If you’ve applied for Medicaid in Georgia and were told you don’t qualify for traditional coverage, you might still have another option — Georgia Pathways to Coverage.

At Mere Benefits, we help Georgia residents understand if Pathways is the right fit, and we make sure you know what to do if your income changes, you lose eligibility, or you need to transition into other coverage like Marketplace or Medicare.

What Is Georgia Pathways?

Georgia Pathways to Coverage is a special Medicaid program for adults ages 19–64 who:

• Are U.S. citizens or legal residents

• Have a household income up to 100% of the Federal Poverty Level (FPL)

• Are not eligible for traditional Medicaid

• Are not incarcerated

• Participate in qualifying activities at least 80 hours per month

What Counts as a Qualifying Activity?

To stay eligible, you must actively engage in at least one of the following:

• Employment

• On-the-job training

• Job readiness programs

• Community service

• Vocational training

• Enrollment in the Georgia Vocational Rehabilitation Agency (GVRA)

• Higher education classes

What Does Pathways Cover?

Georgia Pathways offers many of the same benefits as traditional Medicaid, including:

• Doctor visits

• Hospital services

• Prescription medications

• Preventive care

• Mental health services

Why Pathways Members Still Call Mere Benefits

While Pathways can be a good fit for some, it’s not always the long-term solution. People contact us when:

• They lose Pathways coverage due to income changes or not meeting activity requirements

• They become eligible for Medicare and need help transitioning without coverage gaps

• They want more provider choice than their Pathways plan offers

• They move into higher income brackets and want to explore Marketplace subsidies

Marketplace Options After Pathways

If you lose Pathways coverage and you’re not eligible for Medicare, you may qualify for a Special Enrollment Period in the Marketplace. This could mean:

• Lower monthly premiums through subsidies

• Extra cost-sharing reductions if your income qualifies

• Access to more plan types, including PPOs and HMO plans with broader networks

Important: If you qualify for Medicare, you cannot enroll in a Marketplace plan or receive Marketplace subsidies. In that case, we’ll guide you through your Medicare choices instead.

How Mere Benefits Can Help

Our licensed team will:

• Review your Medicaid or Pathways eligibility

• Determine if Marketplace or Medicare is your next step

• Compare plan benefits and provider networks

• Handle your application process at no cost, no obligation

If you’re in Georgia Pathways to Coverage or think you may qualify, call 904-654-5450. We’ll help you find the right plan now — and have a plan ready if your situation changes — #simplyforyourbenefit.