For 2022 health plans, Pennsylvania open enrollment has ended. However, you may still be able to purchase health insurance for this year if you qualify for a special enrollment period. For example, if you’ve recently lost your job or income due to the COVID-19 crisis or for any other reason, you might qualify for a 60-day special enrollment period that will allow you to sign up for a new health insurance plan. (See What Happens If I Missed the Enrollment Deadline for 2022?)
To get covered, you can go directly to the online health insurance marketplace for Pennsylvania. If you need personalized help, you can reach out to an enrollment assistant. Most enrollment helpers are working remotely during the COVID crisis.
Where's the Pennsylvania Health Care Exchange?
You can find the health insurance exchange for Pennsylvania at Pennie. This is where you can learn about the various health insurance options available to you under the Affordable Care Act. If you see a plan you like, you'll be guided through the enrollment process online.
The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Pennsylvania in 2021, that’s $17,609. For a family of four, it’s $36,156.)
However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of October 2021, 12 states have not expanded their programs.
Pennsylvania Has Expanded Medicaid
Pennsylvania did decide to expand its Medicaid program. The state has established a program called "Healthy PA" to extend Medicaid to adults with incomes up to 138% of the federal poverty level. Those who qualify for Medicaid under the old Pennsylvania rules will continue to be enrolled in the traditional Medicaid program rather the state's expansion program.
Get Help Finding a Health Insurance Plan in Pennsylvania
Get Help From Pennsylvania's Health Insurance Exchange
The following links and telephone numbers take you to the official help resources for Pennie, the health insurance marketplace for Pennsylvania.
Help by phone: 800-318-2596 (TTY: 855-889-4325)
In-person help: Go to Find Local Help, where you can enter your city and state or zip code to find an application assister, insurance agent, or health insurance broker in your area.
Get Help From a Licensed Insurance Broker
To directly connect with a Pennsylvania insurance broker who can help you evaluate insurance plans and choose a plan that's appropriate for your situation, call 800-943-6832. (We receive advertising income from the licensed brokers who offer their services through this telephone number.)