The Gateway Difference

For 20 years, Gateway HealthSM has provided affordable, accessible healthcare to those who need it most. We are pleased to announce we are expanding coverage to those living in Ohio, Kentucky and North Carolina. Now you can enjoy the same Medicare Advantage Plans offered in Pennsylvania as well as a Medicare Advantage Prescription Drug (MAPD) plan. The MAPD plan is available to everyone with Medicare and living in Gateway Health’s Ohio, Kentucky and North Carolina services area and requires no additional qualifications.

  • Located throughout 39 counties in Pennsylvania; 59 counties in Ohio;  69 counties in Kentucky and 41 counties in North Carolina 
  • Now available throughout 60 counties in Ohio, as well as Kentucky and North Carolina
  • Thousands of board certified doctors and other healthcare providers
  • Hundreds of hospitals
  • Access to home healthcare agencies and pharmacies


Health and Wellness Education

As a member, you have access to health and wellness programs as part of your coverage.  Whether you're trying to get healthy, stay healthy or live with a chronic illness, Gateway Health gives you the tools to improve your overall health and wellbeing.  


Prospective Care Management (PCM®)

Gateway Health looks at the whole member, not just their health condition. Our Case Management staff provides disease specific education and instruction in self-care and helps you locate referrals to community-based services and programs to address specific needs. We collaborate with physicians and community organizations while actively engaging you and your caregivers. Learn more about Gateway Health's Prospective Care Management (PCM®).


Our Special Needs Plans (SNPs)

Dual Eligible Special Needs Plans (D-SNP) 

Dual Eligible (D-SNP) plans are for Medicare beneficiaries who also qualify for Medicaid or receive assistance from the State. 
Compare our D-SNP plans with the Gateway Health Plan Finder.


A Better Medicare Plan for a Better You! 

Our commitment to you as a member is to get you the information you need in just one phone call.  Our representatives are local, so you can speak to a real person who is close to home.

If you are interested in getting more information about Medicare Assured benefits or in becoming a member, we have knowledgeable, licensed representatives who can get you the answers you need and help you apply for enrollment in one of the Medicare Assured products. Call 1-877-741-7757, TTY: 711 today. 


Gateway HealthSM offers HMO plans with a Medicare Contract. Some Gateway Health plans have a contract with Medicaid in the states where they are offered.  Enrollment in these plans depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. These plans are available to anyone with Medicare and Medicaid.