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Pennsylvania (see list of PA Health Care Services & Programs below)
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Pennsylvania Resources

Health Care Services and Programs (PDF version of below)

The following information was prepared by the Pennsylvania Insurance Department, Office of CHIP and adultBasic, Harrisburg, PA. For more information go to www.chipcoverspakids.com or www.insurance.pa.gov.

There are many health care services and programs available to you and your family, whether you have health insurance or not.  Many of them are free or low-cost, depending upon your income. Below is a list of health care services and programs available to you:

Updates on Insurance Options -- The Insurance Department’s Web site, www.insurance.pa.gov offers information and updates on insurance options in Pennsylvania, including a list of licensed insurance companies. For updates on insurance options, click on the blue “Health Options” icon on the bottom right. For information on private insurance options, go to the orange “Resources for Consumers” box and click on “Find an Insurance Company” to view licensed companies in Pennsylvania.  This information may also be requested by calling the Department’s automated Consumer Hotline at 1-877-881-6388.

Community Health Centers -- There are approximately 170 community health centers across the state that offer free or low-cost care on an ability-to-pay basis. In some locations, a full range of services such as dental care and prescription drugs may be available. Services may be free or low-cost, based on your household income. To find the health centers nearest you, call the PA Association of Community Health Centers, Monday to Friday, 8:30 am to 5:00 pm, at 1-866-944-CARE (2273), or go to http://findahealthcenter.hrsa.gov for a list of health centers.

Medical Assistance (MA) -- If your circumstances change (for example, if you become disabled, turn 65, or become pregnant) or your income decreases while you are on the adultBasic waiting list, you may qualify for MA.  To find out more, go to www.compass.state.pa.us and click on “Screen for Benefits” to find out if you may be eligible for MA.  Remember, you can always re-apply for MA.

Children’s Health Insurance Program (CHIP) -- Pennsylvania offers high quality, comprehensive free or low-cost health care coverage for every child up to age 19, who is not eligible for Medical Assistance.  There are three easy ways to apply: online at www.chipcoverspakids.com; over the phone by calling 1-800-986-KIDS (5437); or download a paper application at www.chipcoverspakids.com.

SelectPlan for Women – Pennsylvania’s SelectPlan for Women is a free, confidential health care program for women between the ages of 18 and 44 that pays for family planning services and related preventive health screens provided by participating health care professionals. Family planning-related prescriptions are free at any participating pharmacy. For more information and to see if you are eligible, call 1-800-842-2020 or go to www.selectplanforwomen.com.

HealthyWoman Breast and Cervical Screening Program (HWP) -- HWP offers breast and cervical exams at no cost for eligible women. These exams include mammograms, clinical breast exams, pelvic exams and Pap tests. You qualify if you are 40 to 64 years old (women under 40 and over 64 may also qualify); have no or limited insurance; and have low to moderate income.  For more information and to find the HWP check-up site near you, call 1-800-215-7494 or go to www.pahealthywoman.org.

Breast and Cervical Cancer Prevention and Treatment Program (BCCPT) -- If you have been diagnosed with breast or cervical cancer or a pre-cancerous condition of the breast or cervix, you may be eligible for free care through BCCPT. The care covers your breast or cervical cancer treatment, as well as any other unrelated conditions while receiving your cancer treatment.  You qualify if you are female; under age 65; meet the income requirements; and have no or limited insurance. For more information, call 1‑800-842-2020 or go to www.dpw.state.pa.us, “Information for Families & Individuals”, “Health Care/Medical Assistance”, “Breast and Cervical Cancer Prevention and Treatment Program”.

Pregnancy/High-Risk Pregnancy (Healthy Beginnings/Healthy Beginnings Plus) -- If you are pregnant, you may be eligible for Healthy Beginnings or Healthy Beginnings Plus – free programs that provide comprehensive health care coverage to pregnant women and their babies for a full year. Call 1-800-842-2020 for more information on how to apply and for locations near you.  You can also go to www.dpw.state.pa.us , “Information for Families & Individuals”, “Health Care/Medical Assistance”, “Healthy Beginnings Medical Assistance Program” or “Healthy Beginnings Plus Map/Providers.” 

Children with Special Health Care Needs -- If your child has a special health care need or a chronic condition, s/he may qualify for Medical Assistance and/or other services, regardless of your household income.  Please call the Special Kids Network at 1-800-986-4550 or go to www.dpw.state.pa.us , “Information for Families and Individuals”, “Child Care and Early Education”, “Special Kids Network”.

COBRA Benefits -- If you worked for a company that offered health insurance and you are now unemployed, you may be eligible for help from the federal government to pay for your and/or your family’s health insurance. The COBRA program pays for 65% of the costs of your employer-based health insurance.  Ask your employer if you can enter the COBRA program or go to www.insurance.pa.gov (click on the blue “Health Options” icon on the bottom right) for more information.

Medical Assistance for Workers with Disabilities (MAWD) -- MAWD is a health insurance program for working individuals with a disability. There is no set requirement for how many hours you must work or how much you must earn, but you must work and receive wages to qualify. For more information, call 1-800-692-7462 or go to www.dpw.state.pa.us , type in “MAWD” in the Site Search box in the top right corner, then click on the first link to “Medical Assistance for Workers with Disabilities”.

Pharmacy Assistance  - Pennsylvania residents who do not participate in any other state or federally funded prescription program may be able to receive free or low-cost prescriptions.  If you have a prescription discount card, you may still qualify. Call 1-800-955-0989 for The Pennsylvania Patient Assistance Program Clearinghouse or go to www.aging.state.pa.us , “Prescription Assistance” and “Other Pharmaceutical Programs.” The Clearinghouse will help you apply for free or low-cost prescription medicines available from drug manufacturing companies and other sources.

Special Pharmaceutical Benefits (HIV/AIDS and Schizophrenia) -- If you have been diagnosed with HIV/AIDS or schizophrenia, this confidential program helps pay for specific drug therapies used in your treatment. Call 1‑800-922-9384 or go to www.dpw.state.pa.us, “Information for Families & Individuals, Health Care/Medical Assistance, AIDS Waiver Program, Special Pharmaceutical Benefits Program.”

Dental Care -- Free or low-cost dental care may be provided by a dentist or clinic in your area.  For more information, go to www.padental.org and choose “Patients.”

Mental Health Treatment/Drug or Alcohol Abuse Treatment -- Individuals and families can receive mental health, drug or alcohol treatment at a location close to home.  Services may be free or low-cost, depending on your household income.  Call 1‑800-692-7462 or go to www.dpw.state.pa.us, “Information for Families & Individuals”, “Mental Health and Substance Abuse Services” to find a program near you.

Financial Assistance with Hospital Bills – Most hospitals offer financial assistance for uninsured patients who need treatment but cannot afford to pay their bills.  Patients who qualify will have their bills reduced or eliminated. If you have hospital bills that you cannot afford to pay, call the hospital’s billing department and ask how you may apply for financial assistance.