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Pennsylvania Resources

Pennsylvania

This page has information specific to this state, including contact information for federal and state agencies, and some key information about laws and consumer protections. Sometimes, state laws are more protective than federal law. For more information on this state's specific laws (e.g., on employment or health insurance), visit Triage Cancer's Charts of State Laws.

Browse Resources

Advocacy

Disability Insurance

Federal Disability Programs

Private Disability Insurance

  • You can also purchase short-term and/or long-term disability insurance directly from a private insurance company or this type of insurance may be offered by your employer as an employee benefit. See our Quick Guide to Long-Term Disability Insurance for more information.

Employment

Federal Fair Employment

  • The U.S. Equal Opportunity Employment Commission (EEOC) is responsible for enforcing federal laws that make it illegal to discriminate against a job applicant or an employee because of the person's race, color, religion, sex (including pregnancy, transgender status, and sexual orientation), national origin, age (40 or older), disability, or genetic information. The laws apply to all types of work situations, including hiring, firing, promotions, harassment, training, wages, and benefits. For more information about the EEOC, including how to file a complaint, visit the EEOC's website, call 800.669.4000, or email info@eeoc.gov.
  • The Job Accommodation Network (JAN) is a program funded by the U.S. Department of Labor, that provides free, expert, and confidential guidance on job accommodations and disability employment issues. They also have several resources on how to approach an employer to request a reasonable accommodation under the Americans with Disabilities Act and a Searchable Online Accommodation Resource where individuals can find suggested accommodations based on job duties or limitations that they are experiencing. For more information, visit the JAN website, call 800.526.7234, or email jan@AskJAN.org.

State Fair Employment

State Unemployment

Vocational Rehabilitation

  • Your state's Vocational Rehabilitation agency provides vocational rehabilitation services that are designed to help job seekers with disabilities obtain competitive employment in integrated work settings. For more information on their services, eligibility requirements, and how to apply, visit the Pennsylvania Office of Vocational Rehabilitation (OVR).

More Information

Employment – Taking Time Off

Federal Leave Laws

State Family & Medical Leave (for self & for caregivers)

  • Some states have family and medical leave. Pennsylvania does not currently have such a law.

State Paid Family Leave (for caregivers)

  • Some states have paid family leave laws that support caregivers. Pennsylvania does not currently have such a law.

State Paid Sick Leave (for self)

  • Some states have paid sick leave laws. Pennsylvania does not currently have a paid sick leave law.
  • Some states have kinship laws that allow you to use your sick leave to care for a child. Pennsylvania does not currently have this type of law.

State Paid General Leave (for any reason)

  • Some states provide general paid leave. Pennsylvania does not currently have a general leave law.

State Bone Marrow Donation Leave

  • Some states provide paid leave to donate bone marrow. Pennsylvania does not currently have such a law. However, Pennsylvania Law does require that an employer subject to the FMLA provide leave to an eligible employee who is unable to work due to preparation and recovery necessary for surgery related to organ or tissue donation. “Tissue” includes bone marrow.

County & Local Leave

The cities and counties listed below have paid leave laws. Check with your local government to see if there are leave laws where you live or work.

  • Allegheny County – The County Paid Sick Leave Ordinance went into effect on December 15, 2021. The ordinance covers employers with more than 26 employees, and requires them to let employees accrue paid sick leave at the minimum rate of one hour per 35 hours worked.
  • Pittsburgh – The City of Pittsburgh Paid Sick Days Act went into effect on March 15, 2020. For private employers with 15 or more employees, an employee can accrue as much as 40 paid leave hours per year; for an employer with fewer than 15 employees, the employee can accrue only 24 paid leave hours per year. Unused, accrued hours can roll over to the next year, but an employee may not exceed the total hour cap during any year.
  • Philadelphia – The Promoting Healthy Families and Workplaces law went into effect in 2015. The law states that private employers with more than 10 employees must provide paid sick leave to employees. Employees must accrue a minimum of one hour of paid sick leave for every 40 hours worked and cannot accrue more than 40 hours per calendar year.

Workplace Leave Policies or Employment Contracts

  • Everyone’s situation is different. Check your employee handbook, your workplace policies, and/or your employment contract (if you have one) to see whether you are eligible to take paid or unpaid time off from work.

More Information

Estate Planning

Triage Cancer's free State-Specific Estate Planning Toolkit includes information about estate planning in general, and information about Pennsylvania estate planning documents, and the specific forms you need.

Finances

For information on financial assistance resources, you can visit the Financial Assistance Resources module at CancerFinances.org. You can then pick from the different categories of financial assistance, to find organizations that may provide financial help to you. Think creatively. For example, if you cannot find anything to help with your medical bills, you may qualify for utility assistance and shift the money you had dedicated to utilities to your medical bills.

Health Care

Health Insurance Information

Health Insurance Options

Marketplace
  • For information about options for buying health insurance from private insurance companies, as well as whether you are eligible for marketplace financial assistance, visit HealthCare.gov or call 800.318.2596.
COBRA
  • COBRA provides a way for workers and their families to temporarily maintain their employer-provided health insurance during situations such as job loss or a reduction in hours worked. If you have questions about COBRA, visit the Employee Benefits Security Administration website or call 866.444.3272.
State COBRA
  • For information about your state's COBRA law related to maintaining employer-provided health insurance during situations such as job loss or a reduction in hours worked, as well as information about how your state's law works with federal COBRA, visit the Pennsylvania Department of Insurance website, or call 877-881-6388.
Children's Health Insurance
  • Visit this site to learn about the Children's Health Insurance Program (CHIP) (888.452.8609), which provides low-cost health coverage to children in families that earn too much money to be eligible for Medicaid.
  • Visit InsureKidsNow.gov to learn about free or low-cost health and dental insurance coverage options for kids and teens.
More Health Insurance Information

Health Insurance Appeals

  • To apply for an Independent Medical Review (an external appeal of a health plan denial) or to file a Consumer Complaint about your health plan, visit the Pennsylvania Insurance Department website.
  • If your health insurance company has denied coverage for your care, you can appeal that decision. The process depends on the type of health insurance that you have. Visit the Health Insurance Appeals module on CancerFinances.org to learn more about appeals.
  • If you have private health insurance (e.g., through an employer or the Marketplace), you can also file an external appeal with an entity outside of your insurance company, to see if the insurance company is required to cover your care. The external review process is either handled by the state’s insurance agency or the U.S. Department of Health & Human Services. Visit our Chart of State Laws on Health Insurance Coverage & Navigation to see who runs the external appeals process in your state.

Medicare

  • Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease or ALS. For information about Medicare, to create a personal account where you can view your Medicare information, and to learn about plan options, visit Medicare.gov, or call 800.MEDICARE (800.633.4227)
  • Download a copy of Medicare's handbook, “Medicare & You.”
  • For help navigating Medicare, contact the Health Insurance Counseling Program (APPRISE) (800.783.7067).
  • For more information, visit Triage Cancer's Medicare Topics Page.

Medicaid

  • Medicaid provides free or low-cost health coverage to eligible individuals, including people with low-incomes, families, children, pregnant women, the elderly, and people with disabilities. Each state has its own rules for eligibility. Read Triage Cancer's Quick Guide to Medicaid to learn more.
  • States have the option to expand Medicaid eligibility to individuals with incomes at or below 138% of the Federal Poverty Level. Visit Triage Cancer's Guide to Medicaid Expansion to see whether your state has expanded Medicaid.
  • Visit this site to learn more about Medicaid benefits in your state.
Health Insurance Premium Payment Program (HIPP)
  • The HIPP program can help pay your group health insurance premium (e.g., COBRA) if you are eligible for Medicaid. For more information, visit the HIPP program website.
Early & Periodic Screening, Diagnostic, & Treatment (EPSDT)
  • The EPSDT benefit is a Medicaid benefit available to individuals under the age of 21.
  • States are required to provide comprehensive services needed to correct and ameliorate health conditions, including:
    • Early: Assess and identify problems early, starting at birth
    • Periodic: Check children’s health at periodic, age-appropriate intervals in comprehensive well-child visits, including health education
    • Screening: Provide physical, dental, mental, developmental, hearing, vision, and other screening or laboratory tests to detect potential problems
    • Diagnosis: Perform diagnostic tests and assessments to follow up when a risk is identified during screening and examinations
    • Treatment: Control, correct, or ameliorate any problems that are found
  • States are required to provide any additional health care services that are coverable under the federal Medicaid program and found to be medically necessary to treat, correct or reduce illnesses and conditions discovered regardless of whether the service is covered in a state's Medicaid plan. State Medicaid agencies are required to:
    • Inform all Medicaid-eligible individuals under age 21 that EPSDT services are available and of the need for age-appropriate immunizations;
    • Offer and provide, if requested and necessary, assistance with transportation to medical care.
    • Offer and provide, if requested and necessary, assistance with scheduling appointments for EPSDT visits and services.
  • Learn more about your state's program.
Children's Health Insurance
  • Visit this site to learn about the Children's Health Insurance Program (CHIP) (888.452.8609), which provides low-cost health coverage to children in families that earn too much money to be eligible for Medicaid.
  • Visit InsureKidsNow.gov to learn about free or low-cost health and dental insurance coverage options for kids and teens.
In-Home Support Services (IHSS)
More Medicaid Resources

Free or Low-Cost Health Care

  • For a list of Hill-Burton Federally Funded Health Centers that are obligated to provide free or reduced-cost health care, visit the Health Resources & Services Administration (HRSA) website.
  • Federally Qualified Health Centers (FQHC) are community-based health care providers that provide primary care services in underserved areas. To search for an FQHC in your state, use the Find a Health Center tool on the HRSA website.
  • To find a community clinic in your area: screenings and services in your area, visit the National Association of Free & Charitable Clinics website.
  • The National Breast & Cervical Cancer Treatment Program (NBCCEDP) provides breast and cervical cancer screenings and diagnostic services to women who have low incomes and are uninsured or underinsured. For more information about screenings and services in your area, use the CDC search tool.
  • The Breast & Cervical Cancer Treatment Program (BCCTP) provides cancer treatment benefits to eligible low-income individuals diagnosed with breast and/or cervical cancer.

Health Care Programs & Laws

Women's Health & Cancer Rights Act (WHCRA)
Privacy
State Clinical Trials Law
  • This state does not mandate insurers or HMOs doing business in state to cover routine patient costs associated with clinical trials.

(Current as of 8/2022)

More Health Insurance Resources

Housing

Legal Assistance

State Cancer Information

Transportation

  • Local transit systems may provide free or discounted rates for low-income individuals and families. Some cities also offer bus passes, vouchers for taxi or ride-sharing services, or shuttle services for patients traveling to cancer treatments.
  • Dial 211 for assistance.