Pennsylvania Medicaid (Medical Assistance): Eligibility & How to Apply
Last updated: June 2026
In Pennsylvania, Medicaid (also called Medical Assistance) is administered by the Department of Human Services (DHS), providing free or low-cost health coverage to eligible residents, with most members enrolled in HealthChoices managed care plans.
What is Medicaid in Pennsylvania?
Pennsylvania Medical Assistance is a joint federal and state program that helps cover medical costs for people with limited income and resources, including children, families, pregnant women, seniors, and people with disabilities.
Who is eligible?
Eligibility depends on your income (compared to the Federal Poverty Level), household size, and category — such as children, pregnant women, parents and caretakers, adults, seniors, and people with disabilities. Many states cover adults under Medicaid expansion. Income limits vary by group, so check the official source below for current thresholds.
What does Medicaid cover?
- Doctor visits and preventive care
- Hospital and emergency services
- Prescription drugs
- Maternity and newborn care
- Mental health and substance use services
- Lab tests and X-rays
How to apply
- Online: COMPASS
- By phone: 1-866-550-4355
- In person: at a local Pennsylvania office
- Federal Marketplace: HealthCare.gov
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For the most accurate and current information, visit the official Pennsylvania Medicaid site at pa.gov (DHS) or the federal Medicaid.gov.
Related programs
- Pennsylvania SNAP (Food Assistance)
- Pennsylvania TANF (Cash Assistance)