Pennsylvania Health & Wellness
Remove Pennsylvania Health & Wellness from comparison1-844-626-6813
(TTY: 1-844-349-8916)
www.PAHealthWellness.com
To see a list of services covered by all plans, go to Physical and behavioral health benefits and Long-term services and supports.
Ambulance
Per trip - $0
Dental care - $0
Inpatient hospital
Per day - $0
Maximum with limits - $0
Medical centers
Ambulatory surgical center - $0
Federal Qualified Health Center or Regional Health Center - $0
Independent medical/surgical center - $0
Short procedure unit - $0
Medical equipment
Purchase - $0
Rental - $0
Medical visits
Certified nurse practitioner - $0
Chiropractor - $0
Doctor - $0
Optometrist - $0
Podiatrist - $0
Outpatient hospital
Per visit – outpatient surgical, except maternity - $0
Per visit – non-surgical or diagnostic - $0
Prescriptions
Generic - $0
Brand name - $3
X-rays
Per service - $0
- Beyond Medicaid coverage, participants can request an oral hygiene kit
- Beyond Medicaid covered vision services, $100 yearly for glasses or contacts for Nursing Facility Clinically Eligible (NFCE) participants
No extra services.
- After hospital stay: 14 days of home delivered meals
- After hospital stay: 14 days of respite care
- Smart Start for Baby
- Health library
- Community Connect community resource
- 90-day prescription refill for those not on Medicare
- My Health Pays™ card for health items at authorized retailers. Learn more at My Health Pays™.
- Support services for members waiting for LTSS eligibility determination
- Up to $5000 allowance to move from nursing facility to the community
- Personal support services for participants waiting for LTSS eligibility decision
* There are no co-pays for persons living in a nursing, personal care or domiciliary home. Pregnant women, new mothers and terminally ill participants getting hospice care have no co-pays. Some services, items and drugs have no co-pays. For co-pay updates, go to ow.ly/WGQM30hern9.