Benefits & Services
As a Ë¿¹Ï¶ÌÊÓƵ member, you can get the same necessary medical services that are covered by other Georgia Pathways to Coverage health plans, like doctor visits, prescription drugs and hospital services.
Ë¿¹Ï¶ÌÊÓƵ covers all medically necessary Medicaid-covered services. Georgia Pathways to Coverage members have no copay.
A health partner may, upon accepting you as a Georgia Pathways to Coverage patient, charge you for non-covered services.
For more information, refer to your Member Handbook.
Services Not Covered
Ë¿¹Ï¶ÌÊÓƵ will not pay for the following services that are not covered by Medicaid:
- Abortions except in the case of a reported rape, incest or when medically necessary to save the life of the mother
- Acupuncture
- All services or supplies that are not medically necessary
- Experimental services and procedures
- Infertility treatment for males or females, including reversal of voluntary sterilizations
- Services or care you receive in another country
- Alternative medicine
- Plastic or cosmetic surgery that is not medically necessary
- Voluntary sterilization if under 21 years of age or legally incapable of consenting to the procedure
This is not a complete list of the services that are not covered by Georgia Pathways to Coverage or Ë¿¹Ï¶ÌÊÓƵ.
If you have a question about whether a service is covered, please refer to your member handbook or call Member Services.
Member Services: 1-855-202-0729 (TTY: 1-800-255-0056 or 711), Monday – Friday 7 a.m. – 7 p.m.