Financial Assistance for Pediatric Health Care

Important Insurance Reminders

  • Remember to bring your insurance card (HMO, CMO, PPO, etc.) with you to each appointment.
  • If the procedure is not covered 100 percent by insurance or Medicaid, Children's may require a copayment or deposit to be paid when you register.
  • A representative from the Admissions department may contact you prior to the procedure date to make sure all of your information is correct.
  • Call your insurance company to let them know your child is scheduled for a procedure or appointment because preauthorization may be required.
If you have any questions about financial concerns, call:

Children’s at Egleston 
404-785-6133

Children’s at Scottish Rite
404-785-4514

See information about our financial assistance programs below: 

  • Medicaid

      Medicaid is a government medical financial assistance program that covers most costs for hospital stays, clinic visits and medicines. There are some procedures or exams not covered by Medicaid and some must be preapproved. Some Medicaid programs are based on family income and others are based on medical needs. You may be able to get coverage for pediatric health care medical services that occur three months prior to the month your child becomes eligible for Medicaid.

      Children’s Healthcare of Atlanta has an on-site office staffed by a Right from the Start Medicaid (RSM) case worker located on the first floor of Children’s at Egleston and Children’s at Scottish Rite.

      If eligible for assistance, you may apply for Medicaid by completing the Medicaid Application (available in English and Spanish) and submitting it to either the RSM worker or your local Department for Families and Children (DFACS) office.

  • PeachCare for Kids

      PeachCare for Kids is a low-cost health insurance program in Georgia for children whose family income is too high to qualify for Medicaid. PeachCare for Kids’ health benefits are similar to the benefits under Georgia Medicaid. Families must pay monthly premiums to receive financial assistance coverage for pediatric health care. You may apply for PeachCare online (the quickest way to get approved), by calling 1-877-GA-PEACH or by visiting Children’s on-site RSM case worker.

  • Additional Financial Assistance

      Children’s Healthcare of Atlanta offers financial assistance to patients, parents or other responsible parties (guarantors) who are unable to pay for the expense of medical care provided.

      Assistance may be available for:

      w Patients or guarantors who need help paying for hospitalizations. 
      w Necessary medical services not covered by insurance or some other funding source. 
      w Patients who were not approved for federal, state or private funding programs, even though they complied with the application process. 
      w Patients or guarantors who were not approved by private foundations or other social service organizations. 
      w Full or partial financial assistance for patients with a household income at or below 340% of the federal poverty guidelines.

      How to apply:
      We accept applications at any point before, during or after care is provided to you or your child.

      w To be considered, submit a fully completed Financial Assistance Application (available in English and Spanish). 
      w You can also call, fax or visit our Financial Counseling Department between 9 a.m. and 5 p.m. to get an application. The Children's Financial Counseling Department is located at 1644 Tullie Circle, Atlanta, GA 30329, phone: 404-785-5060, fax: 404-785-9236 
      w English and Spanish applications are available at our hospitals--Egleston, Hughes Spalding and Scottish Rite. View our locations.
      w Children's uses a sliding scale based on current federal poverty guidelines to determine eligibility and percentage of discount.
      w Our review process may take up to 90 days once you submit a completed application and all supporting documents.
      w A letter of eligibility determination will be sent when the review process is complete providing you with the outcome including the rationale and any balance due.                

      Download the complete policy. Contact our Call Center at 404-785-5589 or 866-415-7358 for more information. We are available from 7:30 a.m. to 6 p.m. Monday through Thursday and 7:30 a.m. to 5 p.m. Friday.

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Children's Healthcare of Atlanta at Hughes Spalding is owned by Grady Health System and managed by HSOC Inc., an affiliate of Children's.