Our social workers can help you apply for Medical Assistance or CHIP anytime of the year. If you are an adult and do not quality for Medical Assistance, you may qualify for Marketplace Health Insurance. If you do not qualify for any insurance programs, our social workers can help you apply for local hospital assistance programs.
Additionally, when everyday life experiences become challenging, our social workers are here to help you with referrals to food banks, shelters, aging, and disability services. Call 717-299-6371 or ask a patient access specialist at one of our locations to schedule an appointment with a social worker who can look into your eligibility for different programs.
Medical Assistance (also known as Medicaid)
Medical Assistance (also known as Medicaid) is a public health insurance program through the state of Pennsylvania. Medical Assistance has a comprehensive benefit package with very little cost sharing. There are various Medicaid categories for adults, children, and older and/or adults with a disability.
Children's Health Insurance Program (CHIP)
The Children’s Health Insurance Program (CHIP) also offers a comprehensive coverage for children whose household income is too high to qualify for Medical Assistance. Depending on income, CHIP is either free, low-cost, or at-cost (for higher income families). Children must be uninsured to qualify.
Health Insurance Marketplace
The Health Insurance Marketplace (also known as the “Marketplace” or “exchange”) is a service through the federal government (healthcare.gov) that helps people shop for and enroll in affordable health insurance.The Marketplace provides health plan shopping and enrollment services through websites, call centers, and in-person help. You may be eligible for a tax subsidy to help pay premium costs.
Lancaster Health Center has social workers who are trained as Marketplace Certified Application Counselors to help you look into eligibility for Marketplace Insurance. Our Certified Application Counselors will help you to create an account, apply for affordable insurance, pick the best plan that fits your needs, and enroll in an insurance plan.
Already have Marketplace Health Insurance coverage?
It is very important to re-enroll with one of our Certified Application Counselors or by calling the Marketplace at 1-800-318-2596 or logging into your healthcare.gov account. If you do not do this, you may lose your tax subsidy and your premiums may go up.
Marketplace plans can change each year, including costs and coverage. You may benefit from a change, and you never know until you compare.
Will I qualify for lower out-of-pocket costs?
This online Subsidy Calculator will help give you an idea of what the cost of your insurance will be. This tool illustrates health insurance premiums and subsidies for people purchasing insurance on their own in new health insurance exchanges (or “Marketplaces”) created by the Affordable Care Act (ACA). With this calculator, you can enter different income levels, ages, and family sizes to get an estimate of your eligibility for subsidies and how much you could spend on health insurance.
Call 717-299-6371 or speak with a patient access specialist at one of our locations to schedule an appointment with a social worker who can consider your eligibility for a variety of programs.
You can also apply online or call the Marketplace at 1-800-318-2596.
What to bring with you to an enrollment assistance appointment with a social worker:
- ID – driver’s license, state ID, or any other picture ID that you have
- Pay-stubs from the last month and documentation of any other income
- Documentation of immigration status
- Tax return (most recent)
- Bank statement (some Medical Assistance categories require this)
- Social Security numbers for all household members