Pennsylvania major medical insurance is the least expensive form of health care coverage. Usually, costs are about 25%-50% less than standard plans and as much as 60% less than employer-sponsored medical plans (assuming the employer is not paying any of the premiums).

While Pennsylvania health insurance rates have been slowly spiraling upward, many individuals and families are turning to “high deductible” or “catastrophic” plans to minimize their cost. The potential savings can be huge, especially over the lifetime of the policy. Also, rates tend to increase less on policies with higher deductibles.

At Pahealthinsurancecoverage.com, we provide low cost plans that provide high quality coverage. We focus on the most respected companies in the state, such as Aetna, UnitedHealthOne, Independence Blue Cross, Highmark, Geisinger, Keystone, Capital Blue Cross and HealthAmerica. Celtic, although not a major company, offers competitive short-term plans. Assurant is a reputable company but does not offer competitive rates at this time.

The concept of major medical insurance is simple. Typically, a “deductible” must be met before any benefits are paid. Naturally, the higher the deductible, the lower the rate. In Pennsylvania, most companies will offer deductible options from $500 to $10,000. A few carriers, such as Assurant, will offer higher deductible options.

After the deductible has been satisfied, all policies have a “coinsurance” that must be taken into consideration. This is the percentage of the balance of the health care expenses that the policyholder is responsible for. The most common coinsurance is 20%, although 30% and 50% options are sometimes used on less expensive plans.

Pennsylvania Health Savings Accounts feature 0% coinsurance on many policies. The structure is quite simple and very popular. After the deductible has been met, covered benefits are paid at 100% with no other out-of-pocket expense. (Qualified preventive benefits are never subject to deductibles or coinsurance). An HSA differs from a true “major medical” policy because it offers superior benefits after the deductible. We’re happy to compare the difference in premium and coverage from the top companies. Simply call or email us and we’ll provide personal recommendations for your situation.

Sample Major Medical Insurance Rates In Pennsylvania

Our hypothetical family for this example is a healthy married 50 year-old couple that lives in Central Pennsylvania. I have listed below the monthly rates from one of the largest and most reputable companies.

Catastrophic Plan

$221- $5,000 Deductible

$263- $2,500 Deductible

$323- $1,500 Deductible

Health Savings Account

$297- $3,750 Deductible

$341- $2,500 Deductible

$416- $1,250 Deductible

There are numerous variables to consider in this example such as ages and health of the insured, policy coverage details, pre-existing conditions and underwriting guidelines. Also, rates in other areas of the state, such as Pittsburgh or Philadelphia, will be different. And many Blue Cross plans are only available in specific areas, such as Independence Blue Cross in Southeastern Pa, Capital Blue Cross in the central part of the state and Highmark Blue Cross Blue Shield in Western Pennsylvania.

Major medical coverage is a great option for some, and not very suitable for others. We’re always willing to help you determine which type of policy is best for your unique situation. Please call us, contact us (see contact information at the top of the page) or view rates now by using our quote box at the top of the page.