Peach State Health Plan Information

What is the name on the Peach State Health Plan card?

• John Sample

• Sam Sample

• Jane Doe

• John Doe

Tags

CCSS.RI.3.1

CCSS.RI.3.7

What should you do in case of an emergency?

• Call 911

• Call the pharmacy

• Wait for a call

• Do nothing

Tags

CCSS.SL.3.1C

CCSS.SL.3.2

Fill in the blank: The Pharmacy Help Desk number is ________.

• 1-844-297-0513

• 1-800-555-1234

• 1-888-999-0000

• 1-877-123-4567

Tags

CCSS.RI.3.5

What is the date of birth (DOB) on the card?

• 2000-10-10

• 1990-05-05

• 1985-12-12

• 2001-01-01

Tags

CCSS.RI.3.1

Fill in the blank: The RXBIN number is ________.

• A) 004336

• B) 123456

• C) 789012

• D) 654321

What is the address on the Peach State Health Plan card?

• 123 Maple Drive, Ste B, Keysville, GA 30816-4464

• 456 Oak Street, Atlanta, GA 30303

• 789 Pine Lane, Augusta, GA 30901

• 1010 Birch Road, Savannah, GA 31401

Tags

CCSS.RI.3.1

CCSS.RI.3.5

Fill in the blank: The RXPCN number is ________.

• MCAIDADV

• ABCD123

• XYZ789

• LMNOP456