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

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Consumer Health Advocacy Organizations

Please use the comments section to suggest resources, suggest listing edits or to share your experience using resources. This site is meant to be a community resource. Our hope is that we can support each other in getting what we need.

CONSUMER HEALTH COALITION
415 East Ohio Street, Suite 300
Pittsburgh, PA  15212

Services are free.

Consumer Health Coalition has Certified Marketplace Navigators who can assist you with applying for and navigating public health insurance programs, including the Affordable Care Act or “Obamacare,” Medical Assistance, and CHIP (Children’s Health Insurance Program).

Helpline staff also assists families with renewing their health coverage, reaching their caseworkers to resolve issues, applying for free and low-cost pharmaceutical programs, navigating patient assistance programs, and learning how to use your health insurance.
 

To reach our Navigators:

  • Call our Help Line at 412-456-1877
  • For help in Spanish, call 412-456-1877  x205
  • Or visit GetEnrolledPGH.com to submit your contact information directly to CHC online.

www.consumerhealthcoalition.org

PENNSYLVANIA HEALTH LAW PROJECT
Toll Free Helpline 1-800-274-3258
staff@phlp.org
www.phlp.org

PHLP’s toll-free Helpline is available to low-income people living in Pennsylvania who need help accessing health care coverage or services through the public health system. Legal advice, counseling, information, and referral services are available through the Helpline.

Not everyone needs a lawyer. When you contact PHLP, we may provide advice or coach you on ways to fix your problem on your own. If you do need a lawyer, we will talk to you about how we might represent you in hearings or other forums. Most of our work is done over the phone.

PITTSBURGH HEALTH BRIGADE

http://pittsburghhealthbrigade.wordpress.com/

Community-created provider directory and resource listings.  Search for health care providers recommended by your fellow Pittsburghers and/or recommend someone yourself.  Sections on how to recognize good health care, resource listings and more.

THE PENNSYLVANIA HEALTH ACCESS NETWORK
Harrisburg, PA
215-557-0822 x 107
http://www.pahealthaccess.org/

PHAN can help you

  • get health insurance coverage – Medicaid, CHiP, ACA (Obamacare) Coverage…
  • resolve problems related to your health coverage
  • participate in political actions for health care access

http://pahealthaccess.org/get-help/

DISABILITY RIGHTS NETWORK
Pittsburgh Office
429 Fourth Avenue, Suite 701
Pittsburgh, PA 15219-1505
(412) 391-5225

intake@disabilityrightspa.org

https://disabilityrightspa.org/contact/

You can contact DRP’s Intake Team to seek advice about disability rights, access to services, abuse and neglect, and other issues by calling DRP’s toll-free number above or by emailing DRP at intake@disabilityrightspa.org. The intake system is staffed by intake workers (who take basic information from callers), full time intake advocates (who address advocacy issues), and full time attorneys (who addresses legal advocacy issues). Matters that require further assistance may be forwarded to a DRP staff person for follow-up while matters that require further legal advocacy may be forwarded to a DRP attorney for follow-up.