SelectPlan For Women
A No Cost Plan for Pennsylvania Women

Many women can receive free birth control, Pap tests, STD testing and more through
SelectPlan for Women - a no cost plan that covers family planning and birth control. 

All services are confidential and free to you!

What services are covered under SelectPlan for Women?

SelectPlan for Women pays for:

• Birth Control (including pills, condoms, diaphragms, the patch, etc.)
  
• Emergency Contraception
  
• Pap Tests
  
• STD Testing and Treatment
  
• HIV Testing and Counseling
  
• Breast Exams
  
• Routine Women’s Health
  
  

Always confidential! 

Do I qualify for SelectPlan for Women?

You likely qualify if you:

• are between the ages of 18 and 44 years old
  
• are a U.S. citizen or permanent U.S. resident
  
• are a resident of Pennsylvania
  
• have no health insurance that covers family planning services
  
• are not pregnant
  
• meet income requirements (see chart below)
  
  

Income guidelines for 2008:

Family Size	Monthly
1	$1,604
2	$2,159
3	$2,714
4	$3,269
5	$3,824
6	$4,379

For each additional family member add:

$555

How Do I Sign Up for SelectPlan for Women?

Enrollment is easy and we can help!

You can enroll in SelectPlan for Women at any Family Planning Center. 
Click here for a location near you, or call 1-888-601-1234.

Our skilled and trusted healthcare professionals will provide answers to your questions and
confidential care that’s all about you.

When you come to your appointment, bring this information with you:

1. Identification - Bring documents listed below.

• U.S Passport or Birth Certificate
              AND
• Pennsylvania Driver’s License or State Issued Photo ID
  

2. Proof of income for you and all working family members in your household. Any ONE of the following examples:

• A recent pay stub for a typical pay period
  
• Employer’s letter stating pay for a typical pay period
  
• Proof of other income, such as child support
  
• If self-employed, a copy of tax returns
  

3. Insurance Card if you have health insurance.

4. Social Security Number - you need to know your Social Security number.
You do not need to bring in your actual Social Security card.

If you don’t have all of these documents, please bring in what you do have
and our staff can help get your application started.

To learn more about documents that may be used for the application process,
click here or call 1-888-601-1234.

You can also apply on-line at www.compass.state.pa.us or at your county assistance office.

To print a paper application for SelectPlan, click here.

To print a quick income calculator tool to see if you qualify, click here.

Is there any cost to me if I enroll in SelectPlan for Women?

No. This is a FREE program. If you qualify for SelectPlan for Women, there are no co-pays for your visits, no visit limits, and no cost to you for your birth control prescriptions.

Services, including birth control, will be provided at no cost to you beginning the day you fill out the application. 

What if I don’t qualify for SelectPlan for Women?

If you don’t qualify for SelectPlan for Women, you may qualify for other confidential, free or reduced cost family planning services available through Maternal and Family Health Services.  Click here to learn more about the MFHS Family Planning Program.

If you are under age 18, all services at Family Planning Centers are free and confidential.  Click here to learn more.

How can I learn more?

If you have questions, please call 1-888-601-1234 or visit www.selectplanforwomen.state.pa.us

SelectPlan for Women
is a program of the Pennsylvania Department of Public Welfare
Commonwealth of Pennsylvania
Edward G. Rendell, Governor
Estelle B. Richman, Secretary