HARRISBURG, PA — The Pennsylvania Insurance Department (PID) has unveiled the 2025 health insurance rates under the Affordable Care Act (ACA), projecting substantial savings for residents. Through its rigorous rate review process and innovative reinsurance program, the PID anticipates Pennsylvania households will save approximately $77.2 million on premiums next year.
In addition to cost savings, the Commonwealth will experience heightened competition in the health insurance marketplace. New insurers are set to enter several counties, increasing the options available to consumers. “Pennsylvanians care about the price of comprehensive, ACA-compliant health insurance – and they deserve affordable options,” stated Pennsylvania Insurance Commissioner Michael Humphreys. The department emphasized its dedication to incorporating consumer feedback, which played a crucial role in shaping the finalized rates.
The majority of insurers currently providing individual market coverage across Pennsylvania’s 67 counties will maintain their presence in 2025, with an average statewide rate increase of 6 percent. This figure is notably two percentage points lower than initial filings. Meanwhile, the small group market is expected to see an average rise of 7.6 percent.
The PID strongly encourages Pennsylvanians to review their health insurance options for 2025. Pennie, the state’s official health insurance marketplace, remains the most cost-effective platform for obtaining quality health plans. It is also the exclusive source for financial assistance to lower the cost of both coverage and care. All plans available through Pennie are required to include consumer protections, such as coverage for pre-existing conditions and essential health benefits. The marketplace offers a range of plans, with silver, gold, and platinum tiers providing the most comprehensive coverage and typically lower out-of-pocket costs.
The upcoming Open Enrollment Period is a critical time for residents to secure individual and family health coverage for the coming year. This period spans from November 1 to December 15, with coverage commencing on January 1, 2025. Outside of this window, enrollment is restricted to individuals experiencing qualifying life events, such as changes in Medicaid eligibility or significant family events.
As the Open Enrollment Period approaches, the Pennsylvania Insurance Department states that it remains committed to ensuring that affordable, high-quality health insurance is accessible to all residents, empowering them to make informed decisions about their healthcare needs.
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