Due to severe weather across the State of Georgia, Governor Deal declared a state of emergency in the following Counties: Banks, Catoosa, Dade, Dawson, Fannin, Franklin, Gilmer, Gordon, Habersham, Hall, Hart, Lumpkin, Murray, Pickens, Rabun, Stephens, Towns, Union, Walker, White and Whitfield.
As such, refill too soon edits have been lifted, and out-of-network authorization requirements have been removed for out-of-network providers, for members residing in , Dawson, Lumpkin, Pickens, Rabun, Towns, Union and White Counties. Members must still use Medicare certified facilities and providers.
Prior authorization for medical services may still be needed for medical necessity. This change is in effect until the emergency notice is closed or February 22nd, whichever is earlier.
Peach State Health Plan Advantage is an HMO SNP plan with a Medicare contract and a contract with the Georgia Medicaid program. Enrollment in Peach State Health Plan Advantage depends on contract renewal.
This plan is available to anyone who has both Medical Assistance from the State and Medicare.
This information is available for free in other languages. Please call our Member Service number at 1-877-725-7748 or TTY/TDD users 711. From October 1 to February 14, you can call us 7 days a week from 8 a.m. to 8 p.m. From February 15 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m.
Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro número de Servicios para el Cliente al 1-877-725-7748 o para los usuarios de TTY/TDD al 711. El horario de atención: del 1 de octubre al 14 de febrero, puede llamarnos 7 días a la semana de 8 AM a 8 PM. Del 15 de febrero al 30 de septiembre, puede llamarnos de lunes a viernes entre 8 AM y 8 PM.
In 2016, Peach State Health Plan Advantage’s service areas include the following counties in Georgia:
Butts, Chattahoochee, Clayton, Dawson, DeKalb, Fayette, Forsyth, Fulton, Greene, Gwinnett, Harris, Heard, Henry, Lumpkin, Marion, Morgan, Muscogee, Oconee, Pickens, Rabun, Rockdale, Taliaferro, Towns, Union, White.
We are here to help you get the health care you need, when you need it and to keep you healthy.
Part D prescription drug benefits
Nurses to help you with your health services
Health club memberships/fitness classes
Transportation to approved locations
Choice of doctors and pharmacies
Now is the time to think about what you want to get out of your health care plan. It is your choice!
Last Updated: 09302015