PHLP provides free legal services and advocacy to Pennsylvanians having trouble accessing publicly funded health care coverage or services. For assistance, call our helpline at 1-800-274-3258 or 1-866-236-6310 TTY or e-mail us at staff@phlp.org.
Download Applications for Medical Assistance.
Application for Medical Assistance for Workers with Disabilities (MAWD) (Adobe Acrobat Document: 6 pages, 1.7 Kb) Mail-in Application for Payment of Medicare Part B Premium (PA 600M) (Adobe Acrobat Document: 4 pages, 1.4 Kb) Application for Medical Assistance Benefits (PA 600) (Adobe Acrobat Document: 20 pages, 3.6 MB)
