PA · State

Medical Bills & Health Insurance Help in Pennsylvania

Whether you are staring at a hospital bill, an EOB you cannot read, or a denial letter, this page collects what is specific to Pennsylvania — Pennie, Pennsylvania's own marketplace, PA Medical Assistance, and the state rules that shape charity care and appeals — alongside our free tools.

Coverage and enrollment in Pennsylvania

Marketplace

Pennie

Pennsylvania runs its own ACA marketplace instead of HealthCare.gov. Premium tax credits and cost-sharing reductions are available to residents who qualify.

Open enrollment: Nov 1, 2025 – Jan 15, 2026

Visit Pennie

Medicaid & Medicare help

PA Medical Assistance

1-866-550-4355

Free Medicare counseling (SHIP): 1-800-783-7067

PA Medical Assistance website

Pennsylvania agencies

Pennsylvania Medical Assistance
PA Dept. of Health
Pennie

Bill protection rules

Pennsylvania has no dedicated patient-billing statute in our registry, so the federal baseline applies: non-profit hospitals must offer financial assistance under IRS §501(r) (26 U.S.C. §501(r)), and the federal No Surprises Act limits most surprise out-of-network bills. Ask the hospital for its written financial assistance policy — they are required to have one.

Tools you can use on a Pennsylvania bill

Bill SummarizerPaste or upload a bill and get a plain-language breakdown of every line.Appeal Letter BuilderDraft a denial appeal that cites the rules that apply to you.Financial Aid CalculatorEstimate whether you qualify for hospital charity care or a discount.Provider FinderSearch the federal NPI registry for clinicians near you.Compare Insurance PlansSee how carriers available in your area stack up.How to Read an EOBUnderstand what your insurer actually paid — and what you owe.

Not sure where to start?

Answer three short questions and we will point you to the right step for your situation in Pennsylvania.

Start here How to appeal a medical bill