Health insurance rates in 2026 will not look the same for everyone who uses the Pennie marketplace \u2014 while some people may see a cost increase, others may see a decrease, the department said. Age, location, household income, family size and market competition all have an impact on what someone pays and what subsidy they might receive.\u00a0<\/p>\n
The approved rate increases reflect costs before the enhanced premium tax credits, department spokesperson Adrian Sipes said by email. If the tax credits end, people who were once eligible will have to contend with the loss of these subsidies on top of expected premium increases, according to health information nonprofit KFF<\/a>, which could more than double what subsidized enrollees pay.<\/p>\n Losing the enhanced premium tax credits \u201ccould exponentially increase rates for Pennie plans by an average of 100% for all enrollees, with many enrollees paying up to four times as much each month,\u201d Sipes said.<\/p>\n If the enhanced premium tax credits are extended now, the department would work with insurers to immediately reduce rates by three to five percent, Sipes said. And this would prevent the much higher cost increases residents would face if the tax credits went away.<\/p>\n If Congress extends the tax credits after the start of open enrollment, which runs from Nov. 1 to Dec. 15, the department will \u201cwork with Pennie and insurers to implement the changes necessary to reflect the credits,\u201d he said. But Sipes warned that by then, thousands of consumers may have already opted out of coverage due to cost, and it may be difficult to convince them to review the updated rates.<\/p>\n READ:\u00a0With 6 more West Nile cases over last two weeks, Lancaster County still leads state<\/a><\/p>\n Individual market plans<\/p>\n \u2022\u00a0Ambetter Health of Pennsylvania Inc.: requested rate increase of 30.1%; approved rate 37.8%, due to increased disease.<\/p>\n \u2022\u00a0Capital Advantage Assurance Company: requested rate increase of 26.0%; approved rate 24.6%.<\/p>\n \u2022\u00a0Geisinger Health Plan: requested rate increase of 14.1%; approved rate 11.6%.<\/p>\n \u2022\u00a0Geisinger Quality Options: requested rate increase of 16.2%; approved rate 13.8%.<\/p>\n \u2022\u00a0Health Partners Plans Inc.: requested rate increase of 7.3%; approved rate 16.7%, due to increased disease and medical\/drug trends.<\/p>\n \u2022\u00a0Highmark Inc.: requested rate increase of 17.2%; approved rate 17.7%.<\/p>\n \u2022\u00a0Highmark Benefits Group: requested rate increase of 17.9%; approved rate 18.4%.<\/p>\n \u2022\u00a0Highmark Coverage Advantage: requested rate increase of 14.1%; approved rate 14.5%.<\/p>\n \u2022\u00a0Keystone Health Plan Central: requested rate increase of 27.9%; approved rate 22.4%.<\/p>\n \u2022\u00a0Keystone Health Plan East: requested rate increase of 23.5%; approved rate 22.0%.<\/p>\n \u2022\u00a0Oscar Health Plan of PA: requested rate increase of 21.6%; approved rate 23.1%.<\/p>\n \u2022\u00a0Partners Insurance Company Inc.: requested rate decrease of 10.1%; approved rate decrease of 10.1%.<\/p>\n \u2022\u00a0QCC Insurance Company: requested rate increase of 16.7%; approved rate 15.2%.<\/p>\n \u2022\u00a0UPMC Health Options Inc.: requested rate increase of 11.7%; approved rate 20.2%, due to increased disease and federal regulatory changes.<\/p>\n \u2022\u00a0UPMC Health Plan Inc.: requested rate increase of 16.3%; approved rate 24.8%, due to increased disease and federal regulatory changes.<\/p>\n Source: Pennsylvania Insurance Department<\/p>\n READ:\u00a0New center to bring 133 childcare slots to East Hempfield Township<\/a><\/p>\n Small group market plans<\/p>\n \u2022Capital Advantage Assurance Company: requested rate increase of 14.82%; approved rate 14.75%.<\/p>\n \u2022 Geisinger Health Plan: requested rate increase of 11.41%; approved rate 11.27%.<\/p>\n \u2022\u00a0Geisinger Quality Options: requested rate increase of 12.53%; approved rate 12.39%.<\/p>\n \u2022\u00a0Highmark Inc.: requested rate increase of 15.71%; approved rate 14.64%.<\/p>\n \u2022\u00a0Highmark Benefits Group: requested rate increase of 16.56%; approved rate 15.64%.<\/p>\n \u2022\u00a0Highmark Care Benefits: requested rate increase of 22.45%; approved rate 21.85%.<\/p>\n \u2022\u00a0Highmark Coverage Advantage: requested rate increase of 16.89%; approved rate 15.95%.<\/p>\n \u2022\u00a0Highmark Senior Health Company: requested rate increase of 12.26%; approved rate 12.26%.<\/p>\n \u2022\u00a0Independence Assurance Company: requested rate increase of 11.01%; approved rate 10.74%.<\/p>\n \u2022\u00a0Keystone Health Plan Central: requested rate increase of 17.64%; approved rate 17.58%.<\/p>\n \u2022\u00a0Keystone Health Plan East\/AmeriHealth HMO Inc.: requested rate increase of 16.67%; approved rate 16.37%.<\/p>\n \u2022\u00a0UnitedHealthcare Insurance Company: requested rate increase of 10.72%; approved rate 7.90%.<\/p>\n \u2022\u00a0UnitedHealthcare of PA: requested rate increase of 19.97%; approved rate 12.60%.<\/p>\n \u2022\u00a0UPMC Health Benefits: requested rate increase of 6.54%; approved rate 6.54%.<\/p>\n \u2022\u00a0UPMC Health Options Inc.: requested rate increase of 8.88%; approved rate 8.88%.<\/p>\n \u2022\u00a0UPMC Health Plan Inc.: requested rate increase of 8.22%; approved rate 8.22%.<\/p>\n Source: Pennsylvania Insurance Department<\/p>\n