PATHWAYS TO COVERAGE

How to Access Health Insurance in Georgia ifyou Don’t Have HealtH insurance ... 
 
BUT YOU ARE EMPLOYED

Check with your Human Resources Department to find out if your employer offers a health insurance 
plan and, if so, how to enroll. Many employers also provide spousal coverage and coverage for dependent children up to age 26. 
 

AND HAVE A PRE-EXISTING HEALTH CONDITION 

You may be eligible for the Pre-Existing Condition Insurance Plan (PCIP). If you have been uninsured for at least six months and have a documented pre-existing condition, you may be eligible to purchase insurance through the PCIP. You may also be able to purchase a PCIP plan for your child if she or he has a pre-existing health condition. For more information or to download an enrollment form, visit www.pcip.gov. 

AND CANNOT AFFORD HEALTH INSURANCE 

You and your family might be eligible for Medicaid. To be eligible, you must meet certain requirements such as being the parent of a child or a pregnant woman. Further, you must meet income and financial eligibility requirements for this program. For more information, contact the Georgia Department of Community Health. To find out if you are eligible, contact your county Department of Family and Children Services (DFACS). 

FOR YOUR CHILDREN & CANNOT AFFORD HEALTH INSURANCE FOR THEM 

If your child is uninsured and your family income is below about $43,545 for a family of three, your child may be eligible for Medicaid or the PeachCare for Kids™ program. For more information about Medicaid, contact the Georgia Department of Community Health. To find out if your child is eligible, contact your county Department of Family and Children Services (DFACS). For more information about PeachCare for Kids™ and to find out if your child is eligible, contact the Georgia Department of Community Health or visit www.peachcare.org. 

AND YOU DON’T HAVE ACCESS TO A HEALTH INSURANCE PLAN AT WORK 

You may be able to purchase a private, individual health insurance policy for yourself and/or your family. However, currently in Georgia insurance companies can deny you coverage, exclude preexisting health conditions, and charge you more because of your health status. To find out what your options are, visit www.healthcare.gov, enter Georgia for your state, and follow the instructions to receive information about private insurance plans available in your area. 

If you have recently become uninsured because you lost eligibility for your health plan at work, you may be eligible to purchase an individual conversion policy through the same insurance company that provided your group coverage. Contact the Georgia Office of Insurance for more information. 

OR IF YOU HAVE HEALTH INSURANCE THROUGH YOUR WORK BUT ARE ABOUT TO LEAVE YOUR JOB
 
You may be eligible for COBRA continuation coverage or state continuation coverage for a period of several months or longer, depending on the circumstances surrounding your job loss. You must, however, pay the entire premium. Check with your Human Resources Department, the U.S. Department of Labor, and the Georgia Office of Insurance for more information on these options. 
 

CONTACT INFORMATION AND HEALTH INSURANCE RESOURCES 

GEORGIA OFFICE OF INSURANCE 
Consumer Services Division
404-656-2070
1-800-656-2298
www.gainsurance.org

PRE-EXISTING INSURANCE PLAN (PCIP) 
1-866-717-5826
www.pcip.gov

GEORGIA DEPARTMENT OF HUMAN SERVICES, Division of Family & Children Services
Medicaid: 1-800-869-1150 
www.dfcs.dhs.georgia.gov 

PEACHCARE FOR KIDS™ PROGRAM
1-877-427-3224  
www.peachcare.org  

GEORGIA DEPARTMENT OF COMMUNITY HEALTH 
www.dch.gov 


Georgians for a Healthy Future | 100 Edgewood Avenue, NE, Suite 815 Atlanta, GA 30303 | 404-567-5016 | www.healthyfuturega.org