Due to Severe Winter Storm in the State of GA,  Governor Nathan Dean, declared a state of emergency in the following Counties: Butts, Clayton, Dawson, DeKalb, Fayette, Forsyth, Fulton, Greene, Gwinnett, Harris, Heard, Henry, Lumpkin, Morgan, Muscogee, Oconee, Pickens, Rabun, Rockdale, Taliaferro, Towns, Union and White.

Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.  

For our members who live in one of these impacted areas, we have removed the refill too soon edits for your Part D Prescription Drugs, and removed the out-of-network authorization requirements for out-of-network providers.  You must still use Medicare certified facilities and providers.

Prior authorization for medical services or medication may still be needed for medical necessity. This change is in effect until the emergency notice is closed or February 6, 2017, whichever is earlier.

For public health emergencies, the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.

Peach State Health Plan

Welcome! Whether you are looking for help to improve your overall health or focused on continuing your good health, Peach State Health Plan is here for you. We know that being healthy takes more than just medical care, so we focus on more than just providing you with good benefits. We give you individualized service, extra support for ongoing health conditions and expert guidance from licensed sales representatives to help you learn about your Medicare options.

Who is Peach State Health Plan? We are a group of people dedicated to helping you feel your best by providing Medicare Advantage plans that allow you to get the healthcare you need. We know the unique health challenges that people in GA face because we live here, too. We are a local health insurance plan serving the people we see every day ― at our grocery stores, movie theaters, and community events.

We offer a Medicare Advantage Prescription Drug (MAPD) plan in GA for people who are eligible for Medicare. And we offer an MAPD plan known as a Dual Eligible Special Needs Plan (D-SNP) that is specifically for people who are eligible for both Medicare and Medicaid. This Medicare Advantage plan works with your existing Medicaid coverage to give you even more benefits. Both of our MAPD plans include Medicare Part A (hospital insurance) and Medicare Part B (medical/outpatient insurance) PLUS other important benefits that help you take care of yourself, with extras like vision care and prescription drug coverage.

Peach State Health Plan is contracted with Medicare for HMO and HMO SNP plans, and with the GA Medicaid program. Enrollment in Peach State Health Plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits may change on January 1 of each year. The D-SNP plan is available to anyone who has both Medical Assistance from the State and Medicare.

Last Updated: 02/14/2017