Georgia Pathways Copay Update Effective October 1, 2025
Date: 09/25/25
Starting October 1, 2025, Georgia Pathways members will need to pay a copay when getting care. Copays are not required for Pathways members under age 21.
What Members Need to Know
- Copays will be collected at your doctor’s visit or at the pharmacy.
- If you cannot pay the copay, you will still get the covered service.
- Copay amounts are set by the State’s Medicaid Plan.
- Your provider can let you know if a copay applies to your visit.
What Providers Need to Know
- Copays for Pathways members align with the State’s Medicaid Plan.
- Please collect copays at the point of service.
- Members cannot be denied a covered service if they are unable to pay.
- Help remind Pathways members about this change during visits.
Questions?
- Members: Call Member Services at 1-800-704-1484 TDD/TTY 1-800-255-0056.
- Providers: Call Provider Services at 1-866-874-0633.
Peach State Health Plan is here to support members, providers, and our communities.
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