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October 14, 2024 Reinsurance
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State announces 2025 health insurance rates

Staff WriterThe Daily News

The Pennsylvania Insurance Department (PID)announced Pennsylvania's 2025 Affordable Care Act (ACA) health insurance rates, which will save Pennsylvanians approximately $77.2 million in 2025 health insurance premium costs through PID's rate review process and reinsurance program. Additionally, the Commonwealth will see an increase in marketplace competition for several counties as some insurers will be selling plans in new counties.

"Pennsylvanians care about the price of comprehensive, ACA-compliant health insurance – and they deserve affordable options," said Pennsylvania Insurance Commissioner Michael Humphreys. "This year, we heard from consumers who submitted comments on proposed rates, and we want those residents to know that we carefully considered their input while we worked with health insurers to finalize rates for 2025. We appreciate the opportunity to hear directly from Pennsylvanians and strive to ensure Commonwealth families have access to quality health insurance at an affordable price."

Most insurers currently offering individual market coverage in Pennsylvania's 67 counties will continue to provide plans in 2025 with a statewide average increase of 6 percent, which is two percentage points lower than what insurers initially filed. The Commonwealth will see a 7.6 percent average increase in the small group market.

PID encourages Pennsylvanians to explore their options and shop for coverage for 2025. Most Pennsylvanians can find the lowest costs on quality health plans through Pennie, Pennsylvania's official health insurance marketplace. Pennie is the only place where Pennsylvanians can find financial savings to reduce the cost of coverage and care. All health plans available through Pennie have important consumer protections, including coverage for pre-existing conditions and coverage of essential health benefits. Silver, gold, and platinum plans provide the richest coverage, and the higher-level metallic plans typically have lower copays, deductibles, and out of pocket maximums.

Pennie's upcoming Open Enrollment Period is the only time of year to enroll in individual and family health coverage for 2025. Open Enrollment runs from November 1 to December 15 for coverage that starts on January 1, 2025. Outside of Open Enrollment, only individuals with life changes – such as losing coverage from Medicaid and family events – can enroll.

Consumers looking to learn more about health insurance should visit the Department's dedicated Health Insurance page. To learn more about Pennie, which offers free help by phone and in person across Pennsylvania, visit pennie.com or call 1-844-844-8040.

Pennsylvanians with insurance questions may contact the Insurance Department's Consumer Services Bureau online or at 1-877-881-6388.

Follow PID on X and like the Department on Facebook.

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