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Community HealthChoices Benefits

From PA Health & Wellness

We are here to ensure you have everything you need to know about our Community HealthChoices plan. PA Health & Wellness provides the same benefits as Community HealthChoices, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services PA Health & Wellness offers for Community HealthChoices.

Need help understanding these benefits and services? Call Participant Services at 1-844-626-6813 (TTY 711).

All services must be medically necessary. Long-Term Services & Supports benefits must be authorized by your Service Coordinator, based on an assessment of your needs and a plan you develop together. 

For health care benefits, your Primary Care Provider will work with you to make sure you get the services you need. These services must be given by your Primary Care Provider or by another provider that your Primary Care Provider refers you to. 

Some services may:

  • Have coverage limits.
  • Need a doctor’s order.
  • Need prior approval.

*Some Medicaid participants may not have all the benefits listed.