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Georgia Pathways to Coverage

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    updated September 15, 2025
    Georgia Pathways to Coverage

    The Basics

    Medicaid is a public program that helps pay medical expenses for people with low income. How you may qualify depends on your family’s situation, including things like whether you have a disability and how much you have in income.

    This article focuses on Georgia Pathways to Coverage, a way of qualifying for Medicaid that is for adults under the age of 65 who make 100% of the Federal Poverty Guidelines (FPG) or less (that's $1,305 per month or less for a person who lives on their own). To qualify for Pathways, a person must also do a qualifying activity, which could include working, going to college, getting other training, or doing vocational rehabilitation with the Georgia Vocational Rehabilitation Agency (GVRA). We explain more about this later in the article.

    Children and pregnant women get Medicaid through different rules. They can have higher family incomes and do not have to do qualifying activities.

    If you qualify for Pathways, Medicaid will help pay for your visits to the doctor, hospital stays, prescription drugs, and other medical services. If your income goes up enough that you don't qualify for Medicaid anymore, you may instead qualify for employer-sponsored coverage or for government help paying for an individual health plan on Georgia Access.

    Medicaid if you have a disability

    If you have a disability, there are ways of qualifying for Medicaid other than Pathways. The most common way is to get Medicaid through Supplemental Security Income (SSI). Learn more in DB101's article about disability-based Medicaid.

    This article is about Georgia Pathways to Coverage Medicaid and will help you understand:

    • If Pathways is right for you
    • What services it covers
    • How much you will have to pay, and
    • How to sign up.

    If, after reading this article, you need more help in understanding Medicaid, we recommend you talk to trained experts who can help you. Here are some good resources:

    Highlights
    • If you make 100% of the Federal Poverty Guidelines (FPG) or less, you can get Pathways Medicaid no matter how much you have in resources.
    • Children can get Medicaid if their families make 252% of FPG or less, and pregnant women can get Medicaid if their families make 225% of FPG or less.
    • If you have a disability, you may qualify for disability-based Medicaid if your income is too high for Pathways.
    • If you make more than 100% of FPG and can’t get affordable health coverage through your job, you may be able to get help paying for private health coverage.
    • There is a single marketplace called Georgia Access where you can compare and sign up for plans, including Medicaid and private health coverage.

    Note: DB101 keeps track of changes to health coverage and related laws. DB101 has been and will continue to be updated to reflect any changes. Visit KFF for news related to health coverage.

    Learn more

    Finding the Right Health Coverage For You

    Try this interactive guide to see your health coverage options.

    Disability-Based Medicaid

    There are several ways to qualify for Medicaid if you have a disability.

    Buying Health Coverage on Georgia Access

    You can get private health coverage on Georgia Access. The government may help you pay for it.