What Insurers Participate in COMPASS PA?


Quick Answer

Prior to February 2015, dozens of private health insurers participated in COMPASS, such as Aetna, Amerihealth and United Health Care. However, on February 9, 2015, Governor of Pennsylvania Tom Wolf announced a new Medicaid expansion that is likely to impact the list of providers.

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Full Answer

Implementation of the Pennsylvania's Medicaid expansion plan, Health Choice, began in early 2015 and is moving forward in stages. Initially, all beneficiaries are allowed to keep their current health plan. Health Choice is sending out benefit packets to potential beneficiaries on March 25, 2015. These packets explain the new Adult Medicaid plan and provide a list of the managed care organizations that are going to participate in the program. A 30-day period of public comment starts on March 21, 2015.

The new Medicaid expansion plan replaces the former Healthy PA, which allowed some low-income Pennsylvania residents to obtain federally subsidized funds to purchase health insurance from private insurers. Implemented by former Governor of Pennsylvania Tom Corbett in August 2014, Healthy PA utilized several tiers of coverage, including low-risk, high-risk and private coverage options, which were determined by the beneficiary's heath. Governor Wolf's plan places all adult Medicaid beneficiaries under a single plan. Children's Health Insurance Program beneficiaries are not impacted by the new plan, as of March 2015.

COMPASS is part of the Commonwealth of Pennsylvania's Department of Health and Human Services. It administers many programs for low-income individuals and families, including the Supplemental Nutrition Assistance Program, low-income energy assistance and the Women, Children and Infants Program.

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