Health Insurance Options

YWCA
412-255-1471 or 211
YWCAPGH.ORG/HEALTH

YWCA staff can help you apply for Medicaid, CHIP or ACA Marketplace health insurance.

MEDICAL ASSISTANCE

Consumer Health Coalition at 412-456-1877 can help with filling out medical assistance forms and navigating that system. Pennsylvania Health Law Project has some very useful information on Medical Assistance in their health care guide at www.phlp.org. Call them for legal assistance at 1-800-274-3258.

PHLP also has a quickscreen tool that you can use to estimate eligibility for medical assistance:

http://www.phlp.org/quickscreen

The best way to know if you qualify for medical assistance is to apply. Some programs e.g. Charity Care programs at hospitals, require you to apply for and be turned down for medical assistance before they will consider you for their programs. To apply, call your local County Assistance Office for an application. The Allegheny County Assistance Office can be reached at 412-565-2146. For the phone number for the County Assistance Office in other counties, look in the Blue Pages of your local phone book under “State Government” and then under “Public Welfare Department”.

You can also apply online for medical assistance (as well as food stamps, cash benefits…) through the COMPASS website at:

www.compass.state.pa.us

MEDICAL ASSISTANCE FOR WORKERS WITH DISABILITIES (MAWD)

The MAWD program gives individuals with illness or disability the opportunity to go back to work without fear of losing their health benefits. You can still receive social security and be eligible for the program.

To be eligible you must:

Be between the ages of 16 and 64
Be employed at least one hour per month and receiving compensation
Be mentally, physically, or developmentally disabled (You do not have to receive SSDI)

*Disability here can be defined as having a medical condition that, if left untreated, would interfere with your ability to work.

Earn less than 250% of the Federal Poverty Level – $29,700 per month as a single person in 2016
Have less than $10,000 in resources

You can apply online using the COMPASS website – https://www.humanservices.state.pa.us/compass/CMHOM.aspx or over the phone at the Department of Public Welfare HelpLine at (800) 692-7462.

The Consumer Health Coalition can also help with info or with the application process. 412-456-1877 x200.

CHIP – PA CHILDREN’S HEALTH INSURANCE PROGRAM
800-986-KIDS (5437)

http://www.chipcoverspakids.com/

CHIP covers all uninsured kids and teens up to age 19 who are not eligible for Medical Assistance. No family makes too much money for CHIP because there is no income limit. Coverage is free for families that meet income requirements.

HEALTH INSURANCE FOR PENNSYLVANIA RESIDENTS

Information for consumers on insurance in PA. Terms, tips, etc. You can also file a complaint against a PA insurance provider on this site.

http://www.ins.state.pa.us

HIGHMARK BLUE CROSS BLUE SHIELD SPECIAL CARE

 1-800-381-7779

Very basic health coverage for those who meet income requirements. Has pre-existing condition clause.

https://www.highmarkblueshield.com/pdffiles/enrollment/income_guidelines_CPA.pdf

Paying for Hospital Bills

 

Pittsburgh hospitals have patient assistance programs to help low-income patients with no or limited insurance pay hospital bills. UPMC, for example, may offer assistance to those who make under 400% of the Federal Poverty Level ($47,550 for a 1-person household.) They often do NOT offer this information. Ask! These programs are called charity care, patient assistance, financial assistance… If you apply and are denied, contact a consumer health advocacy organization such as the Pennsylvania Health Law Project listed in the Consumer Health Advocacy Organizations section to appeal. They can also help you with questions on the application process.

Call or see the links below for income guidelines and application procedures.

UPMC FINANCIAL ASSISTANCE PROGRAM

1-800-371-8359

http://www.upmc.com/patients-visitors/paying-bill/services/Pages/apply.aspx

ALLEGHENY HEALTH NETWORK MEDICAL ASSISTANCE

1-800-547-0540

https://www.ahn.org/financial-assistance-ahn-bills

MERCY FINANCIAL ASSISTANCE

1-855-420-7900

https://www.mercy.net/mercy-financial-assistance