Health insurance rate increases proposed
Rate filings for 2025 health insurance plans were submitted to PID on
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Insurance companies offering individual and small group health insurance plans are required to file proposed rates with PID for review and approval before plans can be sold to consumers, serving as an important consumer protection. The Department reviews rates to ensure that the plans are reasonably priced – not excessive or inadequate – and are not unfairly discriminatory.
One reason health insurers are required to annually file their plans is to allow for the plan-pricing to reflect the expected claims and operational costs for the upcoming year. For Plan Year 2025, general reasons for the requested rate increases, as filed by insurers, center around increases in medical unit costs. This includes rising drug costs, increased labor costs in the health care industry, and the utilization of medical services.
Most insurer proposed rate change requests show an average premium increase around 8%, which appears to be lower than the national average. The proposed rates may not reflect final reinsurance or risk adjustment amounts due to flexibilities provided to insurers to submit data needed to calculate the adjustments.
Insurers who are currently selling in the individual market that propose selling plans in 2025 have filed plans requesting an average statewide increase of 7.9%. The rates are rounded to the nearest tenth and vary by region (rating area) as indicated in the filings:
Geisinger Quality Options (Rating areas 2,3,5,6,7 and 9; average rate request 7.4%)
Oscar Health Plan of PA (Rating Areas 3, 6, 7 and 8; average rate request 4.4%)
Insurers in
In the proposed 2025 individual and small group market filings, the following expansions have been filed:
Public comment on rate requests and filings will be accepted through
Rate filings for 2025 health insurance plans were submitted to PID on
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