Benefits & Services

Georgia Pathways to Coverage logo 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 Navigate 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.