Medicaid Plan

Health Partners Plans Medicaid

A Medicaid plan built around you. 

Since 1985, Health Partners Plans Medicaid has been the health plan that puts your needs first. From $0 copays for covered services and prescriptions to fitness benefits and more, we provide a full range of benefits so you can live your life to its fullest. We connect you with essential resources that go far beyond the doctor’s office – including housing, food, fitness and transportation – because we believe in helping you thrive. 

Health Partners Plans Medicaid is consistently one of the highest-rated Medicaid plans in Pennsylvania.

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Our Medicaid Plan

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Get covered. Stay healthy.

Health Partners Plans Medicaid covers doctor visits, prescriptions, immunizations, eye exams, hospitalizations and more. We also support you with additional health and wellness benefits, including fitness center memberships and nutrition counseling.


$0 copays for covered medical services and prescription drugs

Enhanced vision benefits from participating providers at no cost to you

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Get the benefits you need for your best health.

Plan Benefit

Cost

 

Monthly Premium

 

$0

PCP Visits

$0 Copay

Specialist Visits

$0 Copay

Referrals

Not Required

Urgent Care

$0 Copay

Emergency Room

$0 Copay

Inpatient Hospital

$0 Copay

Outpatient Surgery

$0 Copay

Lab Visits

$0 Copay

Prescription Drugs (including over-the-counter medicines with a doctor's prescription)

$0 Copay on all prescription drugs

Maximum Out-of-Pocket

$8,850

Fitness Memberships

Free membership at a participating fitness center

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Medicaid
Call today to learn more!

If you would like to enroll in Health Partners Plans Medicaid, you must qualify for Medical Assistance through the state of Pennsylvania.

If you have Medical Assistance, you can enroll in Health Partners Plans Medicaid by calling PA Enrollment Services at 1-800-440-3989 (TTY: 711). A HealthChoices Enrollment Specialist will answer your questions about Health Partners and help you choose a plan.

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Frequently Asked Questions

You may be eligible for Medicaid depending on your financial situation or other Federal eligibility requirements. Medicaid covers individuals and families who qualify based on low-income status or non-financial factors such as pregnancy, veteran status, age or disability. To qualify for Health Partners Plans Medicaid, you must be eligible for Medicaid and be a resident of the State of Pennsylvania. 

To see if you are eligible, visit COMPASS.

You can apply for Medicaid through Pennsylvania’s online application portal, COMPASS, to complete an online application.

If you qualify for Medicaid in Pennsylvania, enrolling in Health Partners Plans Medicaid is easy! Visit our How to Enroll page to get started.