Pennsylvania Medicaid Eligibility Requirements

If you are looking to apply for Medicaid in Pennsylvania** then read the information below. Though we try to provide accurate information please note this is for informational purposes. We recommend you contact your Pennsylvania Medicaid Office to verify these eligibility requirements.

Pennsylvania Medicaid Overview
Medicaid is a program for Pennsylvania residents who can't afford to pay for medical care.

Pennsylvania Medicaid Eligibility
Must be a U.S. citizen or a qualified alien and a Pennsylvania resident.

Medicaid Income Requirements In Pennsylvania
This information is based on the Federal Poverty Level (FPL). These income guideline standards were effective starting January 1st, 2014.
Children
Age 0-1 215% FPL
Age 1-5 157% FPL
Age 6-18 133% FPL

Pregnant Women
215% FPL

Adults
Parents 33% FPL
Other Adults 0%
Is Medicaid Expanding? No

Documents You May Need
Proof of Household Income
Social Security Numbers and Birth Dates of All Household Members Applying for Coverage
Information on Current or Recent Health Insurance
Car Insurance Information (If you own a car)
Housing and Utility Expense Information
Proof of Assets
Proof of Citizenship

Medicaid Coverage In Pennsylvania
Office visits, prescription drugs, immunizations, vision testing and eye glasses, emergency room care, lab testing, x-rays, hearing testing and hearing aids, and mental and substance abuse treatment.

**The information provided above is a general guideline when applying for Pennsylvania Medicaid. These guidelines can change from time to time, because of that we recommend that you contact your local Medicaid office in Pennsylvania to verify the latest eligibility requirments for Medicaid coverage in Pennsylvania.