Marketplace insurance in Pennsylvania: costs & enrollment
If you're moving to Pennsylvania without job-based coverage, here's what a Marketplace plan costs before subsidies. Pennsylvania ranks #21 of 51 for the lowest benchmark premium.
Where to enroll for 2027 coverage
RelocateMath is an independent guide. Apply, compare current plans and confirm eligibility at Pennie, the official marketplace for Pennsylvania.
Open enrollment for 2027 coverage starts November 1, 2026. Check Pennie for the final closing date. Select a plan by December 15, 2026 for January 1 coverage, subject to the marketplace's payment and enrollment requirements.
2027 eligibility changes: Pennie says some lawfully present non-citizens will no longer qualify for federal premium tax credits starting in 2027. Eligibility for coverage and eligibility for financial savings are separate; check your circumstances directly with Pennie. Review Pennie's official guidance (checked 2026-10-29).
Platform checked 2026-10-01; enrollment guidance checked 2026-10-29. Check official dates and instructions · Coverage start requirements. Costs below are 2026 averages, not a quote for 2027 coverage.
State average premiums and modeled costs by age
These 2026 figures compare one adult before premium tax credits. KFF weights each county's second-lowest-cost silver (benchmark) and lowest-cost bronze premiums by Marketplace plan selections. They are state averages, not a quote or the price of one plan available throughout Pennsylvania. Your location, plan and household details affect your premium.
| Age | Benchmark silver average | Avg. lowest bronze |
|---|---|---|
| 21 | $447 | $285 |
| 30 | $508 | $323 |
| 40 | $572 | $364 |
| 50 | $799 | $509 |
| 60 | $1,215 | $773 |
| 64 | $1,342 | $854 |
Scaled from the age-40 average with the federal default age curve, which lets insurers charge a 64-year-old up to 3× what a 21-year-old pays. Amounts at ages other than 40 are modeled from the state averages. Excludes tobacco surcharges.
The Pennsylvania benchmark rose 24% for 2026, in line with the 26% national increase, leaving it 8% below the U.S. average for a 40-year-old.
What is different in Pennsylvania
- Where to enroll
- Pennie
- Open enrollment for 2027
- Starts November 1, 2026; confirm closing date
- Marketplace insurers, 2026
- 8
- Medicaid expansion
- Since Jan 2015
- Penalty if uninsured
- None
- Average selected-plan premium after credits, 2026
- $251/mo
- Where and when. Pennsylvania runs its own marketplace, Pennie, so you apply there rather than at HealthCare.gov. Open enrollment for 2027 coverage starts November 1, 2026. Check Pennie for the final closing date. Select a plan by December 15, 2026 for January 1 coverage, subject to the marketplace's payment and enrollment requirements.
- Choice of insurers. 8 insurers sell Marketplace plans in Pennsylvania for 2026, the same number as in 2025. Not every insurer sells in every county, so your choices depend on where you live. 501,459 people picked a Marketplace plan here for 2026, up 1% from 2025, one of 10 states (counting DC) where sign-ups rose even as the enhanced federal credits ran out.
- Average premiums for selected plans. Plans selected during open enrollment had an average monthly premium of $251 after advance premium tax credits for 2026, up 34% from the $187 average for 2025 (U.S. average: $178). Before credits, selected plans averaged $742. These averages include people without tax credits and compare different mixes of people and plans; they aren't records of premiums actually paid or a quote for your household.
- Medicaid. Pennsylvania expanded Medicaid in January 2015. Adults with income up to 138% of the federal poverty level can generally get Medicaid instead of a Marketplace plan.
- Going uninsured. Pennsylvania doesn't charge a penalty for going without coverage, and the federal penalty ended after 2018. In 2024, 5.9% of residents had no health insurance (U.S.: 8.2%), and 5.3% bought their own coverage.
Medicaid income limits above describe the adult categories shown. Pregnancy, disability, age, household circumstances and other eligibility rules can create different pathways. Apply even if your state has not expanded Medicaid; the application checks whether you qualify under your state's rules.
Subsidies in 2026
The enhanced premium tax credits of 2021–2025 expired. Under the 2026 federal rules, household incomes generally between 100% and 400% of the federal poverty level may qualify, subject to the other eligibility conditions; income alone does not establish eligibility. The expected contribution toward the benchmark plan ranges from about 2.1% to 9.96% of income, and above 400% there is no federal credit. An affordable employer offer that meets minimum value, or eligibility for certain public coverage, can affect credits even if you do not enroll in the employer plan. Confirm your eligibility and price with the official marketplace.
Use expected household income for the year you want coverage, including income before and after a job change, rather than only your new job's annual salary. These are 2026 subsidy and premium figures; select the appropriate coverage year at Pennie when applying. Eligibility guidance checked October 21, 2026.
Moving outside open enrollment
A move to a new ZIP code or county may create a Special Enrollment Period if it changes the plans available to you. Moving only for a vacation or medical treatment does not qualify.
Generally, a moving SEP requires qualifying coverage for at least one day in the 60 days before the move, and enrollment within 60 days after it. Exceptions include a move from abroad or a U.S. territory. Keep proof of your old coverage, move date and new address. The marketplace decides eligibility and when coverage starts; do not cancel existing coverage until the replacement start date is confirmed.
Check whether you may qualify at HealthCare.gov. For Pennie enrollment, ask the official marketplace about your move.
Sources: HealthCare.gov moving guidance and CMS moving-SEP requirements. Checked September 30, 2026.
Frequently asked questions
How much is health insurance in Pennsylvania in 2026?
For one 40-year-old before premium tax credits, the state average benchmark silver premium is $572 a month and the average lowest-cost bronze premium is $364. KFF weights each county's second-lowest-cost silver and lowest-cost bronze premiums by plan selections. The benchmark average is up 24% from 2025. Your ZIP code and plan can give a different quote.
How much does health insurance cost for a 60-year-old in Pennsylvania?
The modeled state average benchmark silver premium is about $1,215 a month before premium tax credits, scaled from the age-40 average using the federal default age curve. Your location and plan determine the actual quote.
Did Pennsylvania expand Medicaid?
Pennsylvania expanded Medicaid in January 2015. Adults with income up to 138% of the federal poverty level can generally get Medicaid instead of a Marketplace plan.