HEALTHY PA ENROLLMENT BEGINS DECEMBER 1st!
On August 28th, the Centers for Medicare and Medicaid Services (CMS) announced their approval of Governor Corbett’s Medicaid Expansion alternative, Healthy Pennsylvania. The "Coverage Gap" that prevented more than 300,000 low-income Pennsylvanians from getting help paying for coverage in 2014 is now closed. From now on, individuals and families with incomes below 138% of the federal poverty level will be eligible for health insurance through Medicaid Expansion.
WHO QUALIFIES FOR HEALTHY PA MEDICAID EXPANSION COVERAGE?
Single people with yearly incomes below $16,105
Families of 2 with yearly incomes below $21,707
Families of 3 with yearly incomes below $27,310
Families of 4 with yearly incomes below $32,913
Families of 5 with yearly incomes below $38,516
Families of 6 with yearly incomes below $44,119
Families of 7 with yearly incomes below $49,721
Families of 8 with yearly incomes below $55,324
There is no longer an "asset test" for this newly-eligible
group, and you don't have to fall into certain categories to
be eligible, like with traditional Medicaid.
HOW CAN I ENROLL IN HEALTHY PA MEDICAID EXPANSION COVERAGE?
You can apply with help (in person or over the phone) from a Navigator or Certified Application Counselor by calling any of the following organizations:
Pennsylvania Health Access Network: 1-877-570-3642
Pennsylvania Benefits Center: 1-855-486-9331
Consumer Health Coalition: 412-456-1877
Pennsylvania Mental Health Consumers Association:
Mental Health America Westmoreland County:
Find an enrollment assister near you, using this map: http://pahealthaccess.org/GetHelp.
You can apply directly, through the state's Department of Human Services (formerly DPW) by:
year-round. If you apply after January 1st, the date of your application will become your coverage effective date.
WHAT BENEFITS ARE COVERED UNDER HEALTHY PA MEDICAID EXPANSION?
Healthy PA Medicaid Expansion coverage will be offered by private health insurance companies ("PCO's"). All plans will cover:
There will not be any premiums for Healthy PA Medicaid Expansion coverage in 2015. Plans do not have deductibles, but some have small co-pays for certain services.
There are 9 planned Healthy PA coverage regions in Pennsylvania, with 2 to 3 different plan options in each region. You can choose your insurance company, and providers within their network.
HOW DOES HEALTHY PA AFFECT PEOPLE THAT ALREADY HAD MEDICAID COVERAGE?
As a condition of expanding health care for some, Governor Corbett is trying to take it away from others by pushing through drastic and dangerous cuts in benefits for current enrollees that are scheduled to take effect January 1st, 2015.
All adult Medicaid enrollees would see their benefits change, and be moved from their current plan into either a "High Risk" or "Low Risk" benefits plan, both of which cover less than current Medicaid plans.
Don't let Governor Corbett take away benefits from the most vulnerable Pennsylvanians! Sign and share our petition to protect benefits today.
WHO WILL GET WHAT COVERAGE?
The following groups of people that had Medicaid before Expansion will receive the “Healthy Plus” high-risk plan:
The rest of current Medicaid enrollees (all current adult Medicaid parents or caregivers, or former foster care children) who: do not qualify for the Healthy Plus high-risk plan or who do not complete Pennsylvania’s proposed new health screening questionnaire will receive the "Healthy" low-risk plan.