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Healthy Pennsylvania

The Healthy Pennsylvania plan was created in Pennsylvania, for Pennsylvania. It is built upon common sense reforms that provide coverage options to our most vulnerable citizens in a flexible and sustainable way that protects taxpayers. Pennsylvania is home to a world class health care delivery system, and the initiatives in Healthy Pennsylvania focus on three key priorities: improving access; ensuring quality; providing affordability.

To view the final approval letter and waiver special terms and conditions click here.

Reforming Medicaid and Healthy PA Private Coverage Option (PCO)
Healthy PA Private Coverage Option Logo

Healthy Pennsylvania is a Pennsylvania-specific solution to Washington’s proposed one-size-fits-all health care plan. It will improve and reform the state’s Medicaid program and increase access to quality, affordable health care.

With the implementation of Healthy PA, Pennsylvania will be making important sustainable reforms to its Medicaid program, including cost-sharing requirements, matching benefits to actual health care needs and placing limitations on certain benefits. The agreement will also permit Pennsylvania to provide access to health care coverage through a private coverage option to uninsured adults between the ages of 21 to 64 who are below 133% of the Federal Poverty Level (FPL).
Enrollment for the Healthy PA PCO begins
December 1, 2014.

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Frequently Asked Questions

When can I apply for coverage and when will coverage begin?
Enrollment in the Healthy PA Private Coverage Option will begin December 1, 2014. Coverage will begin on January 1, 2015. If you believe you qualify for Medicaid coverage, you may apply now.

Is there a deadline to apply?
No, there is no deadline to apply for enrollment.

How can I apply for health care coverage through Medicaid or the Private Coverage Option?

  • Apply online at www.COMPASS.state.pa.us 
  • Apply by phone through the Consumer Service Center at 1-866-550-4355
  • Complete a paper application and return it to your local County Assistance Office
  • Apply in person at your local County Assistance Office

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