Pa health insurance plans will cost more in 2020 than in previous years. Increases widely vary, depending upon the carrier and your county of residence. All companies returned although deductibles, copays, and coinsurance may change.
Listed below are proposed rate changes submitted by Pennsylvania insurers for 2020 plans. The Department of Insurance will determine if these price increases (and decreases) are approved, and subsequently publish their decision.
Individual Plans
Capital Advantage Assurance Company 3.31% Requested Increase Individual PPO
Capital Advantage Insurance Company CAIC -2.33% Requested Decrease PPO IA
First Priority Health -1.76% Requested Decrease my Lehigh Valley Flex Blue HMO
Geisinger Health Plan 8.44% Requested Increase Geisinger Marketplace HMO and Geisinger Marketplace Value
Geisinger Quality Options 7.12% Requested Increase Geisinger Marketplace HMO and Geisinger Marketplace PPO
Highmark Choice Company -2.21% Requested Decrease my Direct Blue HMO and my Direct Blue Erie HMO
Highmark Inc. -1.25% Requested Decrease my Direct Blue EPO and my Direct Blue Conemaugh EPO
Independence Blue Cross 9.68% Requested Increase Personal Choice Exchange PPO, Personal Choice Exchange EPO, Personal Choice OFFX EPO, and Personal Choice OFFX PPO
Keystone Health Plan Central 2.84% Requested Increase HMO QHP
Keystone Health Plan East 9.91% Requested Increase Keystone HMO Exchange and KHPE OFFX
Pennsylvania Health And Wellness Inc. -1.50% Requested Decrease Ambetter
UPMC Health Coverage Inc. -1.76% Requested Decrease Off Marketplace
UPMC Health Options Inc. -1.71% Requested Decrease Marketplace Individual PPO and Marketplace Individual EPO.
The rate review process provides the public an opportunity to view price changes before Pa medical plans are offered.
Small Group Plans
Aetna – 11.59% Requested Increase Aetna HMO
Aetna HealthAssurance – 10.68% Requested Increase Aetna EPO
Aetna Life Insurance – 10.65% Requested Increase Aetna EPO
Capital Advantage Assurance Company – 13.19% Requested Increase Capital Advantage EPO
Capital Advantage Assurance Company CAIC – 14.45% Requested Increase Capital Advantage PPO SG
First Priority Life Insurance Company – .24% Requested Increase BlueCare PPO, BlueCare QHD PPO, BlueCare Custom PPO, and AffordaBlue.
Geisinger Health Plan – 15.75% Requested Increase Geisinger Marketplace HMO and Geisinger Marketplace QHDHP POS.
Geisinger Quality Options – 17.84% Requested Increase Geisinger Marketplace PPO.
Highmark Benefits Group Inc. – 3.60% Requested Increase Premier Balance PPO, High Deductible PPO, Health Savings PPO Embedded, Lehigh Valley Flex Blue PPO, Balance PPO, Health Savings PPO, Flex PPO, and Choice Blue PPO (HDHP).
Highmark Choice Company – 4.89% Requested Increase Keystone HMO (Erie).
Highmark Coverage Advantage – .77% Requested Decrease Premier Balance PPO, Balance PPO, Health Savings PPO, and Health Savings PPO Embedded.
Highmark Health Insurance Company – 1.50% Requested Decrease Shared Cost PPO and Health Savings PPO.
Highmark Inc. – 6.49% Requested Increase Shared Cost PPO a Community Blue Plan, Premier Balance PPO a Community Blue Plan, Connect Blue EPO, Health Savings EPO Embedded, Balance PPO a Community Blue Plan, and Health Savings PPO a Community Blue Plan.
Independence Blue Cross (QCC Ins.) – 11.88% Requested Increase Personal Choice and Personal Choice EPO Small Group.
Keystone Health Plan Central – 9.23% Requested Increase HMO.
Keystone Health Plan East – 9.97% Requested Increase Keystone HMO and Keystone DPOS.
UnitedHealthcare – 7.14% Requested Increase Choice Plus and Choice.
UPMC Health Benefits – 10.94% Requested Increase Small Group PPO and Small Group EPO.
UPMC Health Coverage – 12.01% Requested Increase Marketplace Shop HMO.
UPMC Health Options – 10.58% Requested Increase Marketplace Shop PPO and Marketplace Shop EPO.
