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
Children’s at Scottish Rite
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
If patients and their families are not eligible for government assistance, Children's offers financial assistance to persons who qualify under the federal poverty guidelines. We offer several types of assistance based on income and other variables.
To be considered, submit a fully completed Financial Assistance Application (available in English and Spanish). If you have questions, call our Financial Counselor Call Center at 404-785-5060.
Children's Healthcare of Atlanta at Hughes Spalding is owned by Grady Health System and managed by HSOC Inc., an affiliate of Children's.