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CMS Projects Insurance Exchange Carriers in Every PA County, PA Insurance Market Shows Signs of Stability

July 14, 2017

The Centers for Medicare & Medicaid Services (CMS) recently released an updated map of projected health insurance exchange issuers by county. CMS projects that Pennsylvania will have at least one health insurance exchange carrier in every county with most counties having two or more.


In addition, according to the Pennsylvania Insurance Department (PID), insurers that filed in 2017 also filed to continue selling health insurance plans in 2018. Pennsylvania is expecting to have on-exchange coverage options for all counties during 2018 based on current filings.

During 2017, 76 percent of Pennsylvania counties had at least two health insurance issuers. Thirteen Pennsylvania counties had three issuers. The Pennsylvania Insurance Department anticipates a single-digit aggregate rate increase for individual plans on the health insurance exchange marketplace in 2018.

If provisions of the Affordable Care Act (ACA) are repealed, insurers estimate they would seek an increase rate for individual plans of more than 36 percent. This would mean significant increases in health insurance prices, making health insurance unaffordable to many of the 400,000 Pennsylvanians that purchase health insurance in the health insurance exchange marketplace.

HAP and the Pennsylvania hospitals and health systems continue to promote health insurance coverage for all Pennsylvanians. To date, the Affordable Care Act provisions have supported more than 1.1 million Pennsylvanians with health insurance coverage, providing better access to high quality health care services and dramatically reducing the uninsured population of Pennsylvania. HAP continues to provide resources on the effects of the Affordable Care Act in Pennsylvania on its website.

For more information about the CMS map, contact Phillip M. Burrell, director, health market research. For more information on HAP’s advocacy about the Affordable Care Act, contact Laura Stevens Kent, vice president, federal advocacy.

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