Home  Georgia Health & Medical

 


Workers Compensation

FAQs On Workers Compensation (GA)

Government Agencies. Georgia Health Associations & Non-profits

GA Insurance Regulations & Complaints

Insurance Complaint Form (GA) (Need Acrobat Reader)

Workers Comp Claims: Prepping For Adverse Medical Exams  

Consumer's Resource Handbook  
Contains 144 pages of assistance with consumer problems and complaints.

Consumer And Government Health Care Links (NCQA.org)

Find Your Local Newspaper, Magazine, Radio & TV Stations
Give them a little bad press and you're bargaining power increases tremendously. Select your state, and then click on your county or city for the proper media to report to. (DC Not Included).

See Consumer-SOS- The Workplace/Insurance. & Benefits

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Insurance Regulations & Complaints
Regulations

Complaints

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Insurance Regulations

Insurer Bad Faith (GA Only)
Your rights when your insurer in bad faith refuses to pay your claim. YOU MUST CLICK ON LINK, USE YOUR BACK BUTTON AND THEN CLICK ON LINK AGAIN OR YOU'LL BE STUCK ON THEIR HOME PAGE!!!

Regulators Governing Health & Ins. Plans (All 50 States & DC)
For Both Managed Care Plans and Fee For Service Plans.

Know Your COBRA Rights (With Links To All 50 States & DC) 
Their drop box links you to your regional or district office of the Pension and Welfare Benefits Administration of the U.S. Department of Labor, which oversees COBRA.

Consumer And Government Advocates
Many of these groups protect the consumer against unethical insurance companies. May also furnish you with regulations if you ask.

Your Rights Under The Family Medical Leave Act

Where Else To Go For Help (Consumer-SOS)

Related Topics
Insurance
The Work Place

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Complaints

Insurer Bad Faith (GA Only)
Your rights when your insurer in bad faith refuses to pay your claim. YOU MUST CLICK ON LINK, USE YOUR BACK BUTTON AND THEN CLICK ON LINK AGAIN OR YOU'LL BE STUCK ON THEIR HOME PAGE!!!

*Georgia Insurance Complaints

Ins. Co. Emergency Claim Numbers

Managed Care (Consumer-SOS)
HMOs, PPOs, Hospitals, etc.Choosing a health plan, getting them to treat you right, and where to complain and get help. 

State Insurance Regulators (All 50 States & DC)

Insurance Complaints (All 50 States & DC)
Also has good info on resolving disputes.

Fighting Insurance Companies When They Deny Your Claim How to protect yourself, establish contacts, gather allies and write your appeals and grievance letters.

Consumer And Government Advocates
Many of these groups protect the consumer against unethical insurance companies. May also furnish you with regulations if you ask.

Find Your Local Newspaper, Magazine, Radio & TV Stations
Give them a little bad press and you're bargaining power increases tremendously. Select Texas, and then click on your county or city for the proper media to report to. (DC Not Included).

Where Else To Go For Help (Consumer-SOS)


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Medical Directives/Living Wills

*Living Will (GA)
Fill in the blank form for Georgia.

*Durable Power Of Attorney For Health Care (GA) (Printable form) 
Change the date after the first paragraph (says year 2000).

*Becoming A Guardian (Consumer-SOS)
What to do if an adult becomes incapacitated and there's no living will.

Durable Power Of Attorney & Health Care Directives
(Nolo.com)

Writing A Living Will That's Valid In Your State
(For All 50 States & DC)
Scroll down to nearly end of page and select your state. Then just download form and fill in the blanks!

Writing A Valid Living Will In All 50 States (Backup Site) 

Register Your Living With With US Hospitals
Register Your Living Will With US Hospitals (Free Online Service)
The Registry electronically stores your advance directive in its computer database and identifies it by your social security number. Hospitals from anywhere in the country can then call the computer on the telephone, and request a copy of your advance directive. 

Power of Attorney (Consumer-SOS)
Information on general power of attorney and not just for health care.

Living Trust Offers: How to Make Sure They're Trust-worthy

Last Acts
Links and brochures on death related issues.

Consumer And Government Health Care Links (NCQA.org)

See Elder Care Topics ( Nolo.com)
For information on Social Security, Retirement Plans, 
Medicare, Medicaid, Medigap and Managed Care, Long-Term Healthcare, Estate Planning, Healthcare Directives and Powers of Attorney and more.

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Related Topics
Children
Disabilities
Government
Insurance
Lawyers, Courts & Self Help
Seniors
The Work Place
Wills & Probate

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What To Ask & Tell Your Doctor

To get the most from a short visit with your doctor, it helps to prepare for the dialogue.  

Before Your Appointment.

·         Write down all the questions you want to ask.  Pick the three you think are most important to you.

·         Bring a list of all your medications, both prescription and over-the-counter.  Bring in any herbs or 
 supplements that you take.

If you are feeling sick or too scared, bring a friend or relative who can help take notes and ask questions for you.  

At The Start Of The Visit.

·         Ask your doctor how much time you have together.

·         Explain what you have already done to get better.

·         Mention the top three "must discuss" items on your list.

  During The Visit, Ask:

·        What does the doctor think happened to you, and why?

·        What do you need to do now?

·        What will the doctor do for you?

·        Will it hurt, and, if so, for how long?

·        When will you and the doctor know more about how you are doing?

Discuss A Plan.

·        Ask the doctor to write down the treatment choices for your illness, and the pros and cons for each 
 choice.

·        If you don't understand what the doctor is suggesting, ask him or her to use different words that you do
 understand.

·        Agree on a plan of action with your doctor.  And then write the plan down.

·        Ask who-and when-you can call with more questions.

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What To Ask About Medications

My Medicines (What To Ask)
Tips on how to read the label, avoid problems, ask questions and keep a record.

Other Questions

·        What are the brand and generic names?  

·        Do You Have Any Trial Samples (Saves You $)

·        Is there a less expensive drug?

·        Which symptoms will it treat?

·        How long will I have to take it?

·        At what time of day?

·        What happens if I miss a dose?

·        Can I eat anything I want? Do I take it with food?

·        Are there side effects.

·        Should I avoid certain things like alcohol, smoking or sun exposure. (may cause problems with certain
 antibiotics).

·        Will I need to refill the prescription?

·        When Should I be feeling better?

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Where Else To Go For Help

Free or Low Cost Medical Help For the Poor or Uninsured (Consumer-SOS)
Includes free or low cost prescriptions and medical treatment.

Atlanta Area Hospitals (With links)

http://www.consumer-action.org
 
Check out their website for information on health care, privacy issues, insurance matters, pricing surveys on banking credit and other hot topics.  Consumer Action is also a lobbyist group.  Their representatives in California and Washington DC promote laws with consumer interests at heart.

The Joint Commission On Accreditation Of Heath Care Organizations/Office Of Quality Monitoring(630) 792-5642
This trade organization consists of over 5,000 hospitals and 1
0,000 health care providers.  All members must be accredited and comply with the Joint Commission's standards for excellence.  Call them to complain about the cleanliness or quality of care given by members belonging to their organization. 

The Georgia Insurance Commissioner's Office
(404) 656-2056
Call if you have a problem with your insurance benefits.  

Low Cost Medicines
One-stop link to thousands of low cost medicines offered through hundreds of patient assistance programs sponsored by member companies, non-member companies and government and local organizations.

Benefits Checkup
Find programs for people ages 55 and over that may pay for some of their costs of prescription drugs, health care, utilities, and other essential items or services. Please fill out their simple questionnaire to find programs that can assist you or your loved ones.

The Medical Information Bureau (617) 426-3660
For a charge of $8.00 they will tell you if your medical record is kept on file.  Give them a call if you have been denied insurance coverage and think such was based on an error in your insurance records.

The Georgia Attorney General's Office (404) 656-3300  
This agency deals with a variety of matters including medical related fraud.

Department of Medical Assistance/Managed Care Division (404) 657-7253 or (800) 533-0686
Call to report Medicaid fraud.  

Georgia State Government/Secretary Of State
(404) 656-3900
To complain about a health care worker's performance or to file a report with that person's licensing board.

The National Committee For Quality Assurance (800) 839-6487 or (888) 275-7585
This agency will tell you if your health plan meets their accreditation standards.

The Medicare Hotline (800) 772-1213  
Call if you're a Medicare or Medicaid recipient unhappy with your treatment.  Don't hang up if you hear a recording about social security. The automated system will eventually offer Medicare options. 

Health & Human Services/Division Of Health Services & Quality (404) 562-7398 
Medicare and Medicaid recipients can call this agency if unhappy with their treatment.

Division Of Aging Services (404) 657-5319 
To report problems with nursing homes/elder care services.

GA Dept. Of Human Resources/Office Or Regulatory Service (404) 657-5550 
To complain about the cleanliness or quality of care at a medical facility.

Georgia Hospital Association (770) 955-0324
May help you with a dispute with a hospital if it involves a hospital that is one of their members. 

GA Dental Association Peer Review Mediation (404) 636-7553 


Medical Association Of Atlanta (404) 881-1020 
Helps in resolving fee disputes.

The Georgia Clerk's Office For The House Of Reps (404) 656-5015  
Call to find out if Georgia has passed or is in the process of passing a law concerning your particular consumer issue.  They may even mail you a copy of the law if you ask them nicely.

For More Help contact your local TV and radio stations.  Large companies hate bad publicity.  And the last thing your insurer/HMO wants is to be on TV for not paying your claim. Georgia Residents can call Channel 11's Call For Action (678) 422-8466 and ask that someone call the insurer on your behalf.  They can also call WSB CONSUMER ACTION CENTER (404) 892-8227 and ask if they'll do likewise.  If that doesn't work, get in touch with the Georgia Insurance Commissioner (404) 656-2056.  When all else fails, talk to an attorney.

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Free Or Low Cost Medical Help For The Poor or Uninsured (GA & National)

GA PeachCare: Low Cost Insurance For Kids  (Statewide)

Low Cost Health Insurance From The Kaiser Permanente Bridge Program (Consumer-SOS)
Insurance for between $21-40 per month! Includes the kids!

Free or Low Cost Prescription Drugs (Consumer-SOS)

Medical Bills (Consumer-SOS)
Cutting your costs and negotiating with insurance companies.

More Help for the Uninsured
If you are uninsured and need medical attention, seek help at your local church or synagogue.  Your community may have more resources than you ever dreamed of, but you’ll never know without asking.  But if your community can’t help you, try the organizations below for assistance.  Most of these require payment based on your ability to pay.

Cobb
Fulton
Other

Cobb County

Dental

Cobb Community Dental Clinic 678-560-5247

Charitable Dental Clinics Throughout Georgia
Click Here for even more listings.

Vision & Hearing

Georgia Lions Lighthouse (404) 325-3630  
Providing vision and hearing care to the uninsured and working poor.

General Clinics (Cobb County)

Good Samaritan 770-419-3120
For Cobb County residents who do not have private health insurance and can not afford to pay for healthcare in the private sector. The center is located at 1605 Roberta Dr Marietta, GA 30008 Patients are seen by appointment

For Medical and Dental get on their waiting list, usually takes up to 2 months, for a call back, unless they have a cancellation.

Sweetwater C.A.M.P.
Food, clothing, and emergency financial assistance for medical prescriptions, rent, and utilities. Also has a health and dental center. Serves citizens of South Cobb County living in the communities of Austell, Mableton, Clarkdale, and Powder Springs.

West End Medical Center (404) 752-1400

Luke's Place (Mableton and Surrounding Areas)
No appointment necessary--just show up and sign in. Will issue prescriptions as needed.
Provides Free, Quality, Basic Healthcare to the Uninsured of Mableton & Surrounding Communities. Open Tuesdays & Thursdays 5:00 pm to 8:00 pm (Patient Sign-up 5:00 pm to 6:00 pm) 1st & 3rd Saturdays 9:00 am to 12:00 noon (Patient Sign-up 9:00 pm to 10:00 pm).

The Georgia Partnership For Caring Foundation (678) 578-2920  or 1(800) 982-4723 if not in Metro Atlanta
To qualify a person must live in Georgia, must be uninsured (no Medicaid, Medicare or private insurance), and must  have family income at or below 125% of the federal poverty level. You will be notified regarding your eligibility for the program in 5 to 8 weeks after you apply. For Free Or Low Cost Prescriptions click Here.

Sliding Scale Fee Community Health Care Centers (Throughout GA)

GA PeachCare: Low Cost Insurance For Kids  (Statewide)

For Other Social Service Help in Cobb County
Medical, legal, financial, etc.

PRESCRIPTION HELP

Publix Has Free 14 Day Supply on Certain Antibiotics (Alabama, Florida, Georgia, South Carolina & Tennessee)
Bring in your prescription for one of the generic oral antibiotics listed below and receive  up to a 14-day supply, FREE.

bullet Amoxicillin
bullet Cephalexin
bullet Sulfamethoxazole/trimethoprim (SMZ-TMP)
bullet Ciprofloxacin (excluding Ciprofloxacin XR)
  • Penicillin VK
  • Ampicillin
  • Erythromycin Stearate and Ethylsuccinate
  • Doxycycline Hyclate (capsules)
  • The Georgia Partnership For Caring Foundation
    Certain prescription medications have been donated to the GPCF program by such pharmaceutical manufacturers such as Pfizer, Inc., Johnson & Johnson, Abbott Laboratories and Novo Nordisk.

    Georgia Lions Lighthouse (404) 325-3630  
    Providing vision and hearing care to the uninsured and working poor.

    Check Walmart and Sam's for Their $4.00 Generic Drug List (All States)

    ACRX Prescription Card (All States)
    Offers 40-60% off generic and name brand drugs. One card will take care of a whole family. Cards are good at 50K stores from Walgreen, Walmart, Eckerd's Droger, K Mart, Publix, and many others.

    Partnership for Prescription Assistance  (All States-1-888-477-2669)
    Many of the prescription drug programs listed by the Partnership offer free or low-price medicines. Each medicine savings program has its own guidelines. These are prescription assistance programs offered by drug companies, states, and other resources. If you're in need, fill out their Hardship Form.

    Together Rx Access 1-800-444-4106 (50 States & DC, PR)
    See their Site Map for more details.

    GA PeachCare: Low Cost Insurance For Kids  (Statewide)

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    Fulton

    Dental

    Good Samaritan Health Center (404) 523-6571
    Medical, Dental and Counseling Services.

    Ben Massell Dental Clinic (404) 881-1858  
    Click Here for eligibility requirements.

    Charitable Dental Clinics Throughout Georgia
    Click Here for even more listings.

    See Your local Dental School for additional clinic information.
     

    Vision & Hearing

    Georgia Lions Lighthouse (404) 325-3630  
    Providing vision and hearing care to the uninsured and working poor.


    General Clinics

    Good Samaritan Health Center (404) 523-6571
    Medical, Dental and Counseling Services.

    St. Joseph's Mercy Mobile Health Center
    Bilingual Hotline (Spanish) (404) 851-7777

    Other FREE Clinics in Fulton and Other GA Counties

    Southside Health Care (404) 688-1350

    West End Medical Center (404) 752-1400

    Morehouse Family Practice (404) 756-1200

    Clinics In Fulton, Dekalb And Other Counties


    Clinics Throughout Georgia

    Sliding Scale Fee Community Health Care Centers (Throughout GA)

    Find A Health Clinic In Your State, City and County (All 50 States, DC, Guam, Etc)
    This Web site will help you find a clinic for medical care, even if you have no medical insurance or money.


    Other Help

    GA PeachCare: Low Cost Insurance For Kids  (Statewide)

    See Your local Medical School for additional clinic information.


    PRESCRIPTION HELP

    The Georgia Partnership For Caring Foundation
    Certain prescription medications have been donated to the GPCF program by such pharmaceutical manufacturers such as Pfizer, Inc., Johnson & Johnson, Abbott Laboratories and Novo Nordisk.

    Georgia Lions Lighthouse (404) 325-3630  
    Providing vision and hearing care to the uninsured and working poor.

    Check Walmart and Sam's for Their $4.00 Generic Drug List (All States)

    ACRX Prescription Card (All States)
    Offers 40-60% off generic and name brand drugs. One card will take care of a whole family. Cards are good at 50K stores from Walgreen, Walmart, Eckerd's Droger, K Mart, Publix, and many others.

    Partnership for Prescription Assistance  (All States-1-888-477-2669)
    Many of the prescription drug programs listed by the Partnership offer free or low-price medicines. Each medicine savings program has its own guidelines. These are prescription assistance programs offered by drug companies, states, and other resources. If you're in need, fill out their Hardship Form.

    Together Rx Access 1-800-444-4106 (50 States & DC, PR)
    See their Site Map for more details.

    GA PeachCare: Low Cost Insurance For Kids  (Statewide)


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    Medical Help In Other Locations


    Dental

    Charitable Dental Clinics Throughout Georgia
    Click Here for even more listings.

    Paulding County Community Service Directory (GA)
    Children, disability, seniors, housing, health & medical, crisis hotlines, employment & other social services.


    Vision & Hearing

    Georgia Lions Lighthouse (404) 325-3630  
    Providing vision and hearing care to the uninsured and working poor


    General Clinics

    Sliding Scale Fee Community Health Care Centers (Throughout GA)

    Physician Care Clinic (Dekalb County)

    Clinics In Dekalb Gwinnett And Other Counties

    Find A Health Clinic In Your State, City and County (All 50 States, DC, Guam, Etc)
    This Web site will help you find a clinic for medical care, even if you have no medical insurance or money.

    Paulding County Community Service Directory (GA)
    Children, disability, seniors, housing, health & medical, crisis hotlines, employment & other social services.



    Other Help

    GA PeachCare: Low Cost Insurance For Kids  (Statewide)

    See Your local Medical School for additional clinic information.


    PRESCRIPTION HELP

    The Georgia Partnership For Caring Foundation
    Certain prescription medications have been donated to the GPCF program by such pharmaceutical manufacturers such as Pfizer, Inc., Johnson & Johnson, Abbott Laboratories and Novo Nordisk.

    Check Walmart and Sam's for Their $4.00 Generic Drug List (All States)

    Georgia Lions Lighthouse (404) 325-3630  
    Providing vision and hearing care to the uninsured and working poor.

    ACRX Prescription Card (All States)
    Offers 40-60% off generic and name brand drugs. One card will take care of a whole family. Cards are good at 50K stores from Walgreen, Walmart, Eckerd's Droger, K Mart, Publix, and many others.

    Partnership for Prescription Assistance  (All States-1-888-477-2669)
    Many of the prescription drug programs listed by the Partnership offer free or low-price medicines. Each medicine savings program has its own guidelines. These are prescription assistance programs offered by drug companies, states, and other resources. If you're in need, fill out their Hardship Form.

    Together Rx Access 1-800-444-4106 (50 States & DC, PR)
    See their Site Map for more details.

    GA PeachCare: Low Cost Insurance For Kids  (Statewide)
     

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    The Kaiser Permanente Bridge Program (404-364-7335)
    The Kaiser Permanente Bridge Program is part of the US Dept of Labor Workforce Investment Act (WIA Program). It involves interaction with your county government career center and KAISER.

    What You Get
    Kaiser is offering their basic HMO plan at 5% of their normal monthly cost. Includes partial vision but no dental. For a single adult that's $21 per month for up to 2 Years. For an adult with children (1, 3 or 4 kids, it doesn't matter) that's a total lump sum of $38 per month!

    Counties Served Include:
    Cobb, Dekalb, City of Atlanta, Fulton, and the Atlanta Regional Workforce Area. Call 404-364-7335 to see if your County is also included within their 21 county area .
     
    For Where to Call, See:
    http://www.scribd.com/doc/1716495/Department-of-Labor-kaiser-permanente-bridge-program
     
    Income and other Eligibility Requirements
    Single adults must be uninsured, under 65, and  make less than $2600 per month. Adults with dependents can earn more. To qualify, the applicant must not be eligible for Medicaid, Medicare, PeachCare, or employer sponsored insurance (Excluding COBRA). Also, the applicant cannot have been previously enrolled in the Bridge Program or have a 401K with over 100K.
     
    To insure children, you must show proof they have been denied other healthcare such as from PeachCare and the other programs above.
     
    What You Must Do
     
    1. You must fill out an intake form at your county government career center,
    2. You must also fill out a registration form (The Kaiser Part of the program). Call your career center in advance to see if you need an appointment and if both forms can be filled out on the same day.
     
    What You Must Bring
    1. Your first month's Premium of $21 or $38, no cash, either Credit Card/VisaCashCard, Money
        Order
    or Check (Call your county to verify,requirements may vary).
     
    2. Proof of Residency, (copy of lease, mortgage coupon, gas, water or electric bill)
        You may submit a phone bill if you don't pay for your utilities, but also include a letter
        stating why you don't have utilities, i.e. "My landlord pays for utilities and it's factored
        into my rent".
     
    3. Social Security Card AND either your Driver's License, Passport or Photo ID
        If you don't have a social security card, you will need a letter from the Social security
        Administration stating you applied for one.
     
       Also bring each of your children's social security cards EVEN IF YOU ARE NOT APPLYING FOR
       THEM. This will be used to verify the # of residents in your household.
     
    Processing Time Until You're Enrolled
    This varies from county to county.
    It may take as long as 7-9 weeks.
     
    Information for Fulton County ONLY
     
    Contact Person is Jackie Lee 770-645-4484
    jacqueline.lee@fultoncountyga.gov
     
    Location & Hours of Operation
    Same place as the DMV
    8610 Roswell road, suite 660, 30350
     
    8:30-5:30pm   (may be closed on mondays) 
    Wednesdays open from  8:30-7pm
     
    Registration (the 2nd Part of process)
    Come only on Thursdays.
    No Appt Necessary, Walk in Between 8:30-4pm but not 12:30-1pm.

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    INSURANCE RESOURCES  

    http://www.insure.com/health/

    Provides well written, authoritative advice on health insurance, disability insurance, dental insurance, etc. You can also link to insurance companies, quote services and agents, but the selling is done off the insure.com site.

    www.quotesmith.com 
    This site excels at comparing prices and terms from many firms. Their checklists help determine if health factors bar you from a specific life policy.

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    Mental Health

    American Psychiatric Association

    Mental Health Net

    National Help Orgs For A Variety Of Consumer Problems
    The Elderly, Environment, Families, Fraud, Health & Safety, Insurance The Handicapped, Medical Problems, Telemarketing and more.

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