What Does Georgia Medicaid Cover?

The Department of Community Health runs the Medicaid program in Georgia. Georgia Medicaid uses state and federal funding to give low-income children, families and disabled adults health insurance. People who participate in Medicaid can go to the doctor, use hospital and nursing facilities and fill prescriptions with little or no out-of-pocket cost. Georgia Medicaid reimburses providers and pharmacies for the services they give to beneficiaries. You must make sure your provider accepts Medicaid before receiving service or you will be responsible for the bill.

Doctor's Office Expenses

• Georgia Medicaid will cover doctor's office fees, for regular check-ups and urgent care visits. It will cover services performed by a nurse, nurse practitioner, certified nurse midwife, physicians assistant or physician.

Diagnostic Expenses

• Georgia Medicaid programs cover diagnostic services such as CAT scans, MRIs, X-rays, blood work and urinalysis. You must have a physician referral and your physician must have a justifiable reason for ordering the tests.

Hospital And Nursing Home Expenses

• If you incur emergency, out-patient or in-patient hospital expenses, Georgia Medicaid will pay for medication, physician fees, surgery and other procedures. Medicaid will also pay for expenses related to stays at long-term care or nursing facilities.

Dental Expenses

• Beneficiaries receive coverage for dental care expenses under Georgia Medicaid. It pays for regular dental visits for cleaning and to repair or remove teeth as medically necessary. Georgia Medicaid does not cover cosmetic dental procedures such as teeth whitening or braces.

Pregnancy and Family Planning Expenses

• Georgia Medicaid will pay all expenses related to pregnancy and the birth of the child. This includes prenatal care, prenatal vitamins, hospital fees and postnatal check ups. Georgia Medicaid covers birth control but will not pay for sterilization or abortion procedures.

Prescriptions

• Georgia Medicaid covers prescriptions drugs to cure or treat medical problems. It does not cover drugs for impotence, hair growth, smoking cessation, acne, weigh loss or vitamins.