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Pennsylvania, we’ve got you covered

Looking for low-cost or no-cost health insurance in PA? We offer Medicaid and CHIP plans through the PA Medical Assistance (MA) program. We also offer dual health plans for people with both PA Medicaid and Medicare.

Helping people is at the heart of all we do

All Pennsylvanians deserve affordable health care. And more people than ever are eligible for no-cost or low-cost health coverage. This includes the seniors, families, people with disabilities, pregnant women and children. You may qualify too.

At UnitedHealthcare Community Plan of Pennsylvania, we’re committed to making a difference in each member’s life. We take great pride in the quality of service we provide to our PA Medicaid and CHIP members. We look forward to serving you.

See why Pennsylvanians choose UnitedHealthcare

Whatever plan you choose, UnitedHealthcare will help you get the care you need.

  • Large variety of network providers
  • $0 or low cost co-pays
  • Highly experienced staff to help you navigate through every step of the health care system

All medicaid and chip members must go through the recertification process annually. It’s not automatic. A renewal form will be sent to you 90 days before your coverage ends. A UnitedHealthcare Community Plan representative may call you to help you with the renewal process. Learn more.

Pennsylvania health plans as low as $0 cost


PA Medicaid Plan:
Community Plan for Families

  • No- or low-cost
  • Pregnant women and children
  • Low-income individuals with families
  • Blind and disabled individuals
  • U.S. citizens, nationals and qualified aliens

PA CHIP Plan:
Community Plan for Kids

  • Under 19 years of age
  • Uninsured
  • U.S. citizens, nationals and qualified aliens
  • Meet PA CHIP income rules

PA Dual Special Needs Plans:
United Dual Complete

  • Those qualifying for both Medicaid and Medicare
  • Individuals 65 and up
  • Blind and disabled individuals
  • More benefits than Original Medicare

Featured Programs


Medicaid: More for you in 2023

As a UnitedHealthcare Pennsylvania Medicaid member, you’ll get extra benefits that some plans don’t offer.

  • Visits to your personal doctor
  • Specialist care
  • 24-hour emergency room care when needed
  • Immunizations for children
  • Prescriptions, based on Medicaid eligibility
  • Dental services, based on Medicaid eligibility
  • Vision care, including 2 pairs of glasses
  • comprehensive coverage including some benefits that other plans don't offer

Bucks, Chester, Delaware, Montgomery and Philadelphia


Dual Special Needs Plans in 2023

Pennsylvanians on a UnitedHealthcare Dual Special Needs Plan (or dual health plan) get many extra benefits beyond those you get with either Original Medicare or PA Medicaid.

  • Prescription drug coverage — $0 copay on all covered generic and brand-name prescriptions including home delivery
  • OTC+Healthy Food — up to $125 a month on a prepaid card for OTC products and covered groceries at many retailers or online for home delivery
  • Dental coverage — up to $3500 for covered dental such as exams, x-rays, cleanings, fillings, crowns, root canals, extractions and dentures

CHIP Plans in 2023

CHIP is short for the Children's Health Insurance Program. The CHIP program provides $0 or low cost health insurance to uninsured child and teens, regardless of income status.

With PA CHIP, children get health coverage, including:

  • Doctor visits
  • Hospital care
  • Immunizations
  • Laboratory tests and X-rays
  • Emergency care
  • Eyeglasses
  • Prescription drugs
  • Dental services
  • Behavioral health and substance abuse services
  • Rehabilitation therapies
  • Maternity care
  • Family planning

Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Carbon, Chester, Clarion, Columbia, Crawford, Cumberland, Dauphin, Delaware, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Mercer, Monroe, Montgomery, Montour, Northampton, Perry, Philadelphia, Pike, Schuylkill, Somerset, Sullivan, Susquehanna, Venango, Warren, Washington, Westmoreland, Wyoming, and York.


Urgent Care

UnitedHealthcare Community Plan covers urgent care. Urgent care is for an illness, injury or condition that, if not treated within 24 hours, could quickly turn into an emergency. It’s when you need to get care from a doctor, but not in the emergency room.

If you have any questions, please call Member Services at 1-800-414-9025, TTY/PA Relay 711.


Dental care services

For members under 21 years of age:

UnitedHealthcare Community Plan provides all medically necessary dental services for children under 21 years of age.* Children can go to any participating dentist in the UnitedHealthcare Community Plan network.

* If braces were placed before age 21, the care will be covered until it is done, or until age 23, whichever comes first. That is, as long as the member remains eligible for Medical Assistance and is still a member of UnitedHealthcare Community Plan.

For members 21 years of age and older:

UnitedHealthcare Community Plan covers some dental services for members 21 years of age and older. Care must be provided by dentists in the UnitedHealthcare Community Plan network. Some dental services have limits. All adult members are eligible for emergency dental services related to treatment for pain.

Reading-newsltter

Family Planning

UnitedHealthcare Community Plan covers family planning services. You don’t need a referral from your primary care provider (PCP). Family planning services include:

  • Pregnancy testing
  • Testing and treatment of sexually transmitted diseases (STDs)
  • Birth control supplies
  • Family planning education and counseling

You can see any Medical Assistance provider, including an out-of-network provider that offers family planning services.

There’s no copay for covered family planning services.

For more information or to get help finding a family planning provider, call Member Services at 1-800-414-9025, TTY/PA Relay 711.


Maternity care

UnitedHealthcare covers pregnancy care. Prenatal care is the health care women get during pregnancy and through delivery. It could be from a maternity care provider, such as an obstetrician (OB or OB/GYN) or a nurse-midwife.

Early and regular prenatal care is very important for you and your baby’s health. Even if you’ve been pregnant before, it’s important to go to a maternity care provider regularly throughout each pregnancy.

Think you’re pregnant and want a pregnancy test? See your primary care provider (PCP) or a family planning provider.

If you’re pregnant, you can:

  • Call or visit your PCP. They can help you find a maternity care provider in the UnitedHealthcare Community Plan network.
  • Visit a network OB or OB/GYN or nurse-midwife on your own. You don’t need a referral for maternity care.
  • Visit a network health center that offers OB or OB/GYN services.
  • Enroll in UnitedHealthcare Community Plans special program for pregnant woman. It's called Healthy First Steps. This program helps make sure that both mom and baby get good medical attention.

Need help finding a maternity care provider? Call Member Services at 1-800-414-9025, TTY/PA Relay 711.

woman-power-walking

Children’s health services

UnitedHealthcare Community Plan covers well child checkups for children under the age of 21. Your child may be seen by a pediatrician (child’s doctor), family practice doctor or nurse practitioner. The provider you choose will be your child’s primary care provider (PCP).

The purpose of well child visits is to make sure children are developing and growing properly and to check for any health problems. Catching physical and behavioral health issues early can make them easier to treat.

If you have questions or want more information, call Member Services at 1-800-414-9025, TTY/PA Relay 711.

Find answers to these health questions and many more.

If you do play video games, play interactive ones where you have to move. You don’t even have to leave the house to move – try exercises like jumping jacks, marching in place, going up and down stairs, push-ups or sit-ups at home.

Walk! Take a walk with a friend outside. Walk your dog or your neighbor’s dog, or walk your cat! Instead of driving, walk or bike to school or a friend’s house.

Clean! Vacuum your room. Wash the car. Mow the lawn. Your parents will be happy, and it’s another chance for you to get more exercise, and maybe even have some fun.

Unplug! Limit your time watching TV or using your smartphone, computer or other device. Keep screen time to less than two hours a day. When you do watch TV or use your phone – try marching in place or exercising while you watch/play.

Learn about plan types

Medicaid Plans

PA Medicaid, is health insurance for people with low incomes. You might be able to get Medical Assistance (Medicaid) in Pennsylvania if you’re pregnant, have children or live with a disability. In some cases, other adults may also qualify. Costs to you are low and based on your ability to pay. It’s important to know that Medicaid rules and coverage differ from state to state.

Dual Special Needs Plans (D-SNP)

Dual Special Needs Plans (also called dual health plans or D-SNPs for short) are for people who get both PA Medicaid and Medicare. Dual plans cover doctor visits, hospital stays and prescription drugs. They offer more benefits and extras than Original Medicare. You’ll keep all your Pennsylvania Medical Assistance (Medicaid) benefits, too.

Children's Health Insurance Program (CHIP)

CHIP is short for the Children's Health Insurance Program. The CHIP program provides health insurance to uninsured children and teens.

There are a lot of reasons kids might not have health insurance. Maybe a parent lost their job. Maybe their parents don't have health insurance at work. Or maybe it just costs too much. Whatever the reason, CHIP may be able to help.

You might think that your children or teens aren't eligible. A lot of parents are surprised to learn that CHIP can help their families. If you qualify, you can get CHIP at no cost or for a small monthly payment. Either way, no cost or low cost, there are no deductibles.

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