November 25, 2009

Dear Member:

As of November 28, 2009, Grady Health System (Grady) will no longer be a part of the Peach State Health Plan (Peach State) network. You may continue to receive services at Grady and with your Grady primary care physician (PCP) through December 31, 2009.

Important: You must choose a new PCP for you and your child/children.

To choose another PCP, please review the enclosed list of PCPs that are accepting new patients. You can also check your Peach State provider directory or the directory on our website at www.pshp.com. If you need help choosing a new PCP, call our Member Services Department at 1-866-229-2892 or TDD/TTY 1-800-659-7487. 

If you do not choose a new PCP by December 15, 2009, you will be assigned to a new PCP near your home. You will receive new ID cards in the mail with the name of your new PCP.

 We will contact you:

• If you are currently receiving care from a hospital stay.
• If you are scheduled to go into the hospital.
• If you are in your second or third trimester of pregnancy.
• If you are scheduled for an outpatient procedure.

Peach State will work with you to coordinate your care. We will cover services that we have already approved. We will also cover care you or your child/children receive in Grady’s emergency room. The hospital does not need to be in our network for you to receive emergency services. Emergency services do not require approval.

We care about our members and will work with you to help you stay healthy.  Please call us at 1-866-229-2892 (TDD/TTY 1-800-659-7487) if you have questions. 

Sincerely,

Member Services Department

Peach State Health Plan 

This entry is filed under News.