PeachcareforKids

What is PeachCare for Kids

PeachCare for Kids began covering children in 1999, providing comprehensive health care to children through the age of 18 who do not qualify for Medicaid and live in households with incomes at or below 235% of the federal poverty level.

Applying for PeachCare for Kids

If you are aware of children who do not have health insurance, they may be eligible for coverage under this program. Families may call 1-877-427-3224 to request an application or complete the application online at www.peachcare.org. Physician's offices may request copies of PeachCare for Kids applications by calling the toll free number as well.

Eligibility and Requirements

PeachCare for Kids is available for children through age 18 in families who meet the following criteria

Number of Family Members	1	2	3	4
Monthly Income Level	$2,038	$2,743	$3,448	$4,153
Annual Income Level	$24,456	$32,916	$41,376	$49,836

	For each additional family member, add $705 per month or $8,460 per year.
	Income amounts are based on 235 percent of the Federal Poverty Guidelines
	PeachCare for Kids requires verification of income at application and annual renewal. Eligibility is dependent on the successful completion of this documentation.
	Federal regulations prohibit children of state employees from receiving PeachCare for Kids coverage. This includes employees of the public school system and the Board of Regents who have access to state health benefits
	Part-time and temporary state employees who are not eligible to enroll in the state health benefit plan are eligible for PeachCare for Kids
	Parents must provide proof of citizenship for their child(ren) to be eligible for PeachCare for Kids

Visit www.peachcare.org for more information on eligibility and requirements.

How much does it cost?

There is no cost for children under age six. Currently, the cost per month for PeachCare for Kids coverage over age six, is $10 to $35 for one child and a maximum of $70 for two or more children living in the same household. There are no co-payments or deductibles required for benefits covered by PeachCare for Kids. If you have any questions, please call PeachCare for Kids at 1-877-427-3224.

Application Assistance for Spanish Speaking Families

Spanish speaking families can apply online in their native language. Information on PeachCare for Kids in Spanish is accessible at www.peachcare.org.

Three Month Lock Out

Peach Care for Kids members are subject to a three-month waiting period for eligibility coverage if their premiums are not received by the 1st of the following month.

Example:

January 1st - Premium due for February 1 coverage
January 7th - If premium is not received, letter is sent reminding parent that premium is due no later than January 31st for February 1st coverage.
January 31st - Payment not received. Child's Eligibility is ended effective February 1st.
February 1st - Parent request child be reinstated
May 1st - Earliest child's coverage could be reinstated. Parent would have to send premium payment by April 1st.

Also note, the waiting period for PeachCare for Kids coverage for parents who voluntarily terminate coverage of private insurance is six months.

Payment Options for PeachCare for Kids

There are now additional payment options available to parents of PeachCare for Kids to ensure their premiums are received timely. Members can begin paying their premiums via the following methods:

1. Telephone or Internet access using a credit or debit card

2. Automatic account withdrawal

3. Premium payment booklets for mail service

Members log onto the password protected "my account" of www.peachcare.org to view their account information, pay premiums, update their contact information, check the status of premium payments and verify monthly payments. Members can also use their credit or debit cards for payment by calling (877) 427-3224.