Medicaid in Pennsylvania

Looking for Medicaid eligibility in Pennsylvania? Here is how this coverage lane works specifically for Pennsylvania residents, what it costs, and how to get it.

Pennsylvania expanded Medicaid under the ACA, so adults with income up to 138% of the Federal Poverty Level may qualify regardless of whether they have children.

Medicaid in Pennsylvania provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.

If you do not qualify for Medicaid in Pennsylvania, a subsidized Marketplace plan through Pennie is usually the next best option.

Pennsylvania's Medical Assistance program covers expansion adults and traditional categories after the state adopted ACA expansion.

Income-eligible adults can enroll year-round; those who exceed Medicaid limits are routed to Pennie for premium tax credit estimates.

County assistance offices and Pennie both play roles in applications — starting at pennie.com is usually the simplest path for a household coverage check.

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Frequently asked questions

Who qualifies for Medicaid in Pennsylvania?
Adults with income up to about 138% of the Federal Poverty Level, plus children, pregnant women, and others who meet income rules.
Can I apply for Medicaid any time in Pennsylvania?
Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.
Did Pennsylvania expand Medicaid?
Yes. Pennsylvania adopted ACA Medicaid expansion, which generally opens coverage to more low-income adults.

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