Medicaid and low cost insurance in Georgia

Updates and reminders

PHE ending — Copayments resuming

Per the Georgia Department of Community Health, the national Public Health Emergency (PHE) ended on May 11, 2023. During the PHE, copayments (or copays) were suspended. As a result of the PHE ending, copayments will resume effective June 7, 2023 for applicable services except for the following:

• Copayments and cost sharing may not be applied to COVID-19 vaccines. 

• Copayments and cost sharing may not be applied to COVID-19 testing. 

• Copayments and cost sharing may not be applied to COVID-19 treatment for those who are diagnosed with or presumed to have COVID-19.

• Copayments and cost sharing may not be applied to items and services for treatment of a condition that may seriously complicate the treatment of COVID-19 for those who are diagnosed with or presumed to have COVID-19.

Thank you for being an Amerigroup member. If you have questions, call Member Services toll free at 800-600-4441 (TTY 711) Monday through Friday from 7 a.m. to 7 p.m. Eastern time.

Introducing Sydney Health

Download the Sydney Health mobile app from your app store and log in using the same Amerigroup username and password.

Transition to 12-months postpartum services

This is an important notice about your postpartum coverage. We are making a change to your coverage. On July 1, 2021, the Medicaid agency extended postpartum services from sixty (60) days to six (6) months for eligible pregnant women. This was done through an 1115 demonstration that was approved by the Centers for Medicare and Medicaid Services (CMS). You are currently receiving six (6) months postpartum services through the 1115 demonstration.

In March 2021, a new law was passed that allows state Medicaid agencies to provide twelve (12) months postpartum coverage to eligible pregnant women. The new law is called the American Rescue Plan Act (ARPA). Section 9812 of the American Rescue Plan Act allows the Medicaid agency to provide twelve (12) months postpartum coverage.

Effective October 31, 2022, the 1115 demonstration that allows six (6) months postpartum services ended. This means you are no longer enrolled in the 1115 demonstration as of October 31, 2022. Instead of receiving six (6) months postpartum services through the 1115 demonstration, you are eligible for an increase to your postpartum coverage to 12-months under the state plan. This will give you access to postpartum services for a longer period of time. You do not have to take any action. Your postpartum coverage will transition to twelve (12) months automatically.

Benefit renewals may restart soon

Be on the lookout, as Georgia Gateway will soon begin to review member eligibility and ask for information from you. If any of your contact information has changed, such as mailing address, phone number, or email address, we recommend you update it by calling 877-423-4746. To make sure you keep getting your benefits, please respond right away to anything Georgia Gateway sends you.

Help with recovery

The CommonGround Recovery Library offers strategies and tools to help you start recovery and deal with daily challenges. From behavioral health and addiction recovery to financial recovery, we have help for everyone who needs it.

Amerigroup Community Care achieves accredited status with Multicultural Health Care distinction in Medicaid NCQA scores in Georgia

The National Committee for Quality Assurance (NCQA) evaluates health plans on the quality of care members receive and how happy members are with their plan.