Updated: 2020-11-01 by
The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Pennsylvania in 2020, that’s $17,609. For a family of four, it’s $36,156.)
However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of August 2020, 12 states have not expanded their programs.
Pennsylvania Has Expanded Medicaid
Pennsylvania did decide to expand its Medicaid program. The state has established a program called "Healthy PA" to extend Medicaid to adults with incomes up to 138% of the federal poverty level. Those who qualify for Medicaid under the old Pennsylvania rules will continue to be enrolled in the traditional Medicaid program rather the state's expansion program.
Find Out What Health Plans and Programs You Qualify For
To learn whether you're eligible for Medical Assistance (MA) in Pennsylvania, contact the Pennsylvania Medicaid office.
You can also find out whether you qualify when you apply for health insurance at Pennie. If you don’t meet Pennsylvania’s Medicaid requirements, Pennie will show you the private health insurance plans available to you. You may still be eligible for significant cost-saving subsidies based on your income and family size.
For more information, see Ways to Save Money on Obamacare in Pennsylvania.
You may also be interested in:
Where to go in Pennsylvania to get health plans under the Affordable Care Act (Obamacare) and how to get help with the application process.
Learn whether you must have health coverage under the Affordable Care Act (Obamacare) in Pennsylvania.
Essential facts about the Affordable Care Act (ACA or Obamacare) in Pennsylvania, including whether you must get health insurance, how much it will cost, and how you can save money.