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- 15.97%average approved 2027 increase, 17.14% requested
- 1.4 to 35.1%range of approved increases by carrier
- Dec 15pick by this date for coverage on January 1
One honest note. I am licensed in Pennsylvania, but I am not a certified broker with Pennie, the state's own exchange. If you qualify for financial help or want a plan sold there, Pennie and its certified helpers can enroll you, and I will point you to one. Where I can help directly is comparing your options, including private plans sold outside the exchange.
What is happening in Pennsylvania
No major carrier is leaving Pennsylvania for 2027. The change is price, and it is uneven. Individual market insurers asked for an average of 17.14 percent, and the Insurance Department approved 15.97 percent. By carrier, the approved increases run from 1.4 percent to 35.1 percent.
Pennie also estimates that 20,000 to 30,000 Pennsylvanians who get tax credits now will lose them in 2027 under the new federal limits on which lawfully present immigrants qualify. Do not just let your plan auto renew.
Where carriers are leaving
Carrier exits for 2027 are real, and they are spread across the country. Cigna is leaving the individual market in all 11 states where it sells. Baylor Scott & White is leaving Texas, CareSource is leaving Indiana, Ohio and West Virginia, Medica is leaving Iowa, Kansas and Oklahoma, and several smaller carriers are leaving other states. If you moved recently or have family elsewhere, the all states overview lists them.
What this means for you
If you get a subsidy, the headline increase is not what you pay. Your subsidy is recalculated on your estimated 2027 income, and it usually absorbs much of a price increase. Updating your income estimate matters more than the rate filing.
If you do not get a subsidy, you feel the full increase. This is where it pays to compare more than one kind of coverage. Private major medical plans are priced differently from ACA plans, and for some people who pay full price they can cost less for similar coverage. I compare both, side by side, so you can see the real numbers for your household.
The practical point: if your carrier stays, most plans renew automatically at the new 2027 price. If your carrier leaves, you may be moved automatically into a plan someone else picked. Neither checks whether a different plan now costs less or fits your doctors better. That check takes a few minutes.
The dates that matter in Pennsylvania
Pennsylvania runs its own exchange, Pennie, so it sets its own calendar. These are the dates Pennie has published for 2027 coverage.
- Fall 2026Renewal notices arrive with your 2027 price. Read it, even if you plan to keep your plan.
- November 1, 2026Open enrollment began on Pennie.
- December 15, 2026Enroll by this date for coverage that starts January 1, 2027.
- January 15, 2027Open enrollment closes. Choices after December 15 start February 1.
What to do, in order
Read your renewal or non renewal notice
It shows your 2027 premium and any plan changes. Compare it with what you pay today.
Write down your doctors and your prescriptions
The physicians you want to keep and the exact drugs with dosages. Networks and drug lists change from year to year even when the carrier stays.
Update your income estimate for 2027
Your subsidy is based on your estimated income for the year ahead. If it changed, your real cost changes with it.
Compare before December 15
That is the last day to pick a plan that starts January 1 in Pennsylvania. Compare on total cost, meaning premium plus deductible plus what you expect to use, and include private options if you pay full price.
Common questions
Is my health insurance company leaving Pennsylvania in 2027?
No major carrier has announced an exit from the Pennsylvania individual market for 2027. Approved increases range from 1.4 percent to 35.1 percent by carrier.
Why is my premium changing for 2027?
Pennsylvania approved an average 15.97 percent increase for 2027 individual plans, against 17.14 percent requested, ranging from 1.4 to 35.1 percent by carrier. If you get a subsidy, your net cost depends on your 2027 income.
Do I have to use a broker?
No. You can enroll yourself at Pennie at no cost. A licensed broker also costs you nothing, because brokers are paid by the carriers and the premium is identical either way. A broker can also show you private plans that are not sold on the marketplace.