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Highmark Pulls Out of 27 of 49 Pennsylvania Counties

Highmark is canceling individual health plans in 27 of the 49 counties Pennsylvania in which it sold them for 2016, according to a Pittsburgh Tribune-Review analysis. About 70 percent of the insurer's individual marketplace members in Pennsylvania will lose...
November 8, 2016

Highmark is canceling individual health plans in 27 of the 49 counties Pennsylvania in which it sold them for 2016, according to a Pittsburgh Tribune-Review analysis. About 70 percent of the insurer's individual marketplace members in Pennsylvania will lose their plans, says a Highmark spokesperson. Pennsylvania Insurance Commissioner Teresa Miller says she approved rate hikes averaging 50 percent for Highmark’s marketplace plans to prevent the insurer from abandoning the marketplace altogether.

The 70 percent includes people who still may be able to buy other Highmark plans on the marketplace or directly from the insurer, depending on where they live. Cost-lowering federal subsidies are available on the marketplace at healthcare.gov, but not when people buy plans directly from the insurer.