How much does health insurance cost in Pennsylvania in 2026?
Pennsylvania runs its own health insurance marketplace, so this page uses statewide 2026 estimates plus private plan ranges; enter your ZIP in the tool for your household.
Monthly premiums by tier and age
| Tier | Age 21 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|---|---|---|---|---|
| Bronze | $325–$450 | $369–$511 | $415–$575 | $580–$804 | $882–$1,222 |
| Silver | $442–$583 | $501–$661 | $565–$745 | $789–$1,041 | $1,199–$1,582 |
| Gold | $445–$623 | $505–$707 | $569–$796 | $795–$1,113 | $1,207–$1,691 |
Pennsylvania runs its own marketplace, which is not in the federal plan file, so these are statewide estimates built from the 2026 benchmark premium (KFF) and the tier spreads seen in HealthCare.gov states. The state marketplace, Pennie, has the exact county plans.
Ranges at a glance (age 40)
What a tax credit does (statewide estimate)
| Household | % of poverty level | Estimated tax credit | Cheapest Bronze, full → after credit |
|---|---|---|---|
| A single 40-year-old earning $40,000 | 255% | $285/mo | $415 → $130 |
| A family of four (parents 40 and 38, two kids) earning $85,000 | 264% | $1,186/mo | $1,317 → $132 |
2025 federal poverty guidelines apply to 2026 coverage; the enhanced credits of 2021–2025 expired, so the 400% cutoff is back (for one person that is $62,600 a year, for four $128,600). The Marketplace sets the final credit.
See your own numbers for Pennsylvania
Enter your age, household and income and get every Marketplace plan priced for you, your estimated tax credit, and a private plan range, side by side, in about 30 seconds. No medical questions.
Private plans in Pennsylvania
| Age | Man, monthly range | Woman, monthly range |
|---|---|---|
| 30 | $51–$323 | $62–$341 |
| 40 | $78–$402 | $121–$460 |
| 50 | $142–$398 | $164–$430 |
| 60 | $235–$521 | $240–$528 |
A family of four (parents 40 and 38 with two children) is typically quoted $402 to $856 a month in Pennsylvania. Private plans are not ACA plans: no tax credit, health questions on the application, and pre-existing conditions can raise the price or be excluded. Deductibles are usually lower than the cheapest Marketplace tiers and you can enroll any month of the year.
Pennsylvania counties
- Adams County
- Allegheny County
- Armstrong County
- Beaver County
- Bedford County
- Berks County
- Blair County
- Bradford County
- Bucks County
- Butler County
- Cambria County
- Cameron County
- Carbon County
- Centre County
- Chester County
- Clarion County
- Clearfield County
- Clinton County
- Columbia County
- Crawford County
- Cumberland County
- Dauphin County
- Delaware County
- Elk County
- Erie County
- Fayette County
- Forest County
- Franklin County
- Fulton County
- Greene County
- Huntingdon County
- Indiana County
- Jefferson County
- Juniata County
- Lackawanna County
- Lancaster County
- Lawrence County
- Lebanon County
- Lehigh County
- Luzerne County
- Lycoming County
- McKean County
- Mercer County
- Mifflin County
- Monroe County
- Montgomery County
- Montour County
- Northampton County
- Northumberland County
- Perry County
- Philadelphia County
- Pike County
- Potter County
- Schuylkill County
- Snyder County
- Somerset County
- Sullivan County
- Susquehanna County
- Tioga County
- Union County
- Venango County
- Warren County
- Washington County
- Wayne County
- Westmoreland County
- Wyoming County
- York County
Questions people ask
How much is health insurance in Pennsylvania per month?
For a 40-year-old paying full price in 2026, Marketplace Bronze plans typically run $415 to $575 a month across Pennsylvania counties, Silver $565 to $745, and the silver benchmark that tax credits are based on is about $572. Most people who qualify for a credit pay far less; see the examples above.
Does Pennsylvania have Medicaid expansion?
Yes. Households under 138% of the federal poverty level are generally covered by Medicaid rather than a Marketplace credit.
Where do Pennsylvania residents enroll in a Marketplace plan?
Pennsylvania runs its own marketplace, Pennie. Open Enrollment dates are set by the state each fall; outside the window you need a qualifying life event.
Are private health plans cheaper than the Marketplace in Pennsylvania?
Often, for healthy households that do not qualify for a tax credit. A healthy 40-year-old man is typically quoted $78 to $402 a month on private plans in Pennsylvania, versus $415 to $575 for Marketplace Bronze at full price. Private plans are medically underwritten and are not ACA plans, so anyone with a tax credit or ongoing conditions usually does better on the Marketplace.
Sources: CMS QHP Landscape PY2026 Individual Medical (data.healthcare.gov, snapshot August 4, 2026); KFF marketplace benchmark premiums; HHS 2025 poverty guidelines; IRS Rev. Proc. 2025-25; private ranges from the carrier rate tables our advisors quote from. Page generated 2026-09-29.