HIM_LogoFinalStackedThe Health Insurance Marketplace is a way to find health coverage that fits your budget and meets your needs. With one application, you can see all your options and enroll. Every health insurance plan in the new Marketplace offers essential health benefits, including doctor visits, preventive care and wellness services, hospitalization, prescriptions, and mental health and substance abuse disorder services, including behavioral health treatment.

Insurance plans in the Marketplace are offered by private companies, and they cover the same core set of essential health benefits. No matter where you live, you can compare your health insurance options in the Marketplace and find a health plan that meets your needs and fits your budget. Click here for Five Things to Know About the Marketplace.

Apply and Enroll

Open Enrollment for 2017 coverage ended on January 31, 2017. Outside the yearly Open Enrollment Period, you can get coverage only if you qualify for a Special Enrollment Period or for Medicaid or CHIP. Learn more about Special Enrollment.

Visit HealthCare.gov. You can also call the Health Insurance Marketplace Call Center at 1-800-318-2596 for more information. TTY users should call 1-855-889-4325.

To apply for insurance you will need the following: Name, birthdate, social security number, and income information for yourself and all family members needing coverage.

Get Help from Insurance Marketplace Navigators

Health Insurance Marketplace Navigators can help you understand how the Marketplace works and complete eligibility and enrollment forms.

In Pennsylvania, The Advocacy Alliance, Mental Health America Westmoreland County, MHAPA, and Pennsylvania Mental Health Consumers’ Association offer Navigators who are trained to help people who use or need behavioral health services.

Call 1-855-274-5626 (toll free) to make an appointment or speak with a Navigator. Or locate one that serves your county in the list below. Language interpreter services are available.

  • Western Region Navigators. Counties served: Allegheny, Armstrong, Beaver, Butler, Cameron, Clarion, Clearfield, Crawford, Elk, Erie, Fayette, Forest, Greene, Indiana, Jefferson, Lawrence, McKean, Mercer, Potter, Venango, Warren, Washington, Westmoreland. Email: westernPAnav@mhawc.org. Call: 1-855-274-5626 (toll free)
  • Central Region Navigators. Counties served: Adams, Bedford, Blair, Cambria, Centre, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Lycoming, Mifflin, Montour, Northumberland, Perry, Snyder, Somerset, Union, York.  Email: centralPAnav@pmhca.org. Call: 1-855-274-5626 (toll free)
  • Eastern Region Navigators. Counties served: Berks, Bradford, Bucks, Carbon, Chester, Delaware, Lackawanna, Lehigh, Luzerne, Montgomery, Monroe, Northampton, Philadelphia, Pike, Schuylkill, Sullivan, Susquehanna, Tioga, Wayne, Wyoming. Email: easternPAnav@theadvocacyalliance.org. Call: 1-855-274-5626 (toll free)

Behavioral health and consumer organizations and community groups can help connect individuals and families to Marketplace Navigators. Click here to download a brochure and posters to share with consumers.

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This Marketplace Insurance Navigator Program is made possible through a consortium of The Advocacy Alliance, Pennsylvania Mental Health Consumers’ Association, Mental Health Association in PA, and Mental Health Association of Westmoreland County. The project described was supported by Funding Opportunity Number CA-NAV-15-001 from the Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.