Apply for the PH-95
program with Fortuna
Fortuna is here to help you navigate the PH-95 application
process with ease.
How it works
Fortuna assists Highmark members with PH-95 applications in 3 easy steps:
Apply for PH-95 with Fortuna online
Collect documentation - Fortuna submits it to the state
Stay informed - Fortuna tracks your case and any state requests
Frequently Asked Questions
How does Fortuna work with Highmark?
At no additional cost, Highmark provides Fortuna as a Medicaid navigation service to members. Fortuna helps Highmark members with applying for PH-95 with the state and your county.
How does Fortuna work?
It’s simple: just fill out the eligibility screening and apply online on Fortuna's website. After you apply, Fortuna will follow up with you to collect proof of income for parents and provide proof of disability for your child.
This could be documentation that your doctor can fill out, or documentation you may already have, such as an IEP from your child's school. The state may also ask for additional documentation, depending on your specific situation.
When you apply with Fortuna, you provide consent for Fortuna to serve as your authorized representative. This means that Fortuna can submit the application for you, any documentation the state requests, and call into the County Assistance Office (CAO) about your case. Once your case has been finalized, Fortuna will remove itself as your authorized representative with the state.
Can I keep Highmark for my health insurance?
Of course! Highmark will remain your primary coverage. You can select Highmark Wholecare as your secondary Medicaid coverage if approved for PH-95.
What does Fortuna cost?
Fortuna is available to Highmark members at no additional cost.
What if I have questions for Fortuna?
Our navigators are always available over email, chat, and SMS.
Over the phone, we’re available M-F from 8 AM to 8 PM at 888-575-9303.
How will I receive notifications?
It’s always your preference.
Pick from SMS, email, and virtual chat notifications so you never miss a Medicaid action.
Why enroll with Fortuna?
Filling out government forms (paper or digital) can be confusing. We know the anxiety of missing important mail from the state. We built Fortuna to take the stress out of health plan coverage.
We provide a fast, personalized renewal experience - and your own dedicated navigator available by phone and chat. We take care of the rest with the state.
Need help?
Fortuna is always available over email, chat, or SMS (1-855-697-5943). Reach us by phone at 1-888-575-9303, Monday-Friday, 8 a.m. - 8 p.m.
For help in Spanish, please click the button at the top of the page that says "ES".
For help in any other languages, please apply via COMPASS directly. Please visit https://www.compass.dhs.pa.gov/home/#/ or call 800-692-7462. You can also go to your County Assistance Office. For the contact information for your County Assistance Office, please click here: https://www.pa.gov/agencies/dhs/contact/cao-information.
®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.
The following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association:
Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., First Priority Health, Highmark Care Benefits Inc., First Priority Life Insurance Company or Gateway Health Plan, Inc. d/b/a Highmark Wholecare.Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Senior Health Company, or Gateway Health Plan, Inc. d/b/a Highmark Wholecare.
Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418.
All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.
Fortuna Health is a separate company that provides Medicaid navigation service for Highmark members.