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)
2018 Federal Guidelines
Persons in Family or Category 1   –     100% Category 2 –   101%-200% Category 3 –   201% – 300%
Household Annual Amount Annual Amount Annual Amount
1 $12,060 $24,120 $36,180
2 $16,240 $32,480 $48,720
3 $20,420 $40,840 $61,260
4 $24,600 $49,200 $73,800
5 $28,780 $57,560 $86,340
6 $32,960 $65,920 $98,880
7 $37,140 $74,280 $111,420
8 $41,320 $82,640 $123,960
Source: Federal Register – 2018
If your family contains more than eight (8) people, add $4,180 for each additional person.