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What is CarePartners? CarePartners is a program provided by The Medical Center of Central Georgia to people in the community who demonstrate a need for assistance in finding a medical home for healthcare. It is a health partnership designed for adults, 18 and over who do not have access to insurance or Medicaid but have low income. It is similar in benefits to a managed care program yet does not have any monthly premiums.
Who qualifies for CarePartners membership? Those who meet age, financial, residency, health criteria and present a valid U.S. Social Security Card.
How much will it cost? Co-pays are required for services but are based upon a sliding scale. The sliding scale is based upon Federal Poverty Guidelines.
What services can I receive? You will be able to get medical services that are medically necessary and are normally provided at The Medical Center of Central Georgia. These include office visits with a nurse practitioner or doctor, immunizations such as flu and pneumonia shots, radiology and lab services, hospital stays and health education. You may also receive assistance with prescription medications if you have no other prescription plan.
How is CarePartners different from the “clinic card”? Clinic cards will no longer be issued or used. Members will be issued a membership card required at each point of service. It will have a barcode which will be scanned at the time of service to identify you and your plan. When elective surgeries or procedures are ordered, a pre-certification for medical necessity will be conducted to ensure that members receive the quality and type of services that are needed.
How is CarePartners different from insurance coverage? CarePartners membership is different from insurance in that it only applies to services provided by The Medical Center of Central Georgia and no premiums are paid by the member. Co-pays for services are determined using the federal poverty guidelines. In addition, a partnership is expected between the Medical Center of Central Georgia and the member. Member responsibilities are described in a Code of Conduct.
What happens when I am approved? If you are approved for membership, you will be issued a membership card and program information. Based upon your needs, you will be assigned to a special plan and a medical home to obtain the services of your plan.
What are the CarePartners Plans? Four plans are available and are based upon the needs of the member. v Medical Home Plan provides access to a primary care provider and the full array of available healthcare services at The Medical Center of Central Georgia. v Specialty Care Plan provides short term access for a short term health issue such as a broken bone. This plan is for a limited time of 1 – 6 months. v Supplemental Plan provides assistance to those members who may have Medicare or insurance but have a low income. v Women’s Connection Plan provides women access to GYN (gynecological) only services.
What happens if I am not approved? If you do not qualify for membership, you will not be able to obtain discounted services through the CarePartners Program. You will not be issued a membership card. There are other community resources that might be able to offer assistance.
How often will I need to renew membership? Your membership renewal is due every 6 months.
How do I apply? You may request an application package at The W.T. Anderson Health Center, The Neighborhood Healthcare Center, the Family Health Center or the Admissions Office at The Medical Center of Central Georgia. For more information or to make an appointment with an advisor, call (478) 633-7019 or (478) 633- 1521.
Doing the most good for the most patients who are most in need.
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