Do you qualify for Medicaid?

To qualify for Medicaid, an individual must meet certain eligibility criteria. In Georgia, there are over twenty different coverage categories of Medicaid, known as classes of assistance, and each one has its own set of eligibility criteria.

A person’s living arrangement, types and amounts of income, marital status, and prior Medicaid coverage, among other factors, determine qualifications of assistance. You can apply for Medicaid at your local DFACS office.

 

What are the federal poverty guidelines that you use?

2012 Federal poverty Guidelines

48 Contiguous States and DC

Household size

100%

116%

150%

200%

1

$10,890

$12,632

$16,335

$21,780

2

14,710

17,064

22,065

29,420

3

18,530

21,495

27,795

37,060

4

22,350

25,926

33,525

44,700

5

26,170

30,357

39,255

52,340

6

29,990

34,788

44,985

59,980

7

33,810

39,220

50,715

67,620

8

37,630

43,651

56,445

75,260

For each

additional

person, add

$3,820

$5,081

$5,730

$7,64

 

 

You can also use "Federal Poverty Calculator"

 

What if I Get Denied?

If you are denied assistance our patient advocate will file an appeal on your behalf. You may be asked to provide additional documentation. If you are having financial hardship, a letter will be composed and signed by both the advocate and physician, then submitted to the drug company.

 

Can I get assistance if I have insurance?

Patient assistance programs are generally for the uninsured, however there are exceptions for low income families. If the medication you are taking is not covered by your insurance, some programs will consider it as having no prescription coverage.

 

What if I have Medicare Part D?

This will vary depending on the particular patient assistance program and their policy. In general, companies do not allow Part D enrollees who are eligible to receive the full low income subsidy (LIS), also called “Extra Help”.

 

What do I do if I do not have any household income?

If you do not have any household income you will be asked to sign a wavier stating that you have no income.

 

What if I do not have access to a computer or printer?

You can call Athens Heart Center @ 706-208-9700 between the hours of 8:00am – 5:00pm for assistance

 

What if I can't afford a physician.

The state of Georgia provides many locations where you can receive medical help if you do not have insurance or cannot afford to see your PCP.

 

Mercy Clinic Downtown

Atlanta GA, 404-880-3600

 

Blood and Fire Ministries

Atlanta GA, 404-521-2424

 

Healing Community Center

Atlanta GA,

www.healingourcommunities.org

 

Northeast Health Systems, Inc

Colbert GA, 706-788-3234

 

Bowman Medical Center

Bowman GA, 706-245-7361

 

Tri-Co Health System, Inc

Crawfordville GA, 706-456-2925

 

Dawson Medical Center

Dawson GA , 39842

 

*Find a free clinic in you area by clicking on the link below

www.freemedicalcamps.com

 

*Find a Georgia Medlink in your area by clicking on the link below

http://medlinkga.org/

 

 

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Get In Touch

 Address:  2005 Prince Ave Athens, GA 30606

  Phone: (706) 208-9700

  Web: www.athensheartcenter.com

 

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