PHLP Maintains Health Coverage for a Cancer Survivor
Four years ago, Pennsylvania resident Margie was diagnosed with lymphoma. As Margie processed how her cancer diagnosis would change her life, she confronted another reality: she did not have health insurance.
Looking for guidance, Margie turned to PHLP. With the help of PHLP staff, Margie successfully enrolled in Medical Assistance and received life-saving cancer treatments.
This month we heard from Margie again. Now 59-years-old and living in Westmoreland County, Margie called PHLP terrified about losing the Medical Assistance benefits she fought so hard to gain. She worried about how she would manage her many health problems, including severe diabetes and a stroke in March, without the support of Medical Assistance.
What led to this change? Margie was recently approved for Social Security Disability Insurance, which increased her income. As a result, the Department of Public Welfare held she was no longer income eligible for Medical Assistance and would soon terminate her coverage.
PHLP advised Margie about her choices and highlighted the Medical Assistance for Workers with Disabilities program (MAWD). Unlike other categories of Medical Assistance, MAWD includes a work requirement and asks enrollees to pay a monthly premium.
Margie found a job that matched her abilities, provided verification of employment, and enrolled in MAWD to manage her chronic conditions at an affordable cost.
PHLP Staff Travels to Rural Pennsylvania Educating Stakeholders On Changes To Medical Assistance
Over the past several months, PHLP sponsored 15 presentations to approximately 900 people across 12 counties about the Department of Public Welfare's expansion of the Medical Assistance (MA) managed care program
, HealthChoices, to all 67 Pennsylvania counties.
Originally only in the 25 most populated counties, HealthChoices has since expanded to include all of Southern Pennsylvania and by March 2013 will include the entire state. Before this change, most people on MA in those less-populated counties used the ACCESS Plus program to obtain medical services; those residents will now be enrolled in Medicaid managed care plans.
Furthermore, medical providers must enroll in one or more of the Medicaid managed care plans if they intend to continue serving MA recipients.
Each PHLP session was consumer-centered and focused on: