Who Is Eligible

  • Must be a resident of Clearfield, Jefferson, or Elk counties in Pennsylvania and provide proof of residency.
  • Must have a Medical Assistance Denial Letter
  • Cannot have any form of health insurance (Medical Assistance, Medicare, Medicaid, Veteran’s Administration, etc.)
  • Government issued photo ID
  • Must meet the income guidelines (see chart below)

Persons
in Family or Household

300% of Federal Poverty Limit (Annual) 2017

35,640

48,060

60,480

72,900

85,320

97,740

110,190

122,670

For each additional
person, add

4,160

Source: Federal Register – 2017