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HAVE AN ENROLLMENT NEED? SHOP OUR PLANS
Main Menu
-
Our Health Plans
show Our Health Plans menu
-
- About Our Plans
- Our Benefits
- My Health Pays Rewards®
- Coverage Area Map
- Ways to Save
- What is Ambetter Health?
- Shop and Compare Plans
- Find a Doctor
Use your ZIP Code to find your personal plan.
- See coverage in your area
- Find doctors and hospitals
- View pharmacy program benefits
- View essential health benefits
Find and enroll in a plan that's right for you.
-
-
Join Ambetter Health
show Join Ambetter Health menu
-
- Four easy steps is all it takes
- What you need to enroll
- Special Enrollment Information
-
-
For Members
show For Members menu
-
- Pay Now
- Find a Doctor
- Drug Coverage
- Forms and Materials
- Ways to Pay
- New Members
- Renew Your Plan
- Better Health Center
- The Better Bulletin
- Member News
- Medicare Eligible
- Health Savings Account
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Handbooks and Forms for Members | Ambetter from Peach State Health Plan
Member Resources
Many of our member resources, such as the member handbook and forms, can be found by logging into your online member account. Click Login to create an account and access a wide array of resources!
Quick Reference Guide (QRG)
- 2023 Quick Reference Guide (QRG) Ambetter Bronze, Silver, and Gold Plans (PDF)
- 2023 Quick Reference Guide (QRG) Virtual (PDF)
- 2023 Quick Reference Guide (QRG) Select (PDF)
- 2022 Quick Reference Guide (QRG) Essential, Balanced & Secure Care (PDF)
- 2022 Quick Reference Guide (QRG) Off-Exchange (PDF)
- 2022 Quick Reference Guide (QRG) Select (PDF)
Reference Materials
- Get Your Flu Shot
- Dr. Office Visit Checklist (PDF)
- Preventive Services Guide (PDF)
- Quality Improvement (QI) Program
- Referral and Authorization Information
- Statement of Non-Discrimination
- Balance Billing Disclosures
- 2023 Transparency Notice
- 2022 Transparency Notice
- Where To Go For Care
- Women's Health and Cancer Rights Act Annual Notice
- HB 789 Surprise Bill Transparency Act Information (PDF)
- Ambetter In-Network Hemophilia Pharmacies
- Interoperability and Patient Access
- Cost Comparison Tool
- Wellness and Health Information
Forms
- Authorization to Disclose Health Information Form - English (PDF)
- Authorization to Disclose Health Information Form - Chinese (PDF)
- Authorization to Disclose Health Information Form - Vietnamese (PDF)
- Revocation of Authorization Form (PDF)
- Grievance and Appeals Form - English (PDF)
- Grievance and Appeals Form - Chinese (PDF)
- Grievance and Appeals Form - Vietnamese (PDF)
- Authorized Representative Designation Form (PDF)
- Member Reimbursement Medical Claim Form - English (PDF)
- Member Reimbursement Medical Claim Form - Chinese (PDF)
- Member Reimbursement Medical Claim Form - Vietnamese (PDF)
- Prescription Claim Reimbursement Form - English (PDF)
- Prescription Claim Reimbursement Form - Chinese (PDF)
- Prescription Claim Reimbursement Form - Vietnamese (PDF)
- Donor Transplant Travel Reimbursement Form - English (PDF)
- Donor Transplant Travel Reimbursement Form - Chinese (PDF)
- Donor Transplant Travel Reimbursement Form - Vietnamese (PDF)
- Recipient Transplant Travel Reimbursement Form - English (PDF)
- Recipient Transplant Travel Reimbursement Form - Chinese (PDF)
- Recipient Transplant Travel Reimbursement Form - Vietnamese (PDF)
- Member Transplant Travel Reimbursement Policy (PDF)