Each state has its own Department of Insurance, which means health insurance pricing, and regulations can vary based on a state’s current laws and economy. This means that some states are more flexible in terms of health plans than others. So before you begin searching for insurance policies, it’s best to know what the options and requirements are in your area.
Pennsylvania has elected to use the Federally-facilitated Marketplace (FFM) for enrollment in qualified health plans (QHP). If you choose a qualified plan, you can enroll through HealthCare.Gov, or a private exchange like AHiX Marketplace.
Qualified plans are compliant with the Affordable Care Act, which satisfies the ten Essential Health Benefits, a set of benefits that are guaranteed to cover specific healthcare costs without discriminating against age, gender, location, or lifestyle choices.
Non-qualified plans do not comply with the federal government’s health insurance requirements and do not cover maternity, mental health, substance abuse or pre-existing conditions. AHIX does not offer these plans in Pennsylvania.
These plans can help cover individual, family, and short term healthcare costs.
Pennsylvania individual health insurance is a type of coverage you purchase if you are only covering yourself or your family. You can choose to get insurance coverage through a private exchange like AHiX, directly from the insurance company, HealthCare.gov, your employer, or a social insurance plan like Medicare or Medicaid. Under the new Medicaid Expansion, individuals under 65 years old who are up to 138% of the federal poverty level may qualify.
For ACA qualified plans, individuals can expect these average costs of premiums in Pennsylvania (Age 40, Zip code 58102):
Pennsylvania family health insurance is ideal for families with at least one spouse and dependent. You can purchase qualified plans through AHiX Marketplace. You can also get coverage from your employer. Medicare is intended for seniors 65 years and older, so these are not viable options for families. If you're family income is less than 138% of the 2020 federal poverty level ($42,338 for a family of 5), you may qualify for Medicaid.
Here are the average costs of qualified premiums for Pennsylvania families (Age 40) with children under 26 years old:
A married couple with one child
A married couple with two children
A married couple with three children
If you’re trying to stay within budget while finding the right coverage, then you already know that it can be an overwhelming process. The good news is that AHiX can do the work of searching for the right plan for you. AHiX Marketplace is an affordable exchange where you can browse for qualified and non-qualified plans so you can find the right coverage at the right price. Find your new policy today.