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Important Things to Know About Pennsylvania’s Health Insurance Marketplace




The Marketplace is a new way to shop for health coverage.  A single, online source, it will help consumers get information about their healthcare coverage options.

Consumers can:

  • Make side-by-side comparisons of private insurance plans’ benefits, quality and price.
  • Find out if they’re eligible for financial assistance to offset the cost of the coverage.  (In order to determine their eligibility for assistance, consumers must provide information such as their income and household size.)
  • Enroll for coverage.

Open enrollment is in effect and ends on March 31, 2014.  Coverage can begin as soon as January 1, 2014.

Health plans offered in a marketplace generally will offer comprehensive coverage, including this set of “essential health benefits.”

  • Ambulatory patient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance use disorder services, including behavioral health treatment (Including counseling and psychotherapy)
  • Prescription drugs
  • Rehabilitative and wellness services and chronic disease management
  • Pediatric services, including oral and vision care
  • Individuals can buy insurance through a marketplace if they live in the United States, are a US citizen, or a US national and aren’t currently incarcerated.

Nobody can be turned away or charged more because of their gender or a pre-existing condition.

Visit to learn more.