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Enrollees
Welcome to ACCESS Plus! ACCESS Plus, sponsored by the Pennsylvania Department of Public Welfare (DPW), is for people who get their health care through the ACCESS/EBT card.
As a member of ACCESS Plus you have:
- A Primary Care Provider (PCP).
- Referrals to specialty doctors.
- Help making appointments.
- Management for chronic diseases (like asthma, diabetes, and heart and lung diseases).
- Check-ups for kids, teens and young adults (up to age 20).
- A toll-free Nurse Advice Helpline (a free call) 1-800-543-7633 (TTY 1-800-654-5984) that you can call 24 hours a day, 7 days a week.
The services you can get through ACCESS Plus will depend on your benefits package. You may also have a co-pay for some services. Please call the ACCESS Plus Helpline at 1-800-543-7633 to find out what services are covered.
In ACCESS Plus, your PCP may need to refer you to a specialist for a service to be covered by MA. Read this Member Guide to find out which services need a referral from your PCP.
Please know that not everyone on MA will participate in ACCESS Plus. The groups of people receiving MA who will not be enrolled in ACCESS Plus include:
- Consumers enrolled in a Voluntary Managed Care Plan.
- Consumers over the age of twenty-one (21) who are “dually eligible” (on MA and Medicare).
- Consumers enrolled in the HIPP (Health Insurance Premium Payment) Program.
- Consumers who live in a nursing home.
- Consumers who are eligible in some waiver categories.
Keeping Your PCP Appointments: If you are going to be late for an appointment or cannot make it, call the PCP’s office so you can set a new time or day. It is very important to reschedule any appointments that you cannot keep, because:
- Your health care is a top priority
- Your PCP’s office will be able to see another patient in your absence when enough notice is given
- If you miss three appointments in a row without notifying the office or rescheduling, your PCP may dismiss you and you would need to find a new PCP.