$1,732/mo/mo
Individual income limit
$3,575/mo/mo
Family of 4 income limit
138% FPL
FPL threshold
Key Facts for Pennsylvania
- ✓Pennsylvania expanded Medicaid in 2015
- ✓Apply through COMPASS online benefits portal
- ✓Healthy PA (expansion) covers adults 19-64 up to 138% FPL
What PA Medicaid / CHIP Covers
✓ Doctor visits
✓ Hospital care
✓ Prescription drugs
✓ Mental health
✓ Dental
✓ Vision
Who Qualifies in Pennsylvania?
Children
Most children under 19 qualify regardless of immigration status through CHIP or Medicaid.
Pregnant women
Pregnant women typically qualify at higher income limits than standard Medicaid in Pennsylvania.
Low-income adults
Adults 19–64 earning up to $1,732/mo/mo (138% FPL) qualify.
Seniors & disabled
Adults 65+ and people with disabilities may qualify through SSI-related Medicaid programs.
Check your eligibility
Find out if you qualify for PA Medicaid / CHIP in 60 seconds. Free, no obligation.
Check eligibility →Apply directly in Pennsylvania
You can also apply directly through the state portal — though our enrollment specialists can help you navigate the process for free.
Apply at state portal →✓ Medicaid Expansion State
Pennsylvania expanded Medicaid under the ACA, covering more low-income adults.