Adults between the ages of 19-64 may be eligible for the plan if they are low-income. To know if you are qualified based on your income, you’ll want to look at the Federal Poverty Income Guidelines (FPIG). If you earn less than 133% of the amount listed for the size of your household, you may be qualified.
Individuals 65 years or older who meet disability requirements could receive benefits.
Both single and married individuals with temporary disabilities could qualify under Temporary Assistance for Needy Families (TANF). This could include:
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Gateway Health Plan, Inc. d/b/a Highmark Wholecare is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare offers HMO plans with a Medicare Contract. Enrollment in these plans depends on contract renewal.
Your managed care plan may not cover all your health care expenses. Read your member handbook carefully to determine which health care services are covered.
Highmark Wholecare provides Medicaid coverage for Blue Shield in 13 counties in central PA and Blue Cross Blue Shield in 14 counties in western PA. Highmark Wholecare provides Medicare Dual-Eligible Special Needs Plans (HMO D-SNP) for Blue Shield in 30 counties in central and northeastern PA, 5 counties in southeastern PA, and for Blue Cross Blue Shield in 27 counties in western PA.