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Pennsylvania Health Insurance Plans For Participants

Preferred Drug List Notification

PA Health & Wellness’s Community HealthChoices plan uses the Pennsylvania Medical Assistance Program’s statewide Preferred Drug List (PDL) as a part of it’s outpatient drug benefit.  For more information about the statewide PDL and to view the list of preferred medications, please visit the PDL. For current members who have questions about the coverage of your current medications, please contact Member Services at 1-844-626-6813 (TTY 711).

PA Health and Wellness offers Pennsylvania health insurance plans that fit your unique needs. Program eligibility depends on your age, income, family size and any special health needs you may have. These programs are part of Pennsylvania's Community HealthChoices program. Community HealthChoices is Pennsylvania's new program for providing long-term services and supports and home and community-based services, like services in nursing facilities and at home. 

If you have Medicare, your health care benefits are not changing. If you also receive Medicaid long-term services and supports and want to enroll in PA Health and Wellness, you may consider learning more about Allwell - our partner Medicare plan. However, you do not need to enroll in Allwell in order to enroll in PA Health & Wellness Community HealthChoices. 

View all of our health insurance plans available below. Select the Pennsylvania health insurance plan or program you are enrolled with or are interested in learning more about. This will take you to more information about that program.

If you are not enrolled with PA Health and Wellness, contact an Independent Enrollment Broker or Pennsylvania Department of Human Services for more information about eligibility and enrollment. 

If you do not know what Pennsylvania health insurance plan you are enrolled in, contact us. We can help!

Long-Term Services and Supports (LTSS): Community HealthChoices

Go to Community Health Choices LTSS plan

PA Health and Wellness covers participants who are part of Pennsylvania’s Community HealthChoices program. This plan provides quality healthcare coverage with daily support and services. We partner with local organizations to offer programs and services when and where they are needed. Please click on the logo for more information.

Dual (Medicare and Medicaid) Special Needs Program (D-SNP): Allwell from PA Health & Wellness

Go to Wellcare by Allwell website

For people age 65 and older who are eligible for Medicare and Medicaid, Wellcare by Allwell is our Dual Special Needs Program. Our Allwell plans include comprehensive healthcare coverage with support you can count on. Please click on the logo for more information. 

 

Medicare Advantage: Wellcare by Allwell

Go to Wellcare by Allwell website

For people age 65 and older who are on Medicare only, Wellcare by Allwell is our Medicare Advantage Part D (MAPD) plan. Our Wellcare by Allwell plans include comprehensive healthcare coverage with support you can count on. Please click on the logo for more information. 

 

 

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