary medical interventions.
  • Ensures Timely and Necessary Medical Care: The program is designed to ensure that children receive timely and necessary medical care, regardless of their family’s financial circumstances. This helps prevent and manage health issues early on, contributing to better health outcomes.
  • Financial Assistance for Eligible Families: PeachCare for Kids offers financial assistance to eligible families, reducing the financial burden associated with healthcare costs. This support is especially crucial for families with moderate incomes who may find it challenging to afford private health insurance.
  • Coverage for Uninsured Children: The program focuses on providing coverage for children who are currently uninsured. By addressing the gap in coverage, PeachCare for Kids works to improve the health and well-being of Georgia’s children.
  • Support for Low-Income Families: PeachCare for Kids is a vital resource for low-income families who may not have access to employer-sponsored health insurance and may not qualify for other public health insurance programs. It helps bridge the gap for families facing financial challenges.
  • Promotes Healthy Development: The program contributes to the healthy development of children by ensuring that they have access to the healthcare services needed during critical stages of growth and development.
  • Community Health Improvement: By providing comprehensive health coverage for children, PeachCare for Kids contributes to the overall improvement of community health. Healthy children are more likely to thrive academically, socially, and economically, benefiting the community as a whole.
  • Partnership with Healthcare Providers: PeachCare for Kids collaborates with a network of healthcare providers to ensure that covered services are accessible to enrolled children. This partnership enhances the quality and availability of healthcare services.

The overarching goal of Georgia PeachCare for Kids is to enhance the health and well-being of children by removing barriers to healthcare access and providing financial assistance to eligible families. The program plays a crucial role in promoting a healthy start in life for Georgia’s children and supporting their long-term well-being.

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PeachCare for Kids® health benefits include:

  • 12 months postpartum benefits.
  • Care from a doctor when your child is sick.
  • Preventive services such as immunizations and regular check-ups.
  • Specialist care.
  • Dental care.
  • Vision care, including vision screenings and eyeglasses.
  • Hospitalization.
  • Emergency room services.

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PeachCare for Kids®

PeachCare for Kids® is Georgia’s insurance program for children, also known as S-CHIP. This program provides comprehensive health benefits including primary, preventative, specialist, dental, and vision care at little to no cost to qualifying families. To be eligible for PeachCare for Kids, households must meet certain criteria, including specific income requirements.  

You may be eligible for PeachCare for Kids if you:  

  • Are a U.S. citizen or legally residing non- citizen  
  • Are under the age of 19  
  • Do not have current health care coverage and are not eligible for Medicaid 
  • Have household income up to 247% of the Federal Poverty Level  
  • Have verification of income at application and annual renewal  

You can apply for PeachCare for Kids on Georgia Gateway. To apply by phone, call the Georgia Division of Family and Children Services (DFCS) at 877-423-4746.  

Who is eligible for Georgia PeachCare for Kids®?

To be eligible for this benefit program, you must be a resident of Georgia and meet all of the following:

  • Either 18 years of age and under or a primary care giver with a child(ren) 18 years of age and under (eligible until 19th birthday), and
  • A U.S. Citizen, National, or a Non-Citizen legally admitted into the U.S, and
  • Uninsured (and ineligible for Medicaid).

In addition to being a Georgia resident, children must be U.S. citizens or a qualified alien in order to receive benefits under the PeachCare for Kids® program. The child must have also been qualified for at least five years unless he/she came into the country before August 22, 1996. This five-year rule does not apply to asylees or refugees and those serving in the military. Some exceptions to the citizenship requirements do exist so work with the PeachCare for Kids® program staff to determine whether you or your children are eligible.

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Georgia PeachCare for Kids Program Income Limits

In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:

Household SizeMaximum Income Level (Per Year)
1$36,013
2$48,709
3$61,405
4$74,100
5$86,796
6$99,492
7$112,188
8$124,884

For households with more than eight people, add $12,696 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.

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What are the benefits?

PeachCare for Kids® health benefits include:

  • 12 months postpartum benefits.
  • Care from a doctor when your child is sick.
  • Preventive services such as immunizations and regular check-ups.
  • Specialist care.
  • Dental care.
  • Vision care, including vision screenings and eyeglasses.
  • Hospitalization.
  • Emergency room services.
  • Prescription medications.
  • Mental health care.

Each child will have a choice of a Georgia Families Care Management Organization (CMO), 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.

Institutionalization:

A child must not be an inmate of a public institution or a patient in an institution for mental diseases at the time of initial application or any redetermination of eligibility.

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Georgia peachcare for kids program cost

PeachCare for Kids® does not charge premiums. PeachCare for Kids® does charge a small co-payment for some medical services. PeachCare for Kids® will not resume collecting co-payments until October 1, 2024. A co-payment is a small fee you will have to pay at the time of your visit to a medical provider. 

The amount of the co-payment will be different depending on the medical services you receive. While these co-payment amounts can range from $0.50 to $12.50, most will be $2 or $3. If you have to make a co-payment, your medical provider will tell you at the time of your visit. However, there are no co-payments for these services: 

  • Emergency services
  • Preventive Care Services (routine check-ups for your child)
  • Immunizations
  • Routine preventive and diagnostic dental services (such as oral examinations, prophylaxis and topical fluoride applications, sealants, and X-rays).

*Exception: There are no premiums or co-payments charged for children that are under six years old, children in foster care, American Indians and Alaskan Natives (AI/AN).

You are not required to pay more than 5 percent of your yearly income for co-payments. If your family reaches the 5 percent limit, you will not be required to make co-payments for the rest of the year.

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PeachCare for Kids® Outreach

PeachCare for Kids® Outreach Program would like to be an active partner in your community and share with everyone the comprehensive benefits that PeachCare for Kids® offers children throughout Georgia. Our goal is to get the word out about PeachCare for Kids® so that all children in Georgia have access to quality healthcare. We encourage you to include PeachCare for Kids® in your community outreach. We would love to be included in your communications, events/efforts, planning, items, and more!

Georgia Peach Care for Kids Program Benefits

The Georgia PeachCare for Kids Program offers a range of benefits to eligible children, aiming to ensure access to comprehensive healthcare services. Here are key benefits provided by the program:

  • Medical Coverage: PeachCare for Kids provides comprehensive medical coverage for enrolled children. This includes doctor visits, hospital stays, surgeries, specialist care, and other necessary medical services.
  • Preventive Care: The program emphasizes preventive care services, including regular check-ups, immunizations, and screenings. Ensuring access to preventive care helps identify and address health issues early on.
  • Prescription Medications: PeachCare for Kids covers the cost of prescription medications prescribed by healthcare providers. This ensures that children have access to necessary medications to manage and treat various health conditions.
  • Dental Services: Dental care is a part of the program, covering services such as routine dental check-ups, cleanings, fillings, and other necessary dental treatments to support oral health.
  • Vision Care: Enrolled children receive coverage for vision care services, including eye exams and eyeglasses. This ensures that visual impairments are identified and addressed in a timely manner.
  • Mental Health Services: PeachCare for Kids includes coverage for mental health services, such as counseling and therapy. This support is essential for addressing the mental and emotional well-being of children.
  • Specialty Care: Children with specific healthcare needs or chronic conditions may receive coverage for specialty care services. This includes consultations with specialists to address specific medical concerns.
  • Hospitalization Coverage: In the event of hospitalization, PeachCare for Kids provides coverage for hospital stays, surgeries, and related medical expenses. This ensures that children receive necessary care in the case of serious health issues.
  • Emergency Care: The program covers emergency medical care, including emergency room visits and urgent care services. This support is crucial for addressing unforeseen medical emergencies.
  • Coordination with Medicaid Services: For eligible children, PeachCare for Kids coordinates with Medicaid services to ensure comprehensive coverage. This coordination helps meet the specific healthcare needs of each child, providing a seamless healthcare experience.
  • Family Planning Services: PeachCare for Kids may cover family planning services for eligible teenagers, ensuring access to information and resources related to reproductive health.
  • Health Education and Outreach: The program often includes health education and outreach initiatives to inform families about available services, preventive measures, and the importance of regular healthcare.
  • Access to a Network of Providers Enrolled children have access to a network of healthcare providers, including primary care physicians, specialists, dentists, and other healthcare professionals.
  • Financial Assistance for Families: PeachCare for Kids provides financial assistance to eligible families, reducing the financial burden associated with healthcare costs and ensuring that children receive necessary medical care.

These benefits contribute to the overall health and well-being of children covered by the Georgia PeachCare for Kids Program, promoting preventive care, addressing health needs, and supporting families in accessing essential healthcare services.

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Documents required Georgia Peach Care for Kids Program

The documents required for enrolling in the Georgia PeachCare for Kids Program may vary, but generally, the following documentation is commonly requested during the application process:

  • Proof of Identity and Citizenship or Immigration Status: Documents such as a birth certificate or passport for each child applying for PeachCare for Kids may be required. Proof of citizenship or immigration status may also be needed.
  • Proof of Georgia Residency: Provide documents that establish your residency in Georgia, such as utility bills, lease agreements, or other official documents with your current address.
  • Proof of Income: Documents that verify your household income are typically required. This may include recent pay stubs, W-2 forms, tax returns, or documentation of other income sources.
  • Social Security Numbers: Social security numbers for all household members applying for PeachCare for Kids may be necessary. This includes both children and adults.
  • Proof of Other Health Insurance Coverage: If any household member has other health insurance coverage, provide documentation of that coverage. This helps determine eligibility and coordinate benefits.
  • Documentation for Special Circumstances: For families experiencing special circumstances, such as homelessness, foster care, or involvement with certain assistance programs, provide documentation related to those circumstances.
  • Medical Records or Health Information: Some medical information may be needed, especially if the child has specific health conditions or needs. This may include medical records, immunization records, or information about ongoing medical treatments.
  • Documentation of Disability (if applicable): If a child in the household has a disability, documentation of the disability may be required. This could include medical records or a statement from a healthcare professional.
  • School Enrollment Verification: Proof of enrollment in school may be necessary, especially for school-aged children. This could be a letter from the school or other official documentation.
  • Documentation for Pregnant Women: If the application includes coverage for a pregnant woman, additional documentation related to the pregnancy may be required.

It’s important to note that these are general categories of documentation, and the specific requirements may vary. Families applying for PeachCare for Kids should contact the program or the Georgia Department of Community Health (DCH) for precise information on required documents and guidance on the application process.

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Required Eligibility Georgia Peach Care for Kids Program


Eligibility for the Georgia PeachCare for Kids Program is based on several factors, and families must meet specific criteria to qualify for enrollment. As of my last knowledge update in January 2023, here are some of the key eligibility requirements for the program:

  • Age Requirement: Children from birth through age 18 may be eligible for PeachCare for Kids coverage.
  • Georgia Residency:
    • The child applying for PeachCare for Kids must be a resident of the state of Georgia. Families must provide documentation, such as utility bills or lease agreements, to verify their Georgia residency.
  • Citizenship or Qualified Non-Citizen Status:
    • Children must be U.S. citizens, nationals, or qualified non-citizens to be eligible for PeachCare for Kids. Families may need to provide proof of citizenship or immigration status.
  • Income Eligibility:
    • The program considers the household’s income to determine eligibility. Income eligibility limits are set based on the federal poverty level (FPL). Families with incomes at or below certain thresholds may qualify for free or low-cost coverage.
  • Uninsured Status:
    • Children applying for PeachCare for Kids must be currently uninsured and not eligible for Medicaid. The program serves as a safety net for families who do not have access to affordable health insurance for their children through other means.
  • Not Eligible for Other Health Insurance:
    • Families must certify that the child is not eligible for other health insurance coverage. This includes private insurance, employer-sponsored plans, or coverage through other government programs.
  • Pregnant Women (optional coverage):
    • Pregnant women may be eligible for coverage through PeachCare for Kids during their pregnancy, even if the child would not normally meet the age requirements for the program.
  • Special Circumstances:
    • Certain special circumstances, such as homelessness or involvement in foster care, may affect eligibility. Families experiencing such circumstances should provide documentation related to these situations.
  • Family Size:
    • The size of the household is considered when determining income eligibility. The total number of individuals in the household, including adults and children, influences the income threshold.

It’s important to note that eligibility criteria may change, and families are encouraged to contact the Georgia Department of Community Health (DCH) or PeachCare for Kids directly to get the most up-to-date information on eligibility requirements. Additionally, enrollment specialists and application assistance are often available to help families navigate the eligibility determination process.

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How To Apply For Georgia Peach Care for Kids Program

  • Access the Application: Obtain a PeachCare for Kids application form. You can get the application form from various sources, including the Georgia Department of Community Health (DCH) website, local healthcare providers, schools, or social service agencies.
  • Complete the Application: Fill out the application form accurately and completely. Provide all required information about your household, including income, family size, and other relevant details. If you need assistance, contact PeachCare for Kids or seek help from a local enrollment specialist.
  • Gather Required Documentation: Collect any necessary supporting documents, such as proof of income, proof of Georgia residency, birth certificates, social security numbers, and other documentation as required. Check the application instructions for specific document requirements.
  • Submit the Application: Submit the completed application along with the required documentation to the appropriate address. This may vary depending on your region. Contact PeachCare for Kids or visit their website to find the correct submission address for your area.
  • Application Assistance: If you need assistance with the application process, you can reach out to PeachCare for Kids directly or contact local community organizations, healthcare providers, or social service agencies. They may have staff or volunteers trained to help with the application process.
  • Online Application Option: PeachCare for Kids may offer an online application option for added convenience. Check the program’s official website or contact them to inquire about the availability of online application submission.
  • Application Status: After submitting your application, you can inquire about the status of your application. PeachCare for Kids typically sends notifications regarding eligibility and enrollment. This information may be provided by mail or through other communication methods.
  • Renewal Process:
  • If your child is already enrolled in PeachCare for Kids, be aware of the renewal process. Coverage needs to be renewed periodically, and families are usually notified in advance. Follow the instructions provided for the renewal process.
  • Seek Assistance from Enrollment Specialists:
    • Enrollment specialists are available to assist families throughout the application process. If you have questions or encounter challenges, don’t hesitate to seek guidance from these professionals.
  • Keep Contact Information Updated: Ensure that your contact information on file with PeachCare for Kids is up to date. This ensures that you receive important communications regarding your application status, renewal, or any changes to the program.

Remember that program details and application processes may change, so it’s advisable to check the official PeachCare for Kids website or contact the program directly for the most accurate and up-to-date information.

How can I contact someone?

For more information, please visit the PeachCare for Kids® website. 1-877-423-4746

FAQs. Georgia Peach Care for Kids Program

1. What is PeachCare for Kids?

PeachCare for Kids is a health insurance program in Georgia that provides coverage for children in low-income families. It offers affordable health insurance to ensure that eligible children have access to essential healthcare services.

2. Who is eligible for PeachCare for Kids?

Eligibility is based on factors such as income, family size, and the child’s age. Children from birth to age 18 may be eligible if they meet certain criteria, and families must have incomes within specified limits.

3. How can I apply for PeachCare for Kids?

To apply, obtain an application form from the program’s website, local healthcare providers, schools, or social service agencies. Complete the form, gather required documentation, and submit it to the designated address. Assistance is available for those who need help with the application process.

4. What documents are required for the application?

Required documents may include proof of income, proof of Georgia residency, birth certificates, social security numbers, and other relevant documentation. Check the application instructions for specific document requirements.

5. Is there an online application option?

PeachCare for Kids may offer an online application option for added convenience. Check the program’s official website or contact them to inquire about the availability of online application submission.

6. How often do I need to renew PeachCare for Kids coverage?

Coverage needs to be renewed periodically. Families are usually notified in advance about the renewal process. Follow the instructions provided for the renewal to ensure continued coverage.

7. Can pregnant women qualify for PeachCare for Kids?

Yes, pregnant women may be eligible for coverage through PeachCare for Kids during their pregnancy, even if the child would not normally meet the age requirements for the program.

8. Is PeachCare for Kids only for citizens, or can qualified non-citizens also apply?

Qualified non-citizens, as defined by federal regulations, may also be eligible for PeachCare for Kids. Documentation of citizenship or immigration status is typically required during the application process.

9. Can my child still qualify if they have other health insurance coverage?

PeachCare for Kids is designed to assist children who are currently uninsured. Families must certify that the child is not eligible for other health insurance coverage, including private insurance, employer-sponsored plans, or coverage through other government programs.

10. How can I check the status of my PeachCare for Kids application?

After submitting the application, families can inquire about the status of their application by contacting PeachCare for Kids. Notifications regarding eligibility and enrollment are typically sent by mail or through other communication methods.

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