Underinsured or Uninsured? A Guide to Health Care Resources in Allegheny County doc

Underinsured or Uninsured? A Guide to Health Care Resources in Allegheny County July 2011 The most up-to-date version is available online at http://www.achd.net or http://www.alleghenycounty.us/dhs/insurance.aspx Underinsured or Uninsured 2 Table of Contents Clinic Listings Central 3 North 5 East 6 South 14 West 15 Mental Health and Substance Abuse Resources 16 For Information Outside of Allegheny County 18 Help with Prescriptions and Medications 18 Assistance with Psychiatric Prescriptions/Medications 21 Dental Care 22 Central 23 East 24 West 26 Vision Care 27 Health Insurance Options 27 Private Walk-In Clinics and Care Centers 29 Consumer Healthcare Advocacy Organizations 30 Transportation 30 Additional Resources 32 Tobacco Cessation Assistance 36 WIC (Women, Infants and Children) 36 Resources Websites 37 Update Form 38 Special thanks to Barbara Murock, Sue Martone, Jonathan McKain, and Lynette Staplefoote from the Allegheny County Department of Human Services for their invaluable assistance with the addition of mental health and substance abuse resources to this guide. 3 Underinsured or Uninsured Underinsured or Uninsured? A Guide to Healthcare Resources in Allegheny County Following is a list of clinics and health centers in Allegheny County that service people without health insurance or who are minimally insured. Most of the clinics and centers require an appointment, so a call is necessary to make an appointment and check hours of operation. Due to rising unemployment and growing numbers of people losing their health insurance, some clinics have seen increased demand, so it may take up to a month or longer to get an appointment as a new patient. To help with the process of getting reduced cost care, ask what documentation is needed to complete the application for assistance as well as how much money is requested for the rst visit. Some providers listed in the following section offer assistance with behavioral health issues. For a more comprehensive listing of resources devoted to mental health and substance abuse services, see the Mental Health and Substance Abuse Resources section (page 17), call 412-350-4457 or visit the Department of Human Services website: www.alleghenycounty.us/dhs/mhservices.aspx or www.alleghenycounty.us/dhs/substanceabuse.aspx Central Adagio Health Pittsburgh (formerly Family Health Council) Town Place, Suite 1000 Forbes and Stanwix Pittsburgh, PA 15222 412-288-2140 http://www.adagiohealth.org Insurance: Most insurance plans accepted. Assistance: Sliding fee schedule for those without insurance. Services Available: Primarily for women. Pregnancy tests, birth control, emergency contraception, gynecological care, breast and cervical cancer screening. STD testing and treatment for both men and women. Sex education and pregnancy prevention. Catholic Charities Free Health Care Center 212 Ninth Street, Suite 301 Pittsburgh, PA 15222 412-456-6911 http://www.ccpgh.org Insurance: Serves those without health insurance and who are not eligible for public or private insurance programs such as Medicare or Medicaid. Assistance: Individuals may be eligible for free services if household income does not exceed 200% of federal poverty guidelines. Examples of income documentation include recent pay stubs, W2 form, recent tax return, benet letter from Social Security, denial letter from Medical Assistance, verication of wages from employer, or Prot/Loss Statement for self employed. Services Available: Appointments are needed for medical services, which include primary care, health screenings, chronic care management, women’s health and medication assistance. Dental services provided include exams, teeth cleanings, x-rays, extractions and limited restorations. Call for appointment, current health center’s hours and information about what documentation to bring. Central listings continue on next page Underinsured or Uninsured 4 Hill District Hill House Health Center - Primary Care Health Services, Inc 1835 Centre Avenue, Suite 190 Pittsburgh, PA 15219 412-261-0937 http://www.pchspitt.org Insurance: Most insurance plans accepted except for Aetna, Cigna, and Elder Health. Assistance: Sliding fee program based on household income and family size. For rst visit, clients are asked to bring at least $10 and proof of income and family size. For visit to the dental clinic, bring $25. Services Available: Comprehensive primary medical care, pregnancy testing, podiatry, minor surgery, complete X-rays, EKGs, laboratory services, adult medicine, physical exams, pediatrics, including early screening and immunizations, complete dental services, access to pharmacy, social services, acts as a screening agency for Dollar Fund. Magee at Bethlehem Haven Fifth Avenue Commons 905 Watson St. Pittsburgh, PA 15219 412-391-1348 http://www.bethlehemhaven.org Assistance: Services are only for those without insurance. Services Available: Primarily for women. Walk-in pregnancy testing, family planning and emergency contraception, prenatal care, routine gynecological care, breast cancer screening, STD screening and treatment, social services, health information and education. Strip District The Midwife Center 2825 Penn Avenue Pittsburgh, PA 15222 412-321-6880 http://www.midwifecenter.org/ Insurance: Most insurance plans accepted for prenatal-OB care. For gynecological care, medical assistance plans generally accepted. Clients with commercial insurance are responsible to check with their insurance carrier to conrm covered services prior to care. Assistance: For uninsured, a contract with Adagio Health provides gynecological care and family planning on a sliding scale fee based on monthly income and family size. Services Available: Services only for women. With Woman Fridays: walk-ins on Fridays 1 p.m. – 4:30 p.m. for gynecological care, family planning, STD testing and treatment, mammography referrals, etc. Appointments can be made for these services on other days. A Spanish-speaking midwife is available for women whose primary language is Spanish. Con Mujeres, a walk-in service for Spanish speaking women, is available the rst Friday of every month from 2 p.m. – 4:30 p.m. Central listings continue here 5 Underinsured or Uninsured Manchester Health Center - Primary Care Health Services, Inc. 1014 Shefeld Street, Suite 100 Pittsburgh, PA 15233 412-231-6700 www.pchspitt.org Recently reopened. Hours of operation are limited to Tuesdays and Thursdays from 8 a.m. to 5:00 p.m. Insurance: Most insurance plans accepted except for Aetna, Cigna, and Elder Health. Assistance: Sliding fee program based on household income and family size. For rst visit, clients are asked to bring at least $10 and proof of income and family size. Services Available: Podiatry only. North Side Christian Health Center 816 Middle St. Pittsburgh, PA 15212 412-321-4001 http://www.nschc.org Insurance: Accepts all health insurance including Medical Assistance. Assistance: We serve all patients regardless of ability to pay. Discounts for essential services are offered depending on family size and income. Call for further information. Services Available: Physicals, immunizations, gynecological exams, blood work, mental health counseling, cancer screenings, pediatric services, well child appointments, pharmacy services and 24/7 access to emergency health services through an on-call physician. Dental services coming June 2011. Call for details. North Side Christian Health Care Center at Northview Heights 525 Mount Pleasant Rd. Pittsburgh, PA 15214 412-322-7500 http://www.nschc.org Insurance: Accepts most health insurance plans including Medical Assistance. Assistance: We serve all patients regardless of ability to pay. Discounts for essential services are offered depending on family size and income. Call for further information. Services Available: Physicals, immunizations, gynecological exams, blood work, cancer screenings, well child appointments, pharmacy services and 24/7 access to emergency health services through an on-call physician. North Underinsured or Uninsured 6 Bloomeld/Gareld Bloomeld/Gareld Family Health Center 5475 Penn Avenue Pittsburgh, PA 15206 412-361-7562 http://www.upmc.com/HospitalsFacilities/Hospitals/stmargaret/family-health/ Pages/Bloomeld-Gareld.aspx Insurance: Most insurance plans accepted except for Aetna and Unison Advantage. Assistance: Can help patients apply for nancial assistance with proof of income, household size, assets, housing costs, etc. Services Available: Prenatal care, pediatric services, diabetes education, mental health assessments and referrals (including adolescent), sports medicine, heart disease and diabetes prevention, social work services, gynecological services in partnership with Adagio Health Services. Braddock Braddock Family Health Center- Primary Care Health Services, Inc 404 Braddock Avenue Braddock, PA 15104 412-351-6300 www.pchspitt.org NEW extended hours: Tuesday thru Friday 5:00pm - 9:00pm. Also, open on Saturday 11:00 a.m. - 3:00 p.m. Insurance: Most insurance plans accepted except for Aetna, Cigna, and Elder Health. Assistance: Sliding fee program based on household income and family size. For rst visit, clients are asked to bring at least $10 and proof of income and family size. Services Available: Comprehensive primary medical care, pregnancy testing, podiatry, EKGs, laboratory services, adult medicine, physical exams, pediatrics, including early screening and immunizations, mental health services, access to pharmacy, social services. Clairton Magee at Clairton - Clairton Health Center 559 Miller Avenue Clairton, PA 15025 412-233-7021 http://www.upmc.com/HospitalsFacilities/Hospitals/Magee/Pages/Home.aspx Insurance: Most insurance plans accepted. Assistance: Programs available for those with low or no income or no insurance. Services Available: Walk-in pregnancy testing, family planning and emergency contraception, teen health care, prenatal care, routine gynecological care, breast cancer screening, STD screening and treatment, social services, health information and education. East listings continue on next page East 7 Underinsured or Uninsured Duquesne Duquesne Family Health Clinic–Primary Care Health Services, Inc. Duquesne Plaza Duquesne Blvd at Grant Ave Duquesne, PA 15110 412-466-6300 www.pchspitt.org Insurance: Most insurance plans accepted except for Aetna and Elder Health. Assistance: Sliding fee program based on household income and family size. For rst visit, clients are asked to bring at least $10 and proof of income and family size. Services Available: Comprehensive primary medical care, pregnancy testing, family planning, gyne care, podiatry, minor surgery, EKGs, laboratory services, adult medicine, physical exams, pediatrics, including early screening and immunizations, mental health services, access to pharmacy, social services. East Liberty Adagio Health East Liberty (formerly Family Health Council) 211 North Whiteld St. Suite 850 Pittsburgh, PA 15206 412-661-2900 http://www.adagiohealth.org Insurance: Most insurance plans accepted Assistance: Sliding fee schedule for those without insurance Services Available: Primarily for women. Pregnancy tests, birth control, emergency contraception, gynecological care, breast and cervical cancer screening. STD testing and treatment for both men and women. Sex education and pregnancy prevention. East Liberty Family Health Care Center - Christian Ministry of Whole Person Healthcare 6023 Harvard Street Pittsburgh, PA 15206 412-661-2802 http://www.elfhcc.com/ Insurance: Most insurance plans accepted, including Medical Assistance. Call to conrm. Assistance: People without insurance are asked to meet with the social worker to determine eligibility for Medical Assistance and other programs. If not eligible, a sliding scale fee for services is based on household size and income. Services Available: General family practice, pediatrics, lab services, routine women’s care, well-child care, immunizations, asthma, blood pressure and diabetes control programs, drug/alcohol outreach/relapse prevention, limited mental health services. A social worker is available. Podiatry is offered one day a month. East listings continue here East listings continue on next page Underinsured or Uninsured 8 East End Community Health Center - Primary Care Health Services, Inc. 117 N Negley Avenue Pittsburgh, PA 15206 412-404-4000 www.pchspitt.org Insurance: Most insurance plans accepted including Medical Assistance. Call to conrm. Assistance: Sliding fee program based on household income and family size. For rst visit, clients are asked to bring at least $10 and proof of income and family size. Services Available: Comprehensive primary medical care, pregnancy testing, family planning, obstetrics, minor surgery, EKGs, laboratory services, adult medicine, physical exams, pediatrics, including early screening and immunizations, mental health services, access to pharmacy, social services. Refer out for mental health sevices. Hazelwood Hazelwood Family Health Center - Primary Care Health Services, Inc. 4918 Second Avenue Pittsburgh, PA 15207 412-422-9520 www.pchspitt.org Insurance: Most insurance plans accepted except for Aetna, Cigna, and Elder Health. Assistance: Sliding fee program based on household income and family size. For rst visit, clients are asked to bring at least $10 and proof of income and family size. Services Available: Comprehensive primary medical care, pregnancy testing, family planning, podiatry, minor surgery, EKGs, laboratory services, adult medicine, physical exams, pediatrics, including early screening and immunizations, refer out to mental health services, access to pharmacy, social services. Homewood-Brushton Alma Illery Medical Center - Primary Care Health Services, Inc. 7227 Hamilton Avenue Pittsburgh, PA 15208 412-244-4700 www.pchspitt.org Insurance: Most insurance plans accepted except for Aetna, Cigna, and Elder Health. Assistance: Sliding fee program based on household income and family size. For rst visit, clients are asked to bring at least $10 and proof of income and family size. Services Available: Comprehensive primary medical care, pregnancy testing, family planning, obstetrics, podiatry, minor surgery, complete X-rays, EKGs, laboratory services, adult medicine, physical exams, pediatrics, including early screening and immunizations, complete dental services, mental health services, pharmacy, social services, health education, individual and group counseling, group therapy/education, skill development and transportation in selected cases. A psychiatrist will be available beginning July 1, 2011. East listings continue here East listings continue of next page 9 Underinsured or Uninsured East listings continue here Lawrenceville Allegheny County Health Department Tuberculosis Clinic and Program 3901 Penn Ave. 1st Fl. Pittsburgh, PA 15224 412-578-8084 http://www.achd.net/infectd/tbclinic.html This clinic provides walk-in Mantoux tuberculin skin testing (screening) for free on certain days. Medical evaluation, diagnostic testing and follow-up treatment if needed are available by appointment. For information on clinic hours, services and how to make referrals, call or go to their website. Lincoln-Lemington Lincoln-Lemington Family Health Care Center - Christian Ministry of Whole Person Healthcare 7171 Churchland Street Pittsburgh, PA 15206 412-361-8284 http://www.elfhcc.com/ Insurance: Most insurance plans accepted including Medical Assistance. Call to conrm. Assistance: People without insurance are asked to meet with the social worker to determine eligibility for Medical Assistance and other programs. If not eligible, a sliding scale fee for services is based on household size and income. Services Available: General family practice, dental services for adults and children, lab services, obstetric-gynecological care & prenatal care for patients who elect to have East Liberty Family Health Care Center as their PCP, pediatrics, well-child care, immunizations, WIC services, hearing/vision screening, asthma, blood pressure, and diabetes control programs. A social worker is available. McKeesport McKeesport 9th Street Clinic The Common Ground 410 Ninth St. McKeesport, PA 15132 412-664-4304 Dr. William Markle, Medical Director Insurance: No insurance needed. Patients with insurance may be referred to community health centers if necessary. Assistance: Information about income may be requested to determine eligibility for certain assistance programs. Services Available: Free primary health care for people without insurance. No appointments needed, but staff may limit the number of patients accepted depending on how busy the clinic is. Blood pressure and blood glucose screenings, physicals for jobs, housing, driver’s licenses, etc. Mental health referral. An eye clinic is available twice a year. Clinic Hours: Expanded clinic hours: Thursdays 1 p.m. - 8 p.m. East listings continue on next page Underinsured or Uninsured 10 East listings continue here McKeesport Family Health Center - Primary Care Health Services, Inc 627 Lyle Blvd. McKeesport, PA 15132 412-664-4112 www.pchspitt.org Insurance: Most insurance plans accepted except for Aetna, Cigna, and Elder Health. Assistance: Sliding fee program based on household income and family size. For rst visit, clients are asked to bring at least $10 and proof of income and family size. Services Available: Comprehensive primary medical care, pregnancy testing, family planning, podiatry, minor surgery, EKGs, laboratory services, adult medicine, physical exams, pediatrics, including early screening and immunizations, youth mental health counseling for existing patients, access to pharmacy and social services. UPMC McKeesport Latterman Family Health Center 2347 Fifth Ave. McKeesport, PA 15132 412-673-5504 http://www.upmc.com/HospitalsFacilities/Hospitals/McKeesport/Pages/ default.aspx Insurance: Accept Gateway, UPMC for You, Health America, Blue Cross, Keystone, Med Plus, and Medicare Assistance. Those without insurance are required to apply for Medical Assistance. If denied for MA, then must complete an application with documentation of income and family size for UPMC Financial Assistance for varying percentage of discounted care. Services Available: Primary care across the lifespan including pediatrics. Health Beginnings Program for OB patients, transportation provided for OB patients (Mobile Moms). Healthy Woman screenings. Contractor for family planning services for both men and women through Adagio Health (Family Health Council) and these services are obtainable through a sliding fee scale. Monroeville Magee at Monroeville Magee Womancare Center-Monroeville Corporate One Ofce Park, Building 2, Suite 330 4075 Monroeville Blvd. Monroeville, PA 15146 412-641-6722 http://www.upmc.com/HospitalsFacilities/Hospitals/Magee/Pages/Home.aspx Insurance: Most insurance plans accepted. Assistance: Programs available for those with low or no income or no insurance. Services Available: Walk-in pregnancy testing, family planning and emergency contraception, teen health care, prenatal care, routine gynecological care, breast cancer screening, STD screening and treatment, social services, health information and education. East listings continue on next page [...]... is a toll-free number staffed by professional behavioral health counselors who can assist with accessing drug and alcohol services 24-hours -a- day, seven-days -a- week Community Care Behavioral Health is the behavioral health managed care organization for Allegheny County Medical Assistance recipients and can also assist uninsured Allegheny County residents with information about available services as... medicine including prenatal care and pediatrics, limited routine dental care, and social services Some labs and medications available Rankin Rankin Family Health Facility - Primary Care Health Services, Inc 300 Rankin Blvd Rankin, PA 15104 412-351-4555 www.pchspitt.org Insurance: Most insurance plans accepted except for Aetna, Cigna, and Elder Health Assistance: Sliding fee program based on household income... http://www.upmc.com/HospitalsFacilities/Hospitals/Magee/Pages/Home.aspx Insurance: Most insurance plans accepted Assistance: Programs available for those with low or no income or no insurance Services Available: Walk -in pregnancy testing, family planning and emergency contraception, teen health care, prenatal care, routine gynecological care, breast cancer screening, STD screening and treatment, social services, health information... maternity, adult, and geriatric care as well as care for chronic illnesses including HIV/AIDS Individual counseling and smoking cessation help available for our patients Trained doula (coach for pregnancy, birthing and post-partum care) available for pregnant women Also provides care for LGBT population East listings continue on next page 13 Underinsured or Uninsured East listings continue here Hosanna... non-hospital care, may consider the Community Health Clinic in New Kensington, which is listed under Westmoreland County U S Department of Health and Human Services – Health Resources and Services Administration (HRSA) http://findahealthcenter.hrsa.gov/ HRSA maintains a national database of the federally funded health centers around the country that provide care to individuals without health insurance Most... elderly and persons with disabilities having problems with obtaining health insurance or accessing healthcare They operate a toll-free Helpline Mon.-Fri 9 a. m.-5 p.m Transportation Community Auto This program makes vehicle ownership a reality for those in hardship For more information about their guidelines and policies go to http://www.nhco.org/auto.htm or call Jennifer Carr at 724-443-8300 Transportation... provide walk -in care seven days a week for illnesses and injuries They have medical doctors on site and can do lab work and x-rays Payment in the form of cash, check or credit card is required prior to service Medical assistance is not accepted To find out about center locations, what care can be provided, what insurance is accepted, and fees, call 1-304-225-2500 or go to www.greatcarefast.com 29 Underinsured. .. Underinsured or Uninsured Consumer Health Care Advocacy Organizations Consumer Health Coalition 415 East Ohio St Suite 300 Pittsburgh, PA 15212 412-456-1877 Fax: 412-456-1096 http://www.consumerhealthcoalition.org/ Consumer Health Coalition (CHC) is a non-profit organization that works to increase access to quality, affordable health care They operate a helpline to assist individuals and families with applying... accepted Assistance: Programs available for those with low or no income or no insurance Services Available: Walk -in pregnancy testing, family planning and emergency contraception, teen health care, prenatal care, routine gynecological care, breast cancer screening, STD screening and treatment, social services, health information and education Matilda Theiss Health Center - UPMC Health System 373 Burrows... more information about eligibility criteria or for help with the application process Charity Care Pittsburgh area hospitals and their affiliated practices usually have charity care programs As a rule, applicants are required to apply for Medical Assistance first and provide documentation of income and household size before they can be considered for charity care For those seeking charity care, consulting . guide. 3 Underinsured or Uninsured Underinsured or Uninsured? A Guide to Healthcare Resources in Allegheny County Following is a list of clinics and health. size. Services Available: Primary care across the lifespan including prenatal and pediatrics, mental and behavioral health services, tobacco cessation, health education