We may be able to help people get insurance to pay for visits to the doctor, medicine, and other health care needs.
Medical Assistance (Medicaid) is a program that provides health insurance to certain people. Generally, individuals must be low-income and fall into a specific category or group to receive Medical Assistance. Children, pregnant women, seniors, people with disabilities, and some others may qualify.
Many people who do not receive Medical Assistance may actually be eligible. Individuals can apply online at https://www.compass.state.pa.us/compass.web/CMHOM.aspx?hdn_Flag=ES or at their local County Assistance Office.
If you are applying because you have health problems, your doctor may have to fill out a disability form at http://www.dpw.state.pa.us/cs/groups/webcontent/documents/form/s_002644.pdf and say that your health problems will last twelve months or longer. If you are denied, you should appeal and seek help.
Beginning in 2014, people can purchase health insurance under the new health reform law (the Affordable Care Act, sometimes called “Obamacare”). The health insurance is very good. It covers most doctor and hospital visits, and most prescriptions. Many people with income will qualify for financial help to buy health insurance.
The application period for 2014 closed on March 31, 2014, and the application period for 2015 will run from October 1, 2014 to December 31, 2014.
Some people will be able to apply outside of the application period if they have changes in circumstances, like they moved out of state or lost other health insurance coverage.
To find out if you qualify, call 1-800-318-2596 (press “2” for Spanish) or go to www.healthcare.gov.
Medicare is a federal health insurance program for those who are at least 65. You may also get it if you are under 65 and are disabled and receiving Social Security Disability Insurance (SSDI) benefits, suffer from ALS (Lou Gehrig’s disease) or have end stage renal disease. CLS may be able to help if you have been denied coverage of a Medicare benefit, service or item (like medical equipment or supplies), or if you need legal advice or assistance with your Medicare benefits. To apply for Medicare, visit http://es.medicare.gov/.
How to get help
Community Legal Services
North Philadelphia Law Center
1410 West Erie Avenue
Philadelphia, PA 19140
Monday, Wednesday, Friday
9:00 am -12:00 pm