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* If eligible and there is a waiting list for enrollment; option to purchase coverage exists. For cost, please see www.insurance.state.pa.us Keyword: adultBasic

* If eligible and placed on a waiting list for enrollment, there is an option to purchase coverage at full-cost at any time. If eligible, purchasing or canceling full-cost adultBasic coverage while on the waiting list will not affect position on the waiting list. For coverage of adultBasic, please contact the adultBasic insurance contractor in your county

* Renewals occur yearly

* Benefits are basic; do not include prescriptions, vision, dental, or mental health services

* Notices are sent to advise of changes

* An Eligibility Review Process (ERP) exists to allow for a review of an eligibility decision

* A single application can be used to apply for CHIP, Medicaid, or adultBasic

General Insurance Options-Other Insurance to Consider

* Life and Car Insurance, Liability Insurance, Property and Casualty Insurance

* Private Health Insurance Options

- Examples are Special Care from the Blues, Advantage from Aetna

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Appendix H: Medicaid-Funded Waivers

Banner resource information:

To apply for waivers: Office of Social Programs 1(800)757-5042 Welfare Helpline 1(800)692-7462 or www.dpw.state.pa.us Online Application www.compass.state.pa.us

Where do I Begin

* Most services have functional and financial requirements. The eligibility requirements for each waiver are listed below

* To apply for services you will need to complete a Medicaid application that can be obtained at any of the following:

- Local County Assistance Office

- Area Agencies on Aging

- Centers for Independent Living

- Hospitals

- County Human Service Agencies

* You will need to bring the following:

- Proof of Income

- Proof of Assets

- Information on any transfer of assets during the past 3 years

* You should receive a written notice within 30 days after you apply

What Happens Next

* Some waivers may have a waiting list, particularly the waivers for people with

Mental Retardation

* If services are available, you may have a choice of service providers

* If you want to use a service provider who is not enrolled in that program, ask how they can be enrolled

What Types of Services are Available

* The type and amount will depend on the program(s) in which you are enrolled

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Appendix H: Medicaid-Funded Waivers continued

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