Georgia Medicaid Eligibility

Georgia Medicaid Income Guidelines

The Medicaid program in Georgia offers families and children with a low income a state-funded health insurance option for free or very low cost. In order to qualify, you must meet a set of requirements organized by the state. Pregnant women, children under age 19, parents, and individuals who are disabled, blind, or over 65 with a certain level of income are able to receive coverage on a variety of medical services, as they would with a traditional health plan. Individuals under age 65 who are very poor but do not have children or a disability are unable to qualify for Medicaid in Georgia.

Medicaid is open to residents of Georgia, who are U.S. citizens or legal residents. Non-citizens may qualify for Emergency Medicaid only. Traditional Medicaid covers preventive care, outpatient hospital services, services performed at public and mental health clinics, ambulatory surgery centers, and rural health clinics. Benefits also include vision and dental care, lab work and X-rays, and hospitalizations. for little or no cost. The following is a list of groups accepted for Medicaid according to their income as a percentage of the Federal Poverty Level.

Group                                       Income (percent of FPL)

Infant                                                    185%

Child age 1-5                                        133%

Child age 6-19                                      100%

Parent (unemployed)                            27%

Parent (employed)                                27%

Pregnant Women                                  185%

Single Aged/Blind/Disabled                   75%

Aged/Blind/Disabled Couple                  83%

 

Other Eligible Groups

  • Families who receive Temporary Assistance for Needy Families (TANF) benefits
  • Supplemental Security Income (SSI) beneficiaries
  • Disabled individuals who no longer qualify for SSI benefits
  • Low-income Medicare recipients
  • Qualified Medicare Beneficiary (QMB) program: Medicaid pays your Medicare monthly premium, deductibles, and coinsurance if your income is below the poverty level.
  • Specified Low-Income Medicare Beneficiary (SLMB) program: Medicaid pays your monthly premiums only if your income is below 120% FPL.
  • Medically Needy program: Medicaid for those who have high medical expenses that when subtracted from your income deem you eligible for Medicaid.

 

Resources

Georgia Division of Family and Children Services: Medicaid

Georgia Office of Medicaid: 877-423-4746

COMPASS: Apply for Medicaid Benefits