Medicare in Georgia

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Medicare continues to be an important health benefit to the senior and disabled population of Georgia. In fact, in 2017, there were 1,595,064 4 total Georgia Medicare beneficiaries, according to the Centers for Medicare & Medicaid Services (CMS). To help Medicare beneficiaries better understand and use their health benefits, there are many state resources available to Georgians.

Medicare resources in Georgia

Georgia Department of Human Services, Division of Aging Services: The Division of Aging Services (DAS) is a valuable resource for older Georgians and caregivers. On the state website, you can read general information on the Medicare program; use an online tool to locate community services; and find resources on seniors with dementia or mental health illnesses. There are two programs that may be useful to Medicare beneficiaries:

  • GeorgiaCares State Health Insurance Assistance Program (SHIP): This volunteer-based program provides completely free assistance and unbiased information about Medicare coverage to Georgia beneficiaries. Through one-on-one assistance, SHIP can help individuals with their Medicare questions, apply for assistance programs, and better understand their benefits.
  • GeorgiaCares SMP: The aim of the SMP program is to decrease Medicare abuse, error, and fraud through prevention and education. If Medicare beneficiaries suspect fraud on their Medicare Summary Notices, they can contact GeorgiaCares to review the issue. In addition, through both outreach programs and community programs, SMP increases awareness about how to identify and prevent fraud among Medicare beneficiaries.

Legacy Link: Legacy Link is the Area Agency on Aging (AAA) for the Northeast Georgia Mountains area and advocates responsible planning and administration of programs for seniors. Legacy Link is a non-profit organization and uses both private and federal funds to coordinate and monitor health services in their designated area. Their trained staff is prepared to assist beneficiaries, and the organization offers events, training, and workshops. Whether you’re an older Georgia resident or a caregiver for a loved one, you can find information on adult day cares, wellness programs, senior employment training, and more.

Georgia Department of Community Health (DHC): The Georgia Department of Community Health (DHC) is one of four state agencies serving the medical needs of Georgia residents. It was created in 1999 to be the primary agency for health-care planning and oversight in the state. The DHC also oversees the State Health Benefit Plan, health information technology, and health-care facility regulation. The DHC is the umbrella organization that oversees Georgia’s state Medicaid program, the Department of Human Services, the Department of Public Health, and the Department of Behavioral Health and Developmental Disabilities. If you’re a Medicare beneficiary with limited income, you may be eligible for financial assistance with health-care costs, including premiums, deductibles, and more. In addition, those who qualify for Medicaid benefits may be eligible for other benefits and health-care services not covered through the Medicare program. Contact Georgia’s Medicaid department to learn more.

Medicare statistical trends in Georgia

Georgia beneficiaries continue to have a diverse array of coverage options when it comes to Medicare. Here are some interesting trends regarding Medicare in Georgia:

  • Access to the Medicare Advantage (Part C) program is universal in the state. In 2017, 100% of Georgians had access to a Medicare Advantage plan in their service area.
  • However, despite the wide availability of Medicare Advantage plans, most Georgia beneficiaries continue to get their coverage through the federal program, and 1,026,769 residents were enrolled in Original Medicare in 2017, compared to 568,295 individuals in a Medicare Advantage plan or other health plan.
  • In 2017, there were 64 Medicare Advantage plans and 23 stand-alone Medicare Prescription Drug Plans available.
  • In 2017, the lowest monthly premium for a Medicare Part D Prescription Drug Plan was $14.60.
  • As in the rest of the country, Georgia beneficiaries have access to certain preventive services with no cost sharing, such as the Medicare annual “Wellness” visit. In 2016, over half a million Georgia residents with Original Medicare used at least one free preventive service.

Want to learn about Medicare coverage options? To start browsing plan options in your Georgia service area, just enter your zip code into the tool on this page.

Statistical data from the Centers for Medicare & Medicaid Services, “Medicare Enrollment Dashboard,” and ” 2017 Part D Landscape State-by-State Fact Sheet.”

Data in this article was checked when the article was written and might not be updated as newer data becomes available.

This website and its contents are for informational purposes only. Nothing on the website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine.


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