Benefit Information

The benefits below are for Medicaid and PeachCare for Kids® members only.  Click here to learn more about the benefits and services for Planning for Healthy Baby members.

We provide the same medical services as Medicaid and PeachCare for Kids®. We also have extra benefits and services. All services must be medically necessary.

Some services may:

  • Have coverage limits.
  • Need a doctor’s order.
  • Need prior approval.

Some Medicaid members may not have all the benefits listed. This is also true for some PeachCare for Kids® members.

Here is a summary of the benefits you get with Peach State:

Personal Primary Care

We want you to grow healthy and stay healthy. Making sure you are in good health is very important. Peach State offers you the choice of one primary care physician (PCP) to help you maintain your health. Your PCP can be a doctor, a nurse practitioner or a physician’s assistant. It is easy to choose a PCP. We have a lot of doctors to choose from.

Search for a PCP in your area.

Dental Care

Peach State’s Medicaid members age 20 and younger, PeachCare for Kids® members age 18 and younger and pregnant women receive the following preventive dental benefits:

  • Dental exams and cleanings twice a year
  • Simple extractions and oral surgery if medically needed
  • Bitewing x-rays
  • Filings

Peach State members age 21 and older also receive basic dental benefits. This includes a yearly checkup. If a service is not covered, we will try to get it for you at a lower cost.

Search for a dentist in your area.

Vision Care

We cover one eye exam and one pair of standard glasses a year. We also have extra vision care benefits.

Search for an eye care provider in your area.

For more detailed benefit information please click on the chart below. This chart and more information about your benefits, programs and services are in your member handbook.

Benefit Chart