Pennsylvania Consumer Assistance
CAP Resource
The Pennsylvania Insurance Department offers help with health insurance questions or problems. You can contact them at 877-881-6388 for additional information.
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Find Answers and Help
The agencies listed below can help you understand your rights, access benefits, and answer your questions about different types of coverage.
If you have questions about insurance you bought for yourself and/or your family or you have insurance provided by an employer who does business only in Pennsylvania, contact:
Pennsylvania Insurance Department
Address: 1326 Strawberry Sqr. Harrisburg, PA 17120
Phone: 877-881-6388
Email: ra-in-consumer@pa.gov
Website: www.pa.gov/agencies/insurance/consumer-help-center
If you have a hard time affording health coverage and you have questions about eligibility for Medicaid or about current Medicaid benefits, go to:
Pennsylvania Medicaid Program
Customer Service Center: 877-395-8930
To apply: 866-550-4355
Online Contact form: www.pa.gov/agencies/dhs/contact/feedback
Website: www.dhs.pa.gov/Services/Assistance/Pages/Medical-Assistance.aspx
To apply: www.compass.dhs.pa.gov
Local consumer assistance: www.pa.gov/agencies/dhs/contact/cao-information
If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program. For questions about eligibility or benefits, go to:
Pennsylvania Children's Health Insurance Program (CHIP)
Customer Service Center: 877-395-8930
To apply: 866-550-4355
Online Contact form: www.pa.gov/agencies/dhs/contact/feedback
Website: www.pa.gov/agencies/dhs/resources/chip
To apply: www.compass.dhs.pa.gov
Local consumer assistance: www.pa.gov/agencies/dhs/contact/cao-information
If you have a question, complaint, or dispute regarding insurance you get through a “self-insured” employer (typically a large company or one with locations in multiple states or countries), go to:
U.S. Department of Labor
Employee Benefits Security Administration
200 Constitution Ave., NW
Washington, DC 20210
(866) 444-3272
https://www.askebsa.dol.gov
If you are on Medicare and have a question, or if you have a disability or end stage renal disease and want to enroll or find out if you are eligible for Medicare, contact:
Pennsylvania Medicare Education and Decision Insight (PA MEDI)
Phone: 800-783-7067
Website: www.pa.gov/agencies/aging/aging-programs-and-services/pa-medi-medicare-counseling
If you are a veteran and have a question or concern about veterans’ health care benefits, go to:
US Department of Veterans Affairs
(877) 222-VETS (8387)
https://www.va.gov/health-care/
If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789.