Peach State Health Plan Boosts Medicaid Benefits with Major Investment

Peach State Health Plan's Commitment to Healthier Lives

Peach State Health Plan (PSHP) is taking a strong step forward with its recent investment of $27.7 million into Medicaid benefits, which is aimed at enhancing the well-being of its members. This financial commitment, spanning from 2022 through 2024, reflects a strategic initiative known as Value-Added Benefits (VABs). These benefits encompass various services and activities that encourage healthy lifestyles, improve care connections, and enhance overall access to essential support for those who need it most.

Investment Breakdown and Areas of Focus

Over the past three years, a noteworthy 20% of PSHP's total spending on Value-Added Benefits has been allocated to vision care, amounting to $5.4 million. In addition, there are significant investments directed towards other essential areas: $5 million has been invested in My Health Pays (Wellness Works), while $4.3 million supports Over-the-Counter (OTC) items, and another $3.4 million has been earmarked for dental care services.

Supporting Member Needs Beyond Traditional Healthcare

As the President and CEO of Peach State Health Plan, Clyde White emphasizes the organization’s core mission: “Our mission is rooted in supporting the communities we serve. This investment is another way we are delivering on that promise, providing our members with resources that go beyond basic healthcare, so they can live healthier lives.” This commitment is evident in the overall portfolio of VABs for the current year, which underscores a dedication to addressing day-to-day member needs and removing barriers linked to social drivers of health.

Innovative Benefits for the Medicaid Population

Among the many offerings in PSHP's 2025–2026 benefit cycle are a variety of practical support options tailored to meet member needs, including:

• Emergency Childcare Support: Eligible members can access up to six months of emergency childcare through Quality Care for Children for situations like job interviews or medical appointments.
• 24/7 Mental Health Support: Through Pyx Health, members can benefit from free, on-demand emotional check-ins and support.
• OTC Benefit: Each year, members can receive up to $240 to purchase everyday health essentials, such as cold medicine and personal care items.
• School-Break Grocery Allowance: This prepaid card helps cover healthy grocery costs for families when school meals are not provided.
• Vision Benefit: Members are entitled to a free annual eye exam and $100 towards glasses, contacts, or repairs.
• Work-Ready Scholarships: Collaborating with Goodwill Industries, eligible members can receive training that equips them with valuable skills for the job market.

Ongoing Commitment to Member Wellness

The importance of these Value-Added Benefits cannot be overstated, as they aim to significantly improve the quality of life for PSHP members. According to Tara Freeney, Senior Director of Commercial Operations, “Peach State Health Plan is committed to going beyond traditional healthcare by addressing the everyday needs of our members. The investment in Value-Added Benefits reflects a dedication to improving quality of life across Georgia.”

Permanently Updated Benefits

Every year, PSHP reviews and updates its portfolio of Value-Added Benefits to ensure they meet the evolving needs of their members. The latest updates are slated for launch on July 1, allowing members to make full use of these essential services.

About Peach State Health Plan

Peach State Health Plan is a care management organization dedicated to serving the health insurance needs of Georgians. The organization serves the Medicaid and PeachCare for Kids populations in partnership with Georgia Families. In addition, it focuses on providing services to under-insured and uninsured individuals through its federal insurance marketplace plan, Ambetter, and its Medicare Advantage Special Needs Plan. As a subsidiary of Centene Corporation, a leading healthcare enterprise, Peach State Health Plan is committed to helping individuals lead healthier lives.

Frequently Asked Questions

What is the current investment amount by Peach State Health Plan?

Peach State Health Plan has invested $27.7 million into Medicaid benefits over the next few years.

What are Value-Added Benefits (VABs)?

VABs are additional services and resources designed to enhance members' health and well-being beyond standard healthcare provisions.

How is the $27.7 million investment distributed?

The investment is primarily focused on areas like vision care, mental health support, emergency childcare, and wellness initiatives.

What specific support does PSHP offer for mental health?

PSHP provides 24/7 mental health support via Pyx Health, which includes emotional check-ins and accessible encouragement.

How often does Peach State Health Plan update its benefits?

Peach State Health Plan reviews and updates its Value-Added Benefits annually, with updates launched yearly on July 1.

About The Author

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