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Recipient Restriction/Member Lock-In Program Update


There has been a change to the Recipient Restriction/Member Lock-In Program. The most recent info can be found on page 30 of the member handbook.

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Pennsylvania Medicaid Benefits

Pennsylvania Medicaid Benefits

Medicaid Without Compromises

Medicaid Without Compromises

Highmark Wholecare Medicaid provides a wide range of benefits to help you live a healthy and happy life. This includes things like dental, vision, pregnancy and overall health.

Highmark Wholecare Medicaid provides a wide range of benefits to help you live a healthy and happy life. This includes things like dental, vision, pregnancy and overall health.

Our Medicaid Benefits

Wholecare cares for the whole of you, from dental and vision, to mental health, and pregnancy and pediatrics.

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    Dental Care


    We know how important dental coverage is to Medicaid recipients. Our network of dentists across Pennsylvania ensures you can find dental care near you.

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    Vision Care


    Vision care is an essential component of your whole health. We provide twice-a-year eye exams and credit for glasses or contacts to meet your needs.

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    Pregnancy and Pediatrics


    Bringing a child into the world is a life-changing event. Our doctors care for you and your baby across Pennsylvania to support your motherhood journey.

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What is Medicaid?

What is Medicaid?

Do you know what Medicaid can do for you?

Do you know what Medicaid can do for you?

Do You Qualify?

You need to meet a few residence, income, and household requirements to receive Medicaid in Pennsylvania.

  • Pennsylvania Residence


    You must be a resident of the State of Pennsylvania. You must also be a US national, citizen, permanent resident, or legal alien in need of health care.

  • Low Income


    Your financial situation needs to be characterized as low or very low income according to the standards set by Federal Medicaid regulations.

  • Health Care Needs


    If you are pregnant, or responsible for a child 17 years of age or younger, or have a disability or a family member in your household with a disability.

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Are you 65 or older, or have a long-term disability?

Are you 65 or older, or have a long-term disability?

You might qualify for Medicare D-SNP, and could receive a wide range of benefits and assistance.

You might qualify for Medicare D-SNP, and could receive a wide range of benefits and assistance.

Medicaid Meets Your Needs

Highmark Wholecare helps you connect with doctors from home, get where you need to go and maintain your health.

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    Behavioral Health


    Behavioral health touches all parts of your personal wellness. We at Highmark Wholecare know that a healthy mind helps keep your body healthy, too.

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    Transportation


    Getting around is hard enough without health challenges. Highmark Wholecare offers transportation assistance so you can get to your appointments and obligations.

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    Lifestyle Managment


    Living a healthy life means taking action. Our wellness coaches help guide you on a healthy path. Helping you prevent illnesses and injuries down the road.