Income Limits for Medical Assistance in PA

Learn about the income limits for medical assistance in Pennsylvania and how to apply for coverage.

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What is Medical Assistance in PA?

Medical Assistance in Pennsylvania is a program that helps eligible low-income residents pay for health care The program is also known as Medicaid.

In order to qualify for medical assistance, you must meet certain income and asset limits. The income limit is different for each household size. For example, as of 2019, a family of four can have a monthly income of no more than $2,313 to qualify for medical assistance.

In addition to meeting the income requirements, you must also be a U.S. citizen or legal immigrant, a Pennsylvania resident, and have a Social Security number.

There are some exceptions to the income and asset limits. For example, if you are pregnant or have young children, you may still qualify for medical assistance even if your income is higher than the limit.

If you think you may be eligible for medical assistance in Pennsylvania, you can apply online at https://www.compass.state.pa.us/CompassPortal/Provider/medicaid_landing_page/.

Who is eligible for medical assistance in PA?

To be eligible for medical assistance in Pennsylvania, your income must not exceed the following limits:

-For a family of one, your monthly income must be at or below $1,317
-For a family of two, your monthly income must be at or below $1,782
-For a family of three, your monthly income must be at or below $2,247
-For a family of four, your monthly income must be at or below $2,712

What are the income limits for medical assistance in PA?

There are income limits for medical assistance in PA. The limits vary depending on the size of your family and your income. You can find the income limits on the Pennsylvania Department of Human Services website.

How do I apply for medical assistance in PA?

You may be eligible for free or low-cost health insurance through Medicaid depending on your income, family size, disability status, pregnancy status, and other factors. You can apply for medical assistance through the Pennsylvania Health Care Portal.

How do I renew my medical assistance in PA?

To renew your medical assistance in Pennsylvania, you will need to fill out an application and submit it to your local county office. You will need to provide proof of income, proof of assets, and proof of citizenship or legal residency.

You can renew your medical assistance online at https://www.compass.state.pa.us/Compass.Web/Public/CMHPublic/Login?ReturnUrl=%2fcompass%2fweb%2fpublic%2fcmpublic%2findex& SelectedService=Benefits&SelectedLocale=en-US&SelectedLanguage=en-US, or you can renew by mail or in person at your local county office.

What are the copayments for medical assistance in PA?

There are copayments for certain services under medical assistance in Pennsylvania. These copayments are generally $8 for office visits and $5 for prescriptions. There are some exceptions to these copayment amounts, so please check with your doctor or pharmacist to see if a particular service or medication is subject to a different copayment amount.

What are the covered services under medical assistance in PA?

There are a number of covered services under medical assistance in Pennsylvania. These services include, but are not limited to:
-Doctor visits
-Hospitalization
-Prescription drugs
–mental health services
-Substance abuse treatment
-Physical therapy
-Occupational therapy

What are the covered drugs under medical assistance in PA?

There are many different types of drugs that are covered under medical assistance in PA. These drugs include prescription drugs, over the counter drugs, and certain herbal remedies. The income limits for medical assistance in PA vary depending on the type of drug that is being covered.

How do I change my primary care provider under medical assistance in PA?

Under Medical Assistance in Pennsylvania, you have the right to choose your primary care provider (PCP). You can pick a PCP from the list of MA-approved providers in your county.

If you want to change your PCP, you have to submit a written request to your local county assistance office. The request must include:
-The reason why you want to change your PCP, and
-The name and address of the PCP you want to switch to.

medical assistance income limits

How do I file a complaint under medical assistance in PA?

If you are a medical assistance recipient and would like to file a complaint, there are three ways to do so:
-Call the Office of Medical Assistance Customer Service at 1-800-597-1603.
-Download and complete the Customer Service Complaint Form (PDF), then fax, email or mail it to your county office.
-Fill out an online form on the Office of Medical Assistance website.