Amerigroup Community Care of Georgia

Name

Amerigroup Community Care of Georgia

Legal name

Amerigroup Corporation

Website

https://myamerigroup.com

Company type

Private

Founded year

2012

Operating status

Operating

Ownership category

akta.pro rank

Product category

Managed Medicaid Health Insurance

NAICS

Social Assistance (624)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Medicaid Expansion (ACA Adult) Managed Care Plans (HLAEAEAB)

akta.pro secondary industries

Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), Medicaid Vision Benefits (Managed Care) (HLAEAJAE), Medicaid/CHIP Dental & Vision Benefits Administration (FSAIAHAK), Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

Keywords

• Medicaid managed care
• Health insurance plans
• Government sponsored healthcare
• Managed care organization
• Medicaid member services

Headquarters

HQ city

Indianapolis

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medicaid Capitation Payments: Amerigroup receives capitated payments (fixed per-member-per-month amounts) from state governments to provide comprehensive healthcare coverage to Medicaid-eligible individuals. The company assumes risk for managing the healthcare needs of enrolled members in exchange for these monthly premiums.
2. Medicare Advantage Plans: Medicare Advantage and Medicare Part D plans (now operating under Wellpoint brand) provide health coverage with Medicare contracts renewed annually.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

Amerigroup Community Care of Georgia is a Medicaid managed care organization that provides free or low-cost health insurance coverage to Medicaid-eligible individuals and families in Georgia. The company contracts with the Georgia state Medicaid program to deliver comprehensive healthcare benefits including doctor visits, hospital stays, pregnancy care, labs, X-rays, prescriptions, vision, and dental services. Members access benefits through a network of contracted providers and use digital tools including the Sydney Health mobile app, member web portal, and provider finder.

Product overview

Amerigroup Community Care of Georgia offers Medicaid health insurance plans as part of a product portfolio that includes the Sydney Health mobile app, a member web portal at myamerigroup.com, and a provider finder tool. The Sydney Health app enables members to access plan details, find providers, chat with agents, and manage their ID cards on iOS and Android. The member portal provides online account management including PCP changes, ID card access, secure messaging, and health assessments. The company operates under the Amerigroup name in Georgia while transitioning to Wellpoint branding in other states.

Differentiator

Problem solved

Functional benefit

Brands

• Sydney Health: Free mobile app for members to access health plan details, find doctors, view ID cards, and manage health benefits.

Products and services

• Medicaid Health Plans Free or low-cost health insurance coverage for Medicaid-eligible individuals and families in Georgia, covering doctor visits, hospital stays, pregnancy care, labs and X-rays, with additional benefits such as prescriptions, vision, and dental depending on age and location.

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• Joint CommissionminorOthersAmerigroup provides members with links to Joint Commission International Center for Patient Safety and Joint Commission Quality Check for hospital safety data, supporting informed healthcare decisions.

Scale indicators2 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• UnitedHealthcare (UnitedHealth Group): The largest U.S. health insurer with a substantial Medicaid managed care business serving multiple states, broadly comparable to Amerigroup's capitated Medicaid model but as part of a much larger diversified portfolio.
• Humana: A major health insurer with a Medicaid Managed Care presence in multiple states, broadly comparable to Amerigroup but with a heavier weighting toward Medicare Advantage.
• Aetna (CVS Health): Operates Medicaid managed care plans in several states as part of CVS Health's broader portfolio, with overlapping capabilities in capitation, care management, and digital member tools.
• Anthem Blue Cross Blue Shield (Elevance Health): The parent company of Amerigroup; offers commercial, Medicare, and Medicaid plans through affiliated Blue Cross Blue Shield licenses, with shared operational infrastructure and digital platforms.

Direct peers

• CareSource: A non-profit Medicaid managed care plan operating in multiple states including Georgia; directly comparable as a state-contracted MCO serving Medicaid beneficiaries.
• Molina Healthcare: A Medicaid-focused managed care company with state contracts across the U.S., directly comparable to Amerigroup as a government-program health plan serving low-income and dual-eligible populations.
• Centene Corporation: The largest Medicaid managed care insurer in the U.S., directly comparable to Amerigroup as a government-sponsored health plan operator with capitated Medicaid contracts across multiple states.

Regional players

• Highmark Health: A regional Blue Cross Blue Shield-affiliated insurer with a Medicaid managed care presence in select states, comparable to Amerigroup in government-program health plan delivery.

Emerging players

• Magellan Health: A specialty managed care company with a strong Medicaid behavioral health franchise, partially comparable to Amerigroup's integrated whole-person care positioning within Medicaid.

Others

• BCBS Georgia (Anthem): The Georgia Blue Cross Blue Shield licensee under the Elevance Health umbrella, sharing back-office and network infrastructure with Amerigroup Community Care of Georgia but operating in commercial and Medicare lines.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Amerigroup Community Care of Georgia