Health insurance cost in Pennsylvania
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.
Monthly premium by age
| Age | Benchmark silver | Cheapest 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. 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
- Check the marketplace
- Marketplace insurers, 2026
- 8
- Medicaid expansion
- Since Jan 2015
- Penalty if uninsured
- None
- Average paid after credits, 2026
- $251/mo
- Where and when. Pennsylvania runs its own marketplace, Pennie, so you apply there rather than at HealthCare.gov. Pennie sets its own open-enrollment dates. We couldn't confirm the 2027 dates on an official page when we checked in September 2026, so check its site before you move.
- 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.
- What enrollees paid. Enrollees here paid an average of $251 a month after tax credits for 2026, up 34% from the $187 they paid for 2025 (U.S. average: $178). Before credits, the plans they chose averaged $742.
- 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.
Subsidies in 2026
The enhanced premium tax credits of 2021–2025 expired, so 2026 follows the original ACA rules: credits are available for household incomes between 100% and 400% of the federal poverty level, and you're expected to pay between about 2.1% and 9.96% of income for the benchmark plan. Above 400% there's no federal credit. Check your price at Pennie.
Frequently asked questions
How much is health insurance in Pennsylvania in 2026?
The benchmark silver plan for a 40-year-old averages $572 a month before subsidies, and the cheapest bronze plan $364 (KFF analysis of CMS data). That's up 24% from 2025.
How much does health insurance cost for a 60-year-old in Pennsylvania?
About $1,215 a month for the benchmark silver plan before subsidies, using the federal default age curve.
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.