HealthChoices State Medicaid Physical Health Managed Care Enrollment Programs - New East Zone

HealthChoices Physical Health Enrollment - New East Zone

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General Information
Description of ServiceHealthChoices is an enrollment broker that assists most people eligible for Medical Assistance with choosing and enrolling in one of three managed care plans (PH-MCOs), AmeriHealth Northeast, CoventryCares, or Geisinger Health Plan, in order to get the services they need. Eligible consumers must choose a primary health practitioner (PHP), or primary care provider (PCP), and get all of their medical care through that plan.
Consumers are not locked in to a particular plan and may change their plan at any time. PA Enrollment Services can assist consumers with plan transfers.
All Medical Assistance recipients will still be issued an ACCESS card that will verify their eligibility for MA benefits and the program(s) under which they are served.
For those in treatment plans, the new managed care plan will make sure you keep getting the care you need. They can continue to see their current doctor for as long as 60 days even if the doctor is not in the health plan's network.
Geographical AreaTioga County, Bradford County, Susquehanna County, Wayne County, Lycoming County, Sullivan County, Wyoming County. Lackawanna County, Clinton County, Centre County, Union County, Northumberland County, Montour County, Columbia County, Luzerne County, Monroe County, Pike County, Carbon County, Scuylkill County, Snyder County, Mifflin County, Juniata County
Intake ProcedureEnrollment period for selecting a new plan is January 11, 2013 through February 7, 2013.Consumers can enroll in three ways:
  • By phone
  • On the Web
  • Face to face enrollment sessions with Outreach Field Specialists at meetings sponsored by community organizations
New plans take effect March 3, 2013. Consumers who do not choose a plan will be automatically enrolled in a plan, and may not get their choice of the primary health provider they would like.
Helpful TipsEnrollment period for selecting a new plan is January 11, 2013 through February 7, 2013.
Client Information
Languages SpokenTranslation services available for all languages.
EligibilityMost people eligible for Medical Assistance.Exempt:
  • Most dual eligible consumers (Medicare and Medicaid) over the age of 21
  • Most people in nursing homes (after the first 30 days)
  • Temporary categories like Spend-down, etc.
  • Those eligible for coverage through their employer - Health Insurance Payment Program - for which Medical Assistance pays a premium.
Fees or Charges
Types of FeesFree
Hours of Operation Monday-Friday, 8 am-6 pm
Contact Information
Unable to plot address.
Contact's Name Services/Complaints
Contact's Phone 800-440-3989
Mailing Address 1 PO BOX 6600
Mailing City, State, Zip Harrisburg, PA 17112
Main Phone 800-440-3989
TDD Phone 800-618-4225
Web Address
Additional Information
Type of UpdateE-mail
Affiliated Agency, Programs, and Services
Affiliated Agency: Pennsylvania Department of Human Services
Affiliated Program: HealthChoices Physical Health Enrollment - New East Zone
This Service: HealthChoices State Medicaid Physical Health Managed Care Enrollment Programs - New East Zone
Taxonomy Postings
Posted to Categories: State Medicaid Managed Care Enrollment Programs (NL-5000.5000-770)