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Questions and answers

We know health insurance can be complicated. Here are the answers to the most common questions we hear.

What is GHP Family?

GHP Family provides healthcare coverage to Pennsylvania residents in the New East Zone who are eligible for Medical Assistance.

What is the cost for GHP Family?

If you are eligible for Medical Assistance in Pennsylvania, there is no monthly premium for your GHP Family coverage. Many services are available at no cost, or require only a small copayment. See the GHP Family Member Handbook for additional details on costs and coverage.

How do I enroll in GHP Family?

To enroll in GHP Family, you must first apply for Medical Assistance. Once you are determined to be eligible for Medical Assistance, you can choose GHP Family to provide your healthcare coverage if you live in our service area.

How can I enroll a new family member?

How to add a baby:

  • If you have a baby while you are a GHP Family member, your baby will be covered by GHP Family from the date he or she is born. Call Member Services at 855-227-1302 as soon as possible after you have your baby so we can assist you in choosing a primary care provider (PCP) for your new child. After you have chosen your child’s PCP, you will receive a GHP Family member ID card for your baby. You also will need to contact your County Assistance Office to ensure your baby is enrolled in Medical Assistance.

How to add other family or household members:

  • Any time someone other than a newborn joins your family or household, you should first contact your County Assistance Office to determine whether that person is eligible for Medical Assistance. If your new family or household member is eligible, your County Assistance Office Careworker will help that person to enroll in Medical Assistance. Once enrolled in Medical Assistance, he or she can enroll in GHP Family online by visiting the PA Enrollment Services website, or by calling 800-440-3989.

How can I find a primary care physician (PCP) or other healthcare provider?

To find a PCP or other healthcare provider, use our online Find a Provider tool . You can find a list of PCPs and providers that are in the GHP Family network. You can also call our Customer Service Team at 855-227-1302 for additional assistance.

How do I get a new ID card?

You can call our Customer Service Team at 855-227-1302 to order a new card. You can also log in  once you are a member and have registered on the web to order a new card or print a temporary card.

Who can I call if I have special needs?

If you or your family has special needs, such as complex medical conditions, difficulty managing multiple medications or trouble scheduling or finding transportation to medical appointments, call our Special Needs Unit at 855-214-8100.

How do I update my contact information?

If you need to update your address, phone number or any other personal information, call our Customer Service Team at 855-227-1302 or PA Relay at 711. Our team is available from 7 a.m. – 7 p.m. Monday, Tuesday, Thursday, and Friday, with extended hours from 7 a.m. – 8 p.m. on Wednesday and 8 a.m. – 2 p.m on Saturday. Remember to contact your County Assistance Office Caseworker to update any new personal information as well.

Related information

Learn more about GHP Family.

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Learn more about our plan.

Find a doctor, pharmacy or prescription

See what doctors, pharmacies and current prescriptions are available through a GHP Family plan.

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