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Insurance Plans
Medicare and Medicaid plans
Medicare
For people 65+ or those who qualify due to a disability or special situation
Medicaid
For people with lower incomes
Dual Special Needs Plans (D-SNP)
For people who qualify for both Medicaid and Medicare
Individuals and families
Health insurance
Supplemental insurance
Dental
Vision
Short term health insurance
Individual and Family Marketplace (ACA) plans
Employer
Small business
Large organizations
All employer plans
Learn more and explore health plans
Understanding health insurance
Medicare articles and resources
Open enrollment
Shop all plans
Help me find a plan
Member Resources
Resources
Choosing a doctor
Pharmacy benefits
Member ID card
Forms
All member resources
Programs and tools
Rewards programs
Mental health programs
Virtual visits
All member tools
All member programs
Health and wellness
COVID-19 Resource Center
Preventive care
Vaccines
Flu shot
All health and wellness topics
Member sign in
Check coverage
Find network providers
View claims
Sign in or register
Other Sites
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Individual & family plans – Marketplace (ACA)
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Pennsylvania
Pennsylvania
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Claims payment policy information
Appointment standards
Naloxone and PACE assistance program
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Pennsylvania
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Claims payment policy information
Appointment standards
Naloxone and PACE assistance program
Pennsylvania required state notices
3D Mammogram Coverage for Pennsylvania Health Plans (pdf)
Pennsylvania Nondiscrimination Notice (pdf)
Claims Payment Policy Information for Pennsylvania Small Group Plans
Pennsylvania Appointment Standards
PACE and Naloxone
