Nothing is more important than taking care of your healthcare needs.  PA Health & Wellness is a health plan serving both Medicaid and Medicare members in Pennsylvania.PA Health & Wellness offers benefits to support those who qualify for Medicare, receive long-term care services, or are eligible for both Medicare and Medicaid (also known as Dual Eligibles).  Choose PA Health & Wellness as your partners in healthcare today!

Get unlimited doctor visits with no copays.

Our Nurse Advice Line is ready to answer your health questions 24 hours a day.

Get the support you need through our Member Connections team. The team is here to help choose a doctor, navigate plan benefits, establish a healthy lifestyle, and much more.

Original Medicare only pays for 80% of your hospital and medical costs, and it does not include prescription coverage. But you can get more coverage for less with Allwell-a Medicare Advantage plan that includes prescription coverage.

You’ll have a $0 monthly premium and will have prescription coverage at no additional monthly premium.

All benefits of Original Medicare are covered. You may also get extra benefits like vision, dental, hearing care, and a gym membership. Benefit offerings may vary by plan.

Ambetter from PA Health & Wellness offers quality, affordable healthcare coverage with options to fit your health needs and your budget.

Our rewards program helps you earn rewards for taking care of yourself.

Ambetter health insurance plans offer several levels of plan options, each one representing a different type of coverage and payment. However, no matter which Ambetter plan you choose, you can always count on access to high-quality, comprehensive care that delivers services, support, and all of your Essential Health Benefits.

We host a variety of events throughout the year, from Health Awareness Events,  MEGA BINGO (eating healthy edition), to Safety Education Seminars. Join us for an upcoming event and connect with like-minded individuals who share your passion for making a difference.

The Omnibus Budget Reconciliation Act (OBRA) Waiver is a Home and Community-Based Waiver program that may help you if you have a developmental physical disability to allow you to live in the community and remain as independent as possible.

To be eligible, you must be:

• A resident of Pennsylvania.
  
• Age 18-59. Individuals who turn age 60 while in the waiver are able to continue to receive services through the OBRA Waiver until services are no longer needed. New applicants age 60 and older wil be referred to other programs.
  
• Have a severe developmental physical disability requiring an Intermediate Care Facility/Other Related Conditions (ICF/ORC) level of care.
• The disability must result in substantial functional limitations in three or more of the following major life activities:
• Self-care, communication, learning, mobility, self-direction and capacity for independent living.
• Meet the financial requirements as determined by your local County Assistance Office.

Other related conditions (ORCs) include physical, sensory, or neurological disabilities which manifested before age 22 and are likely to continue indefinitely.

• Adult Daily Living
• Employment Skills Development
• Job Coaching (Intensive and Extended Follow-along)
• Personal Assistance Services
• Residential Habilitation Services
• Respite
• Service Coordination
• Structured Day Habilitation Services
• Behavior Therapy Services
• Nursing Services
• Occupational Therapy Services
• Physical Therapy Services
• Specialized Medical Equipment and Supplies
• Speech and Language Therapy Services
• Community Integration
• Community Transition Services
• Counseling Services
• Home Adaptations
• Job Finding
• Non-Medical Transportation
• Nutritional Consultation
• Personal Emergency Response System
• Prevocational Services
• Supported Employment
• Vehicle Modifications

If you would like to receive services and have not been approved, please go to the HOW TO ENROLL tab . For assistance with this process  please call us today at 724-201-9794.

If you have a physical disability, the state-funded Act 150 program may be available to you to continue to live in your home and community with support and services.

To be eligible for Act 150 Services, you must: 

• Be a resident of Pennsylvania
• Meet the level of care needs for a Skilled Nursing Facility 
• Be between eighteen (18) and fifty-nine (59) years of age
• Be capable of a) hiring, firing, and supervising attendant care worker(s); b) managing your own financial affairs; and c) managing your own legal affairs
• Be capable of directing your own care
  
• Have a medically determinable physical impairment that is expected to last of a continuous period of not less than twelve (12) calendar months or that may result in death
• Proceed through the eligbility process for the Medicaid (MA) progam and be determined financially ineligible
• To take advantage of the Act 150 Program, you may be assessed a minimal co-payment. This co-payment is based on your income and will not be more than the total costs of services

• Personal Assistance Services
• Personal Emergency Response System (PERS)
• Service Coordination

Eligibility is based on a level of care assessment, a financial eligibility determination and program eligibility for all programs listed.