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Pennsylvania health insurance 2027: prices, plans and free help

In Pennsylvania, the 2027 benchmark silver plan for a 40-year-old averages $648 a month before tax credits, up 13% from 2026 (KFF). Open Enrollment runs Nov 1, 2026 to Jan 15, 2027. A licensed advisor from America First Healthcare can compare private plans and Marketplace options with you on a free call.

Verify any agent's license through the NIPR lookup.

Jordan Sarmiento, CEO of America First HealthcareReviewed by Jordan SarmientoUpdated

Quick facts

Marketplace
Pennie
2027 open enrollment
Nov 1 to Jan 15
Medicaid expansion
Adopted
Short-term plans
Limited

Facts checked 2026-09-14.

Pennsylvania in 2027 at a glance

Benchmark silver, age 40
$648/mo
2027, before credits. Up 13% from 2026.
Enrolled for 2026
501,459
79.8% got a premium tax credit.
Open Enrollment
Nov 1 to Jan 15
Enroll by Dec 15 for a Jan 1 start.

Sources: KFF and CMS (2027 plan data), linked in the sections below.

Pennsylvania health insurance facts

Marketplace
Pennsylvania runs its own state-based marketplace, Pennie.Source
2027 open enrollment
Open Enrollment for 2027 coverage runs Nov 1, 2026 to Jan 15, 2027 through Pennie; enroll by Dec 15, 2026 for coverage that starts January 1.Source All states' 2027 dates.
Medicaid expansion
Pennsylvania adopted Medicaid expansion (implemented January 1, 2015).Source
State insurance department
Pennsylvania Insurance Department. File complaints and check agent licenses here.Source

Facts checked 2026-09-14. Rules change; confirm anything you plan around at the linked source.

Average cost of health insurance in Pennsylvania for 2027

The benchmark plan, the second-lowest-cost silver plan that tax credits are measured against, averages $648 a month for a 40-year-old in Pennsylvania for 2027, before any credit. That is up 13% from $572 in 2026.Source

2027 benchmark silver price by age in Pennsylvania

AgePer month, before credits
21$507
30$575
40$648
50$906
60$1,376
64$1,521

Age 40 is the KFF benchmark. Other ages use the CMS default age curve.SourceSource Tax credits lower these prices for most buyers. See your own price with the 2027 price checker.

The 2026 Marketplace in Pennsylvania, in numbers

Pennsylvania health insurance at a glance, 2026: 501,459 Pennsylvania residents picked a 2026 Marketplace plan; the average premium was $742 a month per person before the tax credit and $251 after it; 79.8% received a tax credit; the benchmark silver plan for a 40-year-old averaged $572 a month; 14.1% paid $10 a month or less after the credit. Marketplace: Pennie. Medicaid expansion: adopted. State premium help paid by Pennsylvania's own exchange is not included. Sources: CMS and KFF.
Pennsylvania health insurance at a glance: 2026 Marketplace figures from CMS and KFF. The same numbers, with their source links, are in the text below.

For 2026, 501,459 Pennsylvania residents picked a Marketplace plan during Open Enrollment, and 79.8% of them received an advance premium tax credit. The average premium was $742 a month per person before the credit and $251 after it, counting everyone who picked a plan. 14.1% paid $10 a month or less after the credit.Source State premium help paid by Pennsylvania’s own exchange is not included in these figures.

The benchmark plan, the second-lowest-cost silver plan that tax credits are measured against, averaged $572 a month for a 40-year-old in Pennsylvania in 2026, before any credit.Source

Your own price depends on your age, county, household income and the plan you pick, and you see exact 2027 numbers only on a Marketplace application or a quote. How the pieces fit together is in how much health insurance costs per month.

What our clients in Pennsylvania actually paid each month is in health insurance cost by state.

Health insurance companies in Pennsylvania for 2027

Pennsylvania runs its own exchange, so the 2027 insurers and plans for your ZIP code are listed on Pennie. Private plans sold outside the exchange are a separate list; an advisor can compare both with you.

Cheap health insurance in Pennsylvania: where the low prices are

Tax credits change the price most. For 2026, 79.8% of Pennsylvania Marketplace enrollees got a premium tax credit, and 14.1% paid $10 a month or less after it.Source

Pennsylvania expanded Medicaid, so adults with low incomes may qualify for Medicaid at little or no cost.Source For people who mainly want protection from a large bill, a catastrophic plan can cost less; what our own clients pay is in health insurance cost by state.

Short-term health insurance in Pennsylvania

Short-term plans are sold in Pennsylvania. The Pennsylvania Insurance Department warns that they do not have to meet the minimum requirements of Affordable Care Act plans, so read exactly what is covered. Duration limits follow state and federal rules; check the department before you buy.Source Short-term plans are not Marketplace coverage and do not get tax credits. How they compare with a catastrophic plan is in catastrophic coverage.

Free, impartial help in Pennsylvania

If you have Medicare or will soon: Pennsylvania’s State Health Insurance Assistance Program (SHIP) is PA MEDI – Pennsylvania Medicare Education and Decision Insight, 1-800-783-7067.Source SHIPs are federally funded, give objective one-on-one Medicare counseling, and there is no cost to use them.Source

America First Healthcare is a licensed agency, not a SHIP or a Marketplace assister. Use them, us, or both; a second opinion costs you nothing either way.

Who we usually help in Pennsylvania

New to private coverage? Start with private health insurance in the USA.

Self-employed? Self-employed health insurance in Pennsylvania has your 4 options, 2026 prices and a tax deduction calculator.

We work with families across Pennsylvania, including Philadelphia, Pittsburgh, Allentown and Harrisburg, and everywhere in between. The review is by phone or video, so where you live in the state does not change how it works.

What a licensed advisor does and how advisors are paid is on talk to a licensed advisor near you.

On our homepage map, Pennsylvania is one of the states marked active now.

Pennsylvania health insurance FAQs

Is short-term health insurance allowed in Pennsylvania?

Short-term plans are sold in Pennsylvania. The Pennsylvania Insurance Department warns that they do not have to meet the minimum requirements of Affordable Care Act plans, so read exactly what is covered. Duration limits follow state and federal rules; check the department before you buy.

When is open enrollment in Pennsylvania for 2027 coverage?

Open Enrollment for 2027 coverage in Pennsylvania runs Nov 1, 2026 to Jan 15, 2027 through Pennie. Enroll by Dec 15, 2026 for coverage that starts January 1, 2027.

How much does health insurance cost in Pennsylvania?

For 2027, the benchmark silver plan for a 40-year-old in Pennsylvania averages $648 a month before tax credits, up 13% from $572 in 2026 (KFF). In 2026, Pennsylvania Marketplace enrollees paid $251 a month on average after tax credits ($742 before) (CMS). Your own price depends on your age, county, household income and plan.

What is the average cost of health insurance in Pennsylvania by age?

For 2027, the benchmark silver plan in Pennsylvania averages about $575 a month at age 30, $648 at 40, $906 at 50 and $1,376 at 60, before tax credits (KFF benchmark for age 40, other ages on the CMS default age curve). Most Marketplace buyers pay less after a premium tax credit.

Does Pennsylvania use HealthCare.gov or its own marketplace?

Pennsylvania runs a state-based marketplace called Pennie. Marketplace plans and any premium tax credit in Pennsylvania go through it rather than HealthCare.gov.

How do I verify an insurance agent's license in Pennsylvania?

Look the agent up through the NIPR license lookup, or contact the Pennsylvania Insurance Department. Ask for the agent's name and national producer number before you share personal information. NIPR license lookup.

Educational only. Not medical, legal, or personalized insurance advice. Plans are offered and underwritten by third-party carriers. All states.

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