my Direct Blue Major Events EPO Catastrophic 10600 - 3 Free PCP Visits
by Highmark Inc.
Catastrophic HSA eligible EPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
Pennsylvania Health Insurance Plans
2026 Off-Exchange plans
335 plans across the state
Off-Exchange plans
Pennsylvania runs its own marketplace — Health Plan Radar shows Off-Exchange plans here, sold directly by the insurance companies.
UPMC Advantage Catastrophic $10,600/$0 - Partner Network
by UPMC Health Options, Inc.
Catastrophic HSA eligible EPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Catastrophic $10,600/$0 - Select Network
by UPMC Health Options, Inc.
Catastrophic HSA eligible EPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
Together Blue Major Events EPO Catastrophic 10600 - 3 Free PCP Visits
by Highmark Coverage Advantage Inc.
Catastrophic HSA eligible EPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
my Blue Access Major Events PPO Catastrophic 10600 - 3 Free PCP Visits
by Highmark Inc.
Catastrophic HSA eligible PPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
my Direct Blue Major Events EPO Catastrophic 10600 - 3 Free PCP Visits
by Highmark Inc.
Catastrophic HSA eligible EPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
my Direct Blue Lehigh Valley Major Events EPO Catastrophic 10600 - 3 Free PCP Visits
by Highmark Inc.
Catastrophic HSA eligible EPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
my Blue Access Major Events PPO Catastrophic 10600 - 3 Free PCP Visits
by Highmark Inc.
Catastrophic HSA eligible PPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
my Blue Access Major Events PPO Catastrophic 10600 - 3 Free PCP Visits
by Highmark Inc.
Catastrophic HSA eligible PPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Catastrophic $10,600/$0 - Standard Network
by UPMC Health Plan
Catastrophic HSA eligible HMO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
my Priority Blue Major Events PPO Catastrophic 10600 - 3 Free PCP Visits
by Highmark Benefits Group Inc.
Catastrophic HSA eligible PPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
my Blue Access Major Events PPO Catastrophic 10600 - 3 Free PCP Visits
by Highmark Benefits Group Inc.
Catastrophic HSA eligible PPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Catastrophic $10,600/$0 - Premium Network
by UPMC Health Options, Inc.
Catastrophic HSA eligible PPO
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$10,600 / $21,200
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$9,200 / $18,400
Out-of-pocket max · ind / family
$9,200 / $18,400
Jefferson Health Plans + $0 Deductible + Bronze + PPO + Off Exchange
by Jefferson Health Plans
Bronze HSA eligible PPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$9,000 / $18,000
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$4,700 / $9,400
Out-of-pocket max · ind / family
$9,500 / $19,000
UPMC Advantage Bronze $6,700/$0 - Premium Network
by UPMC Health Options, Inc.
Bronze HSA eligible PPO
Deductible · ind / family
$6,700 / $13,400
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,150 / $20,300
Deductible · ind / family
$9,000 / $18,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$4,750 / $9,500
Out-of-pocket max · ind / family
$9,800 / $19,600
my Direct Blue Lehigh Valley EPO Bronze 3800 + Adult Dental and Vision
by Highmark Inc.
Bronze HSA eligible EPO
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$9,200 / $18,400
Out-of-pocket max · ind / family
$9,200 / $18,400
Jefferson Health Plans + Value + Bronze + HMO + Off Exchange
by Health Partners of Philadelphia Inc.
Bronze HMO
Deductible · ind / family
$10,000 / $20,000
Out-of-pocket max · ind / family
$10,000 / $20,000
Deductible · ind / family
$7,100 / $14,200
Out-of-pocket max · ind / family
$10,000 / $20,000
Deductible · ind / family
$9,000 / $18,000
Out-of-pocket max · ind / family
$10,600 / $21,200
my Blue Access PPO Bronze 3800 + Adult Dental and Vision
by Highmark Benefits Group Inc.
Bronze HSA eligible PPO
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$8,450 / $16,900
Out-of-pocket max · ind / family
$10,150 / $20,300
Jefferson Health Plans + $0 Deductible + Bronze + HMO + Off Exchange
by Health Partners of Philadelphia Inc.
Bronze HMO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$8,450 / $16,900
Out-of-pocket max · ind / family
$10,150 / $20,300
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$7,450 / $14,900
Out-of-pocket max · ind / family
$10,100 / $20,200
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$10,000 / $20,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$7,100 / $14,200
Out-of-pocket max · ind / family
$10,000 / $20,000
Deductible · ind / family
$9,000 / $18,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$10,500 / $21,000
UPMC VirtualCare Bronze $4,400/$80 - Partner Network
by UPMC Health Options, Inc.
Bronze HSA eligible EPO
Deductible · ind / family
$4,400 / $8,800
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$9,200 / $18,400
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$8,500 / $17,000
Out-of-pocket max · ind / family
$9,500 / $19,000
UPMC Advantage Bronze $6,700/$0 - Premium Network
by UPMC Health Options, Inc.
Bronze HSA eligible PPO
Deductible · ind / family
$6,700 / $13,400
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$9,800 / $19,600
Out-of-pocket max · ind / family
$9,800 / $19,600
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$7,450 / $14,900
Out-of-pocket max · ind / family
$7,450 / $14,900
Deductible · ind / family
$4,750 / $9,500
Out-of-pocket max · ind / family
$9,800 / $19,600
Jefferson Health Plans + Value + Bronze + PPO + Off Exchange
by Jefferson Health Plans
Bronze HSA eligible PPO
Deductible · ind / family
$8,500 / $17,000
Out-of-pocket max · ind / family
$8,500 / $17,000
Jefferson Health Plans + Total + Bronze + PPO + Off Exchange
by Jefferson Health Plans
Bronze HSA eligible PPO
Deductible · ind / family
$9,000 / $18,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$9,200 / $18,400
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$8,000 / $16,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Jefferson Health Plans + Total + Bronze + HMO + Off Exchange
by Health Partners of Philadelphia Inc.
Bronze HMO
Deductible · ind / family
$8,500 / $17,000
Out-of-pocket max · ind / family
$10,600 / $21,200
my Priority Blue Flex PPO Bronze 3800 + Adult Dental and Vision
by Highmark Benefits Group Inc.
Bronze HSA eligible PPO
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$150 / $300
Out-of-pocket max · ind / family
$10,150 / $20,300
UPMC Advantage Bronze $6,700/$0 - Premium Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Bronze HSA eligible PPO
Deductible · ind / family
$6,700 / $13,400
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$10,500 / $21,000
Together Blue EPO Bronze 3800 + Adult Dental and Vision
by Highmark Coverage Advantage Inc.
Bronze HSA eligible EPO
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$6,700 / $13,400
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$9,200 / $18,400
Out-of-pocket max · ind / family
$9,200 / $18,400
UPMC VirtualCare Bronze $4,400/$80 - Select Network
by UPMC Health Options, Inc.
Bronze HSA eligible EPO
Deductible · ind / family
$4,400 / $8,800
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$6,400 / $12,800
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$7,450 / $14,900
Out-of-pocket max · ind / family
$10,100 / $20,200
UPMC Advantage Bronze $6,700/$0 - Select Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Bronze HSA eligible EPO
Deductible · ind / family
$6,700 / $13,400
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$9,200 / $18,400
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$9,200 / $18,400
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$6,700 / $13,400
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$7,450 / $14,900
Out-of-pocket max · ind / family
$7,450 / $14,900
UPMC Advantage Bronze $6,700/$0 - Premium Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Bronze HSA eligible PPO
Deductible · ind / family
$6,700 / $13,400
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$9,800 / $19,600
Out-of-pocket max · ind / family
$9,800 / $19,600
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$8,000 / $16,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$9,200 / $18,400
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$9,200 / $18,400
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$7,100 / $14,200
Out-of-pocket max · ind / family
$10,000 / $20,000
Deductible · ind / family
$6,400 / $12,800
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
UPMC Advantage Bronze $6,700/$0 - Partner Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Bronze HSA eligible EPO
Deductible · ind / family
$6,700 / $13,400
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Bronze $6,700/$0 - Partner Network
by UPMC Health Options, Inc.
Bronze HSA eligible EPO
Deductible · ind / family
$6,700 / $13,400
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$9,900 / $19,800
Deductible · ind / family
$8,500 / $17,000
Out-of-pocket max · ind / family
$9,500 / $19,000
my Priority Blue Flex PPO Premier Silver 0 + Adult Dental and Vision
by Highmark Benefits Group Inc.
Silver PPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$8,600 / $17,200
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$8,600 / $17,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$2,600 / $5,200
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Silver $3,500/$50 - Partner Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Silver EPO
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Silver $7,000/$45 - Partner Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Silver EPO
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$5,600 / $11,200
Out-of-pocket max · ind / family
$8,900 / $17,800
Deductible · ind / family
$5,950 / $11,900
Out-of-pocket max · ind / family
$8,850 / $17,700
Deductible · ind / family
$2,000 / $4,000
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$2,600 / $5,200
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
UPMC Advantage Silver HSA $4,000/30% - Select Network
by UPMC Health Options, Inc.
Silver HSA eligible EPO
Deductible · ind / family
$4,000 / $8,000
Out-of-pocket max · ind / family
$7,100 / $14,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,200 / $18,400
UPMC Advantage Silver $3,500/$50 - Select Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Silver EPO
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$4,400 / $8,800
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
UPMC Advantage Silver HSA $4,000/30% - Partner Network
by UPMC Health Options, Inc.
Silver HSA eligible EPO
Deductible · ind / family
$4,000 / $8,000
Out-of-pocket max · ind / family
$7,100 / $14,200
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$4,450 / $8,900
Out-of-pocket max · ind / family
$7,250 / $14,500
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$8,600 / $17,200
Deductible · ind / family
$2,900 / $5,800
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Silver $3,500/$50 - Premium Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Silver PPO
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$4,900 / $9,800
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$4,450 / $8,900
Out-of-pocket max · ind / family
$8,550 / $17,100
UPMC Advantage Silver $7,000/$45 - Select Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Silver EPO
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$4,500 / $9,000
Out-of-pocket max · ind / family
$8,550 / $17,100
Deductible · ind / family
$3,000 / $6,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Jefferson Health Plans + Balanced + Silver + HMO + Off Exchange
by Health Partners of Philadelphia Inc.
Silver HMO
Deductible · ind / family
$6,900 / $13,800
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$3,000 / $6,000
Out-of-pocket max · ind / family
$8,300 / $16,600
my Direct Blue Lehigh Valley EPO Premier Silver 0 + Adult Dental and Vision
by Highmark Inc.
Silver EPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$8,600 / $17,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$3,450 / $6,900
Out-of-pocket max · ind / family
$8,700 / $17,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$4,500 / $9,000
Out-of-pocket max · ind / family
$8,550 / $17,100
my Blue Access PPO Premier Silver 0 + Adult Dental and Vision
by Highmark Benefits Group Inc.
Silver PPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$4,450 / $8,900
Out-of-pocket max · ind / family
$8,550 / $17,100
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$4,000 / $8,000
Out-of-pocket max · ind / family
$8,500 / $17,000
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$4,400 / $8,800
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$2,600 / $5,200
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Together Blue EPO Premier Silver 0 + Adult Dental and Vision
by Highmark Coverage Advantage Inc.
Silver EPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
UPMC Advantage Silver $7,000/$45 - Premium Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Silver PPO
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$4,500 / $9,000
Out-of-pocket max · ind / family
$8,550 / $17,100
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$5,000 / $10,000
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Silver HSA $4,000/30% - Premium Network
by UPMC Health Options, Inc.
Silver HSA eligible PPO
Deductible · ind / family
$4,000 / $8,000
Out-of-pocket max · ind / family
$7,100 / $14,200
UPMC Advantage Silver $7,000/$45 - Premium Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Silver PPO
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$8,600 / $17,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$8,600 / $17,200
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$8,400 / $16,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$5,800 / $11,600
Out-of-pocket max · ind / family
$5,800 / $11,600
Deductible · ind / family
$4,000 / $8,000
Out-of-pocket max · ind / family
$7,100 / $14,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$10,600 / $21,200
my Priority Blue Flex PPO Silver 0 + Adult Dental and Vision
by Highmark Benefits Group Inc.
Silver PPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$6,300 / $12,600
Out-of-pocket max · ind / family
$8,400 / $16,800
Deductible · ind / family
$5,950 / $11,900
Out-of-pocket max · ind / family
$8,850 / $17,700
Deductible · ind / family
$4,450 / $8,900
Out-of-pocket max · ind / family
$8,550 / $17,100
Deductible · ind / family
$5,950 / $11,900
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$8,700 / $17,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Silver $3,500/$50 - Premium Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Silver PPO
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$8,250 / $16,500
Deductible · ind / family
$6,300 / $12,600
Out-of-pocket max · ind / family
$8,400 / $16,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,700 / $19,400
Deductible · ind / family
$5,750 / $11,500
Out-of-pocket max · ind / family
$9,800 / $19,600
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$8,600 / $17,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$3,500 / $7,000
Out-of-pocket max · ind / family
$8,500 / $17,000
Deductible · ind / family
$6,000 / $12,000
Out-of-pocket max · ind / family
$8,600 / $17,200
Jefferson Health Plans + Total + Silver + HMO + Off Exchange
by Health Partners of Philadelphia Inc.
Silver HMO
Deductible · ind / family
$5,500 / $11,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$5,000 / $10,000
Out-of-pocket max · ind / family
$9,000 / $18,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Jefferson Health Plans + $0 Deductible + Silver + PPO + Off Exchange
by Jefferson Health Plans
Silver PPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$5,500 / $11,000
Out-of-pocket max · ind / family
$9,000 / $18,000
Jefferson Health Plans + $0 Deductible + Silver + HMO + Off Exchange
by Health Partners of Philadelphia Inc.
Silver HMO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$2,500 / $5,000
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$7,000 / $14,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$2,600 / $5,200
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Jefferson Health Plans + Total + Gold + HMO + Off Exchange
by Health Partners of Philadelphia Inc.
Gold HMO
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$1,700 / $3,400
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,500 / $17,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$3,800 / $7,600
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,500 / $17,000
Jefferson Health Plans + Value + Gold + HMO + Off Exchange
by Health Partners of Philadelphia Inc.
Gold HMO
Deductible · ind / family
$2,000 / $4,000
Out-of-pocket max · ind / family
$10,600 / $21,200
UPMC Advantage Gold $1,000/$20 - Select Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Gold EPO
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,700 / $3,400
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$500 / $1,000
Out-of-pocket max · ind / family
$8,000 / $16,000
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,250 / $16,500
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,000 / $16,000
my Priority Blue Flex PPO Gold 1500 + Adult Dental and Vision
by Highmark Benefits Group Inc.
Gold PPO
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,550 / $17,100
Deductible · ind / family
$800 / $1,600
Out-of-pocket max · ind / family
$7,250 / $14,500
Deductible · ind / family
$1,450 / $2,900
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,800 / $3,600
Out-of-pocket max · ind / family
$8,550 / $17,100
Deductible · ind / family
$2,900 / $5,800
Out-of-pocket max · ind / family
$6,250 / $12,500
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$1,450 / $2,900
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$2,000 / $4,000
Out-of-pocket max · ind / family
$6,000 / $12,000
Deductible · ind / family
$800 / $1,600
Out-of-pocket max · ind / family
$7,250 / $14,500
Deductible · ind / family
$1,700 / $3,400
Out-of-pocket max · ind / family
$7,200 / $14,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,500 / $17,000
Deductible · ind / family
$2,900 / $5,800
Out-of-pocket max · ind / family
$6,000 / $10,600
Deductible · ind / family
$3,000 / $6,000
Out-of-pocket max · ind / family
$6,100 / $12,200
Deductible · ind / family
$1,700 / $3,400
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,500 / $17,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,250 / $16,500
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,500 / $17,000
Deductible · ind / family
$1,800 / $3,600
Out-of-pocket max · ind / family
$8,550 / $17,100
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$1,700 / $3,400
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,700 / $3,400
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
UPMC Advantage Gold HSA $2.900/10% - Partner Network
by UPMC Health Options, Inc.
Gold HSA eligible EPO
Deductible · ind / family
$2,900 / $5,800
Out-of-pocket max · ind / family
$6,000 / $10,600
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
my Priority Blue Flex PPO Premier Gold 0 + Adult Dental and Vision
by Highmark Benefits Group Inc.
Gold PPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$1,700 / $3,400
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$3,400 / $6,800
Out-of-pocket max · ind / family
$3,400 / $6,800
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$1,700 / $3,400
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
UPMC Advantage Gold $1,000/$20 - Partner Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Gold EPO
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,500 / $17,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Together Blue EPO Premier Gold 0 + Adult Dental and Vision
by Highmark Coverage Advantage Inc.
Gold EPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$3,000 / $6,000
Out-of-pocket max · ind / family
$6,100 / $12,200
Deductible · ind / family
$1,800 / $3,600
Out-of-pocket max · ind / family
$8,550 / $17,100
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$8,000 / $16,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$9,400 / $18,800
UPMC Advantage Gold HSA $2,900/10% - Select Network
by UPMC Health Options, Inc.
Gold HSA eligible EPO
Deductible · ind / family
$2,900 / $5,800
Out-of-pocket max · ind / family
$6,000 / $10,600
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$1,800 / $3,600
Out-of-pocket max · ind / family
$8,550 / $17,100
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
UPMC Advantage Gold $1,000/$20 - Premium Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Gold PPO
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$1,700 / $3,400
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$1,800 / $3,600
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,800 / $3,600
Out-of-pocket max · ind / family
$6,900 / $13,800
Together Blue Virtual Choice EPO Gold 1500 + Adult Dental and Vision
by Highmark Coverage Advantage Inc.
Gold EPO
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$8,300 / $16,600
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,500 / $3,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$500 / $1,000
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$3,000 / $6,000
Out-of-pocket max · ind / family
$6,100 / $12,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$7,500 / $15,000
UPMC Advantage Gold $1,000/$20 - Premium Network with Adult Dental and Vision
by UPMC Health Options, Inc.
Gold PPO
Deductible · ind / family
$1,000 / $2,000
Out-of-pocket max · ind / family
$7,500 / $15,000
Deductible · ind / family
$1,250 / $2,500
Out-of-pocket max · ind / family
$9,200 / $18,400
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$500 / $1,000
Out-of-pocket max · ind / family
$6,000 / $12,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
UPMC Advantage Gold HSA $2,900/10% - Premium Network
by UPMC Health Options, Inc.
Gold HSA eligible PPO
Deductible · ind / family
$2,900 / $5,800
Out-of-pocket max · ind / family
$6,000 / $10,600
Jefferson Health Plans + $0 Deductible + Gold + HMO + Off Exchange
by Health Partners of Philadelphia Inc.
Gold HMO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$6,900 / $13,800
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$10,600 / $21,200
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
my Priority Blue Flex PPO Premier Platinum 0 + Adult Dental and Vision
by Highmark Benefits Group Inc.
Platinum PPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision
by Highmark Benefits Group Inc.
Platinum PPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
my Direct Blue Lehigh Valley EPO Premier Platinum 0 + Adult Dental and Vision
by Highmark Inc.
Platinum EPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Together Blue EPO Premier Platinum 0 + Adult Dental and Vision
by Highmark Coverage Advantage Inc.
Platinum EPO
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Deductible · ind / family
$0 / $0
Out-of-pocket max · ind / family
$5,000 / $10,000
Frequently asked questions
What are Obamacare health insurance plans?
Obamacare plans are eligible for reduced costs through a subsidy tax credit. They're offered only through the federal marketplace (healthcare.gov) or a state's own exchange — but certified brokers, agents, and web brokers can help you enroll and apply for a subsidy.
What are Off-Exchange health insurance plans?
Off-Exchange plans are available outside the federal marketplaces and existed before Obamacare. You can enroll through a broker, agent, web broker, or directly with the insurance company.
What's the difference between Obamacare and Off-Exchange plans?
The main difference is that only Obamacare plans are eligible for a subsidy tax credit. Otherwise, plan design, coverage, and rates are similar, and both must follow federal regulations.
How do I choose the plan that's best for me and my family?
Understand a few key concepts first — premium price, out-of-pocket costs, deductibles, and metal levels. Our choosing-a-plan FAQ explains each one.