As filed with the Securities and Exchange Commission on October 22, 2002
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                              ---------------------

                                   SCHEDULE TO
                                (Amendment No. 6)
                                 (RULE 14D-100)

            Tender Offer Statement under Section 14(d)(1) or 13(e)(1)
                     of the Securities Exchange Act of 1934

                             ----------------------

                        PENN TREATY AMERICAN CORPORATION
                            (Name of Subject Company)

                        PENN TREATY AMERICAN CORPORATION
                                    (Issuer)

                  61/4% CONVERTIBLE SUBORDINATED NOTES DUE 2003
                         (Title of Class of Securities)

                                   707 874 AC7
                                   707 874 AA1
                                   707 874 AB9
                      (CUSIP Number of Class of Securities)

                             -----------------------

                                 William W. Hunt
                      President and Chief Operating Officer
                        Penn Treaty American Corporation
                               3440 Lehigh Street
                          Allentown, Pennsylvania 18103
                                 (610) 965-2222
                  (Name, address and telephone number of person
                        authorized to receive notices and
                       communications on behalf of Filing
                                     Person)
                            -------------------------

                                   Copies to:
                              Justin P. Klein, Esq.
                     Ballard Spahr Andrews & Ingersoll, LLP
                         1735 Market Street, 51st Floor
                        Philadelphia, Pennsylvania 19103
                                 (215) 665-8500
                            -------------------------


                            Calculation of Filing Fee

     ----------------------------------------------------------------------

                  Transaction Valuation*     Amount of Filing Fee**

                   $   74,750,000                   $6,877***
     ----------------------------------------------------------------------
*    Estimated  for the  purposes  of  calculating  the amount of the filing fee
     only.  The amount  assumes the exchange of the entire  aggregate  principal
     amount of 6 1/4% Convertible Subordinated Notes due 2003 (the "Subordinated
     Notes") of Penn Treaty  American  Corporation  ("Penn  Treaty")  for 6 1/4%
     Convertible  Notes due 2008 (the  "Exchange  Notes") issued by Penn Treaty.
     Penn Treaty intends to issue up to $74,750,000  aggregate  principal amount
     of  Exchange  Notes  in  exchange  for  the  entire  outstanding  aggregate
     principal  amount of the Subordinated  Notes.  Based on the August 26, 2002
     value of the outstanding Subordinated Notes, the transaction value is equal
     to $74,750,000.
**   The amount of the filing fee is calculated in accordance  with Rule 0-11 of
     the Securities Exchange Act of 1934, as amended.
***  Previously paid.

[ ]  Check box if any part of the fee is offset as provided by Rule 0-11(a)(2)
     and identify the filing with which the offsetting fee was previously  paid.
     Identify the previous filing by registration  statement number, or the Form
     or Schedule and the date of its filing.

     AMOUNT PREVIOUSLY PAID:                       Not applicable.
     FILING PARTY:                                 Not applicable.
     FORM OR REGISTRATION NO.:                     Not applicable.
     DATE FILED:                                   Not applicable.

[ ]  Check the box if the filing relates solely to preliminary  communications
     made before the commencement of a tender offer.

Check the appropriate boxes below to designate any transactions to which the
statement relates:

         [ ] Third-party tender offer subject to Rule 14d-1.

         [x] Issuer tender offer subject to Rule 13e-4.

         [ ] Going-private transaction subject to Rule 13e-3.

         [ ] Amendment to Schedule 13D under Rule 13d-2.

Check the following box if the filing is a final amendment reporting the results
of the tender offer:  [x]

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                             Introductory Statement

     This Amendment No. 6 amends and  supplements  the Tender Offer Statement on
Schedule TO (the "Statement")  filed by Penn Treaty American  Corporation ("Penn
Treaty")  with the  Securities  and Exchange  Commission  on August 28, 2002, in
connection  with its offer to exchange  up to  $74,750,000  aggregate  principal
amount of 61/4% Convertible  Subordinated Notes due 2003 of Penn Treaty, or such
lesser  principal  amount as is properly  tendered and not withdrawn,  for 61/4%
Convertible  Subordinated  Notes  due 2008 upon the  terms  and  subject  to the
conditions  set forth in the  Offering  Circular,  dated  August 28,  2002,  the
related  Letter of  Transmittal  dated August 28, 2002 and the Supplement to the
Exchange  Offer dated  September 13, 2002,  copies of which were attached to the
Statement,  as amended,  as Exhibits  (a)(1),  (a)(2) and (a)(11),  respectively
(which,  as they may be amended  and  supplemented  from time to time,  together
constitute  the "Exchange  Offer").  Penn Treaty filed an Amendment No. 1 to the
Statement on September 9, 2002, an Amendment No. 2 to the Statement on September
13,  2002,  an Amendment  No. 3 to the  Statement  on  September  27,  2002,  an
Amendment No. 4 to this  Statement on October 4, 2002, and an Amendment No. 5 to
this Statement on October 11, 2002.

Item 4.   Terms of the Transaction

Item 4 of the Statement is hereby amended and supplemented as follows:

     The Exchange  Offer  expired at 11:59 p.m.,  New York City time, on Friday,
October 18, 2002.  According to the information  provided by the exchange agent,
prior to the expiration of the Exchange Offer, an aggregate  principal amount of
$59,703,000 of Subordinated  Notes had been tendered and not withdrawn  pursuant
to the  Exchange  Offer  (including  $165,000  of  Subordinated  Notes  tendered
pursuant  to  the  procedure  for  guaranteed   delivery),   which   constitutes
approximately  80% of the  outstanding  Subordinated  Notes.  Upon the terms and
subject to the conditions of the Exchange Offer, Penn Treaty will issue Exchange
Notes of an equal  aggregate  amount in exchange for such tendered  Subordinated
Notes.  On October 21, 2002,  Penn Treaty issued a press release  announcing the
results of the Exchange  Offer. A copy of this press release is filed as Exhibit
(a)(16) to this Statement and incorporated herein by reference.


Item 12.    Exhibits

Item 12 of this Statement is hereby amended to add a reference to Exhibit
(a)(16), which is attached as an exhibit hereto.

EXHIBIT NUMBER                DESCRIPTION
99.(a)(16)                    Press Release dated October 21, 2002.*

-----------------------------
*        Filed herewith.




                                    SIGNATURE

     After due inquiry  and to the best of my  knowledge  and belief,  I certify
that the information set forth in this Amendment No. 6 to the Statement is true,
complete and correct.

                                        PENN TREATY AMERICAN CORPORATION


Dated:  October 22, 2002                By: /s/ William W. Hunt
                                            -------------------
                                                William W. Hunt
                                                President and
                                                Chief Operating Officer






EXHIBITS

EXHIBIT NUMBER                DESCRIPTION
99.(a)(16)                    Press Release dated October 21, 2002.*

-----------------------------
*        Filed herewith.





                                                            Exhibit 99.(a)(16)


    PENN TREATY AMERICAN CORPORATION CONCLUDES SUCCESSFUL DEBT EXCHANGE OFFER

ALLENTOWN,  PA., Oct. 21, 2002 - Penn Treaty American  Corporation  (NYSE - PTA)
today  announced  that  its  offer  to  exchange  its  outstanding   $74,750,000
convertible notes due 2003 (the "Subordinated  Notes") for convertible notes due
2008 (the  "Exchange  Notes")  concluded at 11:59 p.m.,  on Friday,  October 18,
2002.

PTA has been informed by its exchange agent,  Wells Fargo Bank Minnesota,  N.A.,
that $59,703,000 or 80% of the  Subordinated  Notes were tendered to the Company
in the exchange offer.

Upon the terms and subject to the conditions of the exchange offer,  the Company
will issue  Exchange  Notes of an equal  aggregate  amount in  exchange  for the
tendered Subordinated Notes.

The exchange offer is a significant  component of the Company's ongoing plan for
balance  sheet and capital  reformulation.  The  Company  believes  that,  as it
evaluates  alternatives  for capital to support  future  growth,  the successful
exchange of a majority of the Subordinated  Notes for Exchange Notes has further
enabled these efforts.

The Company,  through its wholly owned  direct and indirect  subsidiaries,  Penn
Treaty Network America Insurance  Company,  American Network Insurance  Company,
American  Independent  Network  Insurance  Company  of  New  York,  Penn  Treaty
(Bermuda),  Ltd., United Insurance Group Agency,  Inc., Network Insurance Senior
Health Division and Senior Financial  Consultants  Company, is primarily engaged
in the  underwriting,  marketing and sale of individual  and group  accident and
health insurance products,  principally covering long-term nursing home and home
health care.