Eligibility for Medicaid/Medical Assistance | UPMC for You
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Medical Assistance Eligibility

UPMC for You is a physical health managed care plan and is available to eligible individuals who live in the following counties:

Member Service AreaUPMC for You Southwest Zone Service AreaAlleghenyAlleghenyArmstrongArmstrongBeaverBeaverBedfordBedfordBlairBlairButlerButlerCambriaCambriaFayetteFayetteGreeneGreeneIndianaIndianaLawrenceLawrenceSomersetSomersetWashingtonWashingtonWestmorelandWestmorelandUPMC for You Northwest Zone Service AreaCameronCameronClarionClarionClearfieldClearfieldCrawfordCrawfordElkElkErieErieForestForestJeffersonJeffersonMcKeanMcKeanMercerMercerPotterPotterVenangoVenangoWarrenWarrenUPMC for You Lehigh/Capital Zone Service AreaAdamsAdamsBerksBerksCumberlandCumberlandDauphinDauphinFranklinFranklinFultonFultonHuntingdonHuntingdonLancasterLancasterLebanonLebanonLehighLehighNorthamptonNorthamptonPerryPerryYorkYorkUPMC for You Southeast Zone Service AreaBucksBucksChesterChesterDelawareDelawareMontgomeryMontgomeryPhiladelphiaPhiladelphiaUPMC for You Northeast Zone Service AreaBradfordBradfordCarbonCarbonCentreCentreClintonClintonColumbiaColumbiaJuniataJuniataLackawannaLackawannaLuzerneLuzerneLycomingLycomingMifflinMifflinMonroeMonroeMontourMontourNorthumberlandNorthumberlandPikePikeSchuylkillSchuylkillSnyderSnyderSullivanSullivanSusquehannaSusquehannaTiogaTiogaUnionUnionWayneWayneWyomingWyomingUPMC for You Southwest Zone Service AreaUPMC for You Northwest Zone Service AreaUPMC for You Lehigh/Capital Zone Service AreaUPMC for You Southeast Zone Service AreaUPMC for You Northeast Zone Service Area

A Department of Human Services (DHS) County Assistance Office caseworker will tell you if you are able to receive Medical Assistance. UPMC for You does not decide if you can receive Medical Assistance. DHS determines whether you qualify for Medical Assistance.

If you are eligible, your enrollment will be completed through an independent enrollment broker. The broker can explain which physical health and behavioral health plans you can join, tell you how to choose a primary care provider (PCP), and note whether you have any special needs.

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