Health Insurance Coverage (Behavioral and Physical Health)
Information about health care and health insurance programs. Each program has its own eligibility requirements.
Health Insurance Marketplace
The Open Enrollment Day for uninsured individuals to sign up for health insurance is October 1, 2013. You can learn about your options now by visiting this website.
Learn more about the Affordable Care Act and find the help you need to choose a plan that is right for you.
- CHIP – Children’s Health Insurance Program
Phone: 1-800-986-KIDS (5437)
CHIP provides health insurance to uninsured kids in Pennsylvania. All uninsured children up to age 18 years, regardless of their parents’ income, can qualify. In some cases, the child must be uninsured for six months prior to enrollment. CHIP works through various private health insurance companies to allow children to receive immunizations, prescriptions, and vision exams, and to visit the doctor and dentist. The cost for coverage is based on income and ranges from free to about $150 per month per child, and there are co-pays for some services.
- Medical Assistance (Medicaid)
Medical Assistance, also known as "MA" or "Medicaid," provides free health care coverage to low-income Pennsylvania residents. Residents should fit into one of the eligibility groups that are covered by the MA program and have income, and sometimes resources, that fall below the level set by the State for their category of MA eligibility. Apply using the COMPASS website, or by calling the County Assistance Office at 412-565-2146.
- Behavioral Health Insurance (Allegheny County HealthChoices mental health, alcohol, drug, or other addiction services)
Community Care Behavioral Health Organization (Community Care) is the behavioral health managed care organization for Allegheny County residents who receive medical assistance. Community Care’s mission is to improve the health and well-being of the community through the delivery of effective, cost-efficient, and accessible behavioral health services.
- Pa. Fair Care
Pennsylvania's health plan for uninsured adults with pre-existing conditions. It provides transition coverage while the federal health insurance laws come into affect. Availability is extremely limited.
Help with Medicare
- Medicare Part D
Information about the Part D prescription drug benefit available to individuals enrolled in Medicare.
- Allegheny County Rx Program
The program is free to any Allegheny County resident regardless of age, income, or existing health coverage; and is honored at more than 300 participating pharmacies in Allegheny County. A national network of more than 60,000 participating retail pharmacies also will honor the NACo prescription discount card. The program is sponsored by the National Association of Counties (NACo).
Apply for publicly-funded benefits on-line or by calling the County Assistance Office at 412-565-2146.
- Consumer Health Coalition
The Consumer Health Coalition provides assistance with determining eligibility and completing applications for public health care programs.
- Pennsylvania Health Law Project
Phone: 1-800-274-3258 (TTY 1-866-236-6310 )
PHLP website provides helpful newsletters with current content. PHLP also free legal services and advocacy to Pennsylvanians having trouble accessing publicly-funded health care coverage or services. Helpline at 1-800-274-3258 (TTY 1-866-236-6310 ).