Planning for Healthy Babies® (P4HB®)

We are excited to serve our Planning for Healthy Babies® (P4HB®) enrollees throughout the state of Georgia.

Planning for Healthy Babies is a program that gives family planning services at no cost. P4HB has three programs:

  • Family Planning
  • Inter-pregnancy Care (IPC)
  • Resource Mother (Care Management)

Eligibility Requirements

The Department of Community Health sends you a letter to let you know if you’re able to be part of P4HB.

You are eligible for the Family Planning part of P4HB if you:

  • Are a U.S. citizen or person with qualified proof of citizenship
  • Are a woman between the ages of 18 and 44
  • Are a Georgia resident
  • Are not eligible for any other Medicaid program or managed care program
  • Have family income of no more than 211% of the federal poverty level (FPL)

If you meet these requirements and delivered a very low birth weight (VLBW) baby (less than 3.3 lbs.), you will be part of Inter-Pregnancy Care (IPC).

If you get Medicaid and delivered a VLBW baby, you can be part of Resource Mother.

Questions? Visit the P4HB website.

Family Planning

Family planning providers play a big role in your health care and in lowering the number of babies born with low birth weights. This is done through preventive services. These are:

  • Family planning initial or annual exams
  • Follow-up family planning visits
  • Contraceptive (birth control) services and supplies
  • Pap tests and pelvic exams
  • Pregnancy testing
  • Screening, treatment and follow-up care for sexually transmitted diseases (STDs), except HIV/AIDS and hepatitis
  • Patient education and counseling
  • Referrals for other health and social services
  • Drugs to treat infections in your bladder and areas near your bladder found during a routine family planning visit
  • Treatment of complications related to family planning services
  • Tubal ligation (sterilization)
  • Family Planning pharmacy visits
  • Vaccines for 18-year-old enrollees at no cost. This is provided under the Vaccines for Children (VFC) program.
  • Hepatitis B, Tetanus-Diphtheria (Td) and combined Tetanus, Diphtheria, Pertussis (Tdap) vaccinations (shots) for those 19 and 20 years old
  • Folic acid and/or a multivitamin with folic acid

Family Planning Providers

You do not need a referral to see a family planning provider. You can find a list of them in the Find a Doctor tool. You may see a network or qualified out-of-network family planning provider for your care. This can be Georgia Association for Primary Health Care (GAPHC) providers like 

  • Rural health clinics
  • Local health departments
  • Federally Qualified Health Centers
  • Free clinics

We will cover in-network and qualified out-of-network family planning services. For help choosing a family planning provider, call us.

Low-Cost Primary Care Services

The GAPHC helps people with little or no insurance get primary care.

Visit the website to learn more.

Inter-Pregnancy Care

IPC members get all P4HB Family Planning benefits plus:

  • Primary care services, up to five office/outpatient visits per calendar year
  • Limited dental services
  • Management and treatment of chronic diseases
  • Substance abuse treatment such as detoxification and intensive outpatient rehabilitation
  • Prescription drugs (non-family planning) for the treatment of chronic conditions that may increase the risk of a very low birth rate (VLBW) delivery
  • Non-emergency rides
  • Care Management/Resource Mother Outreach

Women can be part of Resource Mother services if they:

  • Get Medicaid and
  • Give birth to a very low birth weight (VLBW) baby (a baby weighing less than 3 pounds, 5 ounces).

This involves care management and help with personal and social problems. It also helps with social services. For a full list, call us.

Transportation

Family Planning enrollees have ride benefits. Family Planning enrollees can get up to 6 round trip visits per year for covered services.

Redetermination

You must show you still qualify for P4HB every 12 months. This is called redetermination. You will get a note from DCH before your deadline.

  • New members – 12 months from the original date of eligibility
  • Existing members – 12 months from the last redetermination date

You must confirm your income when you renew. You can use pay stubs to do this. Pay stubs must be less than 90 days from the renewal deadline.

Questions? Visit the P4HB website or call 1-877-744-2101 or 1-877-427-3224. You can also call us.

Disenrollment

Women who are no longer eligible will be disenrolled from the P4HB program. These are women who:

  • Become pregnant
  • Have a sterilization procedure
  • Move out of the state
  • Become incarcerated or are placed in a long-term care facility, state institution or intermediate care facility for people with intellectual (mental) disabilities.
  • Become eligible for any other Medicaid or commercial insurance program.
  • Are not able to become pregnant
  • Are no longer between the ages of 18-44

You can call us to ask for disenrollment or check the status of your request. Questions? Check your Member Handbook or call us.

Member Services: 1-855-202-0729 (TTY: 711), open Monday through Friday 7 a.m. to 7 p.m.