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PA Health Plan Costs Skyrocket, Pennsylvanians Drop Coverage
9 Jun
Summary
- Marketplace premiums surged by 102%, forcing coverage decisions.
- 160,000 Pennsylvanians left the ACA marketplace due to costs.
- Many Pennsylvanians choose between health coverage and necessities.
Enrollment in Pennsylvania's state-run health insurance marketplace has decreased significantly, with 160,000 fewer residents participating. This trend emerged after enhanced Affordable Care Act subsidies expired in December. Departing members overwhelmingly reported higher costs as their main reason for forgoing coverage.
The average premium within the marketplace has more than doubled, increasing by 102%. This surge has led some individuals to opt for less comprehensive bronze plans with lower monthly payments but higher out-of-pocket expenses. However, a concerning number of Pennsylvanians are choosing to go without any coverage at all.
Many affected residents face difficult decisions, weighing health insurance against other essential needs such as rent, food, and utilities. The impact is disproportionately felt by lower-income individuals, older adults not yet eligible for Medicare, and those residing in rural areas.
Pennsylvania's next open enrollment period for 2027 is scheduled to begin on October 15 and conclude on December 15. In the meantime, individuals with qualifying life events may still enroll outside the standard period.
