Medicaid for Pregnant Women in Georgia
Right From the Start is the medical assistance plan available to pregnant women who need health insurance coverage. If you are a resident of Georgia, uninsured, and have an income at or below 200 percent of the federal poverty level, you may be able to receive coverage on prenatal care, labor and delivery.
The Right From the Start program covers various services associated with pregnancy and childbirth. As a member, you will receive the following free medical services with your coverage:
- Prenatal doctor’s office visits
- Labor and delivery
- Perinatal care
- Postpartum home visits
- Medical care for your child
This program pays for medical care for pregnant women, including labor and delivery, for up to 60 days after giving birth. Children can receive Right From the Start coverage up to age 19, with income and eligibility reviews every six months. Women and children who are eligible for regular Medicaid have access to the entirety of covered benefits on a traditional plan, which includes:
- Doctor’s office visits
- Prescription drugs
- Hospital stays
- Outpatient hospital care
- Routine health exams
- Dental and vision care
Unfortunately, unlike other states, Georgia does not have a Presumptive Eligibility program, where you can have instant access to prenatal care while you wait on your Medicaid application to be approved. Therefore, it is important to keep applying in mind as soon as possible upon verifying your pregnancy.
Income Eligibility Criteria
The income guideline for the Right From the Start Medicaid program is 200 percent at or below federal poverty level, which is indicated in different family sizes below. A pregnant woman and her unborn infant are counted as two people when the Division of Children and Family Services is determining eligibility. Husbands are also considered in the family size, though they cannot receive RFS coverage.
Women who meet the income criteria may become eligible within 60 days after childbirth, even if she did not apply for Medicaid during pregnancy or delivery. Newborn children of mothers who apply for Medicaid on the day the child is born are issued benefits through their first birthday.
Apply for benefits with COMPASS