Who is eligible for adultBasic?

An adult must meet all of the following requirements to be enrolled in adultBasic:

• must be between 19 and 65 years of age;
• must be a resident of Pennsylvania for 90 days prior to the date of enrollment;
• must be uninsured for at least 90 days prior to the date of enrollment, except if uninsured as a direct result of no longer working;
• must be a U.S. citizen, permanent/resident alien, or refugee;
• must not be covered by any other health insurance plan, self-insured plan, or self-funded plan;
• must not be eligible for or covered by Medical Assistance or Medicare;
• must meet the family size and income guidelines listed below.

adultBasic Family Size and Income Requirements

(After earned income and dependent care deductions)

*This is the maximum income allowed for adultBasic. Any applicant who appears to meet Medical Assistance guidelines will be referred to the local County Assistance Office for a determination of eligibility as Medical Assistance covers more services.