Community HealthChoices (CHC) is a new Medicaid program that uses managed care insurance companies (MCOs) to take the confusion out of your healthcare and see that you get the medical and social supports you need. The CHC program was created to:
What will be different in CHC?
Instead of the ACCESS card, your Medicaid benefits from the state will come through the CHC health plan that you pick. There are 3 to choose from, and you can change your plan at any time:
You do not need to apply for Community HealthChoices. Because it is a mandatory program for people who qualify, the state Department of Human Services will send you information on how to enroll. Pennsylvania’s Independent Enrollment Broker (IEB) can help you choose or change your plan. Call them at: 1-844-824-3655 or go to: EnrollCHC.com
What will be the same?
Medicare! If you are covered by Medicare, you can keep your current Medicare plan and doctors. Community HealthChoices is only about the Medicaid part of your benefits. It does not change or replace your Medicare coverage.
Medicaid, through CHC, is your second insurance and will cover anything that Medicare doesn’t, like long-term care and transportation. It can also help pay your Part B premium, if your income qualifies. Talk with an APPRISE counselor at your local Office on Aging if you are unsure about what Medicare plan you have: 1-800-783-7067.
The Lehigh/Capital Zone – Adams, Berks, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Lancaster, Lebanon, Lehigh, Northampton, Perry, and York.
The Northeast Zone – Bradford, Carbon, Centre, Clinton, Columbia, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northumberland, Pike, Schuylkyll, Sullivan, Susquehanna, Tioga, Union, Wayne, and Wyoming.
The Northwest Zone – Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Forest, Jefferson, McKean, Mercer, Potter, Venango, and Warren.