Health Insurance Plans in Pennsylvania

Health insurance companies in Pennsylvania offer plans on the state’s health care exchange. These companies do not offer plans in all 61 counties, so plan availability depends on where you live. Many Pennsylvania residents select Silver health insurance plans because they are a good fit for people with average medical costs. Depending on where you live, the UPMC Advantage Silver $3,500/$25 or the Geisinger Marketplace HMO 30/60/4650 is the cheapest plan. Take a closer look at the cheapest health insurance plans in Pennsylvania by metal tier before selecting a policy.

Cheap Health Insurance Plans in Pennsylvania By Metal Tier

If you want the most affordable health insurance in Pennsylvania, begin your search by analyzing the plans by metal tier. Health insurance companies offer six metal tiers in Pennsylvania. You can choose from Catastrophic, Bronze, Expanded Bronze, Silver, Gold, and Platinum tiers. These quotes are based on an average 40-year-old Pennsylvania resident.

The UPMC Advantage Catastrophic $7,350/$0 – Partner Network policy is the cheapest Catastrophic plan available in the state. The monthly premium is $208.29, and the deductible and the out-of-pocket maximum are both $7,350.

The cheapest Bronze tier plan is the UPMC Advantage Bronze $6,950/$35 – Partner Network policy. This plan has a monthly premium of $243.24, a deductible of $6,950, and an out-of-pocket maximum of $7,350.

The Expanded Bronze is the next tier available in Pennsylvania. With a monthly premium of $328.23, it is the cheapest of the Expanded Bronze plans. The deductible is $6,100, and the out-of-pocket maximum is $7,350.

If you want cheap health insurance in Pennsylvania, the most affordable Silver policy might be right for you. The UPMC Advantage Silver $3,500/$25 – Partner Network is the cheapest one, with a monthly premium of $349.75, a deductible of $3,500, and an out-of-pocket maximum of $7,350.

The most affordable Gold plan is the UPMC Advantage Gold $800/$20 – Partner Network. The monthly premium is $336.79, the deductible is $800, and the out-of-pocket maximum is $5,000

You can also get Platinum health insurance plans in Pennsylvania. The UPMC Advantage Platinum $250/$20 – Partner Network is the cheapest of these plans, with a monthly premium of $588.71, a deductible of $250, and an out-of-pocket maximum of $1,500.

As you can see, the higher the medical tier, the higher the premiums and the lower the out-of-pocket costs. Your age is also a factor when determining the amount you’ll pay for cheap health insurance in Pennsylvania. Sixty-year-olds pay 52 percent more when compared to 40-year-olds in Pennsylvania. Also, 21-year-olds pay 22 percent less than 40-year-olds for the same policies.

Choosing Health Insurance Plans in Pennsylvania

If your household makes up to 138 percent of the federal poverty level, you might be eligible for Medicaid. Otherwise, you will need to purchase one of the health insurance plans in Pennsylvania that are sold on the marketplace. Before purchasing a plan, it’s important to know which tier will provide you with the benefits you need.

Platinum and Gold Plans – Ideal for High Medical Costs

You might not consider a Platinum or Gold plan if you’re searching for cheap health insurance in Pennsylvania, but that could be a mistake. While the premiums are higher with these plans, the low out-of-pocket costs make these policies more affordable for people with high medical expenses. If you use your health insurance often or take a lot of prescription medication, the low deductibles, copays, and coinsurance can help you save money.

Silver Plans – Ideal for Average Medical Costs and Low Incomes

Silver plans are often referred to as “middle ground” policies. These plans sit in the middle of the tier system and offer reasonable out-of-pocket costs and premiums. If you are of average health, Silver plans are likely a good fit for you. In fact, they are the most popular health insurance plans in Pennsylvania.

These plans are also a good fit for low-income households that don’t qualify for Medicaid. These households might be eligible for cost-sharing reduction subsidies. The subsidies go toward out-of-pocket expenses such as copays, coinsurance, and deductibles, significantly lowering the out-of-pocket costs. It’s important to note that cost-sharing reduction subsidies are only available for Silver tier plans.

Catastrophic and Bronze Plans – Ideal for Healthy, Young People

Young and healthy people are often deterred by the high premiums that come with Platinum, Gold and Silver plans. They don’t use their insurance very often, so they don’t want to commit to a plan with high premiums. Catastrophic and Bronze plans offer low premiums, but the out-of-pocket costs are significantly higher. While anyone can get a Bronze plan, Catastrophic plans are only available to people under the age of 30. If you are 30 or older, you might be able to get a Catastrophic plan if you qualify for an exemption.

While the low premiums are quite attractive, it’s important to understand that the high out-of-pocket costs can put you in a bind if you have a medical emergency.  It’s recommended that young and healthy people only get one of these policies if they have enough savings to cover the out-of-pocket maximum. Those who don’t should consider a Silver plan. The premiums are higher, but they are not prohibitively high.

Short-term Health Insurance in Pennsylvania

If you are interested in short-term health insurance in Pennsylvania, you will have to purchase a policy outside of the state exchange. Your initial policy can last for up to a year and can be renewed. Renewals are limited to 36 months. Short-term health insurance has to go through underwriting, and you might not be approved if you have a pre-existing condition. Also, these policies don’t cover many of the essential health benefits, such as maternity care and mental health services.

Get Help Comparing Health Insurance Plans in Pennsylvania

Choosing one of the health insurance plans in Pennsylvania is simple with the help of a licensed insurance agent. Call 1-888-497-1683 to speak with an agent who will help you find a plan that offers the coverage you need at a cost you can afford.

Information on Pennsylvania Health Insurance Plans