Before subsidies, the average benchmark silver plan for a 40-year-old in Pennsylvania costs $648 a month for 2027 (the national average is $704). Premium tax credits bring that down for many households, depending on income and family size. Below you'll find how coverage works in Philadelphia, the local agencies with the strongest reviews, and where to get free help.
Top-rated health insurance agencies near Philadelphia
Licensed agents can compare plans available in Philadelphia County, check your doctors and estimate your premium tax credit. Free to you.
Call 866-645-8540Health insurance at a glance: Philadelphia, PA
| Where to enroll | Pennie |
|---|---|
| Average benchmark silver, age 40 (2027) | $648/mo before subsidies |
| Marketplace insurers in Pennsylvania (2027) | 9 |
| Medicaid expansion | Yes |
| Short-term plans | Sold with state limits (not ACA-compliant) |
Sources: CMS plan data, KFF, state marketplace and insurance department pages.
Local health care in Philadelphia
- Philadelphia's three big academic networks worth checking before you pick a plan are Penn Medicine (Hospital of the University of Pennsylvania, Pennsylvania Hospital, Penn Presbyterian), Jefferson Health (Thomas Jefferson University Hospital, Jefferson Einstein Philadelphia) and Temple Health (Temple University Hospital, Chestnut Hill Hospital). Source
- Jefferson Health's flagship in the city is Thomas Jefferson University Hospital in Center City. Source
- Temple Health's main hospital is Temple University Hospital in North Philadelphia. Source
- Philadelphia is both a city and a county, and its public health services come from the City of Philadelphia Department of Public Health. Source
Before you choose a plan, check that the hospitals and doctors you use are in its network. An agent can look that up for each plan you compare.
Before you call an agent
- Check that the agent's license is active with the state regulator.
- Write down the enrollment deadline and confirm your first premium payment.
- Compare total yearly cost (premiums plus deductible), not just the monthly premium.
- Ask each agent which carriers they can quote in your county.
Free enrollment help in Pennsylvania
Pennie-Certified Assisters and Pennie-Certified Brokers give free local enrollment help at no cost to the consumer. You can search for in-person help on the official find-help page. If you'd rather have someone compare plans and recommend one, a licensed agent can do that at no cost to you.
Frequently asked questions
Where can I buy health insurance in Philadelphia?
Through the Pennie, directly from an insurer, or with a licensed agent or broker who can do either.
Which insurers sell marketplace plans in Pennsylvania?
For 2027, marketplace plans in Pennsylvania come from 9 insurers: Highmark (Highmark Inc. / Highmark Benefits Group), Independence Blue Cross (Keystone Health Plan East / QCC), Capital Blue Cross (Capital Advantage Assurance), Geisinger (Geisinger Health Plan / Geisinger Quality Options), UPMC Health Plan (UPMC Health Plan / UPMC Health Network), Jefferson Health Plans (Health Partners Plans), Ambetter Health of Pennsylvania, Oscar Health and Partners Insurance Company. Not every insurer sells in every county.
Can I get coverage outside open enrollment?
Only with a qualifying life event, unless you qualify for Medical Assistance (HealthChoices). Some people also look at short-term or fixed-indemnity plans, which are not ACA-compliant coverage.
Health insurance in nearby cities
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