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Health insurance & Medicare · Philadelphia, PA (Philadelphia County)

Individual & Family Health Insurance in Philadelphia, Pennsylvania

9.6% of Philadelphia adults aged 19 to 64 have no health insurance, below the U.S. rate of 11.1% (the 3rd-highest uninsured rate for adults 19 to 64 of the 7 Northeast U.S. communities on this site). Help choosing an ACA Marketplace health plan, including checking whether you qualify for premium tax credits that lower your monthly cost. Olive, a licensed agent with Manna Financial Services, helps Philadelphia, PA households compare individual and family health insurance by phone or video, and the first conversation is free.

Philadelphia by the numbers

  • 9.6% of Philadelphia adults aged 19 to 64 have no health insurance, below the U.S. rate of 11.1% (the 3rd-highest uninsured rate for adults 19 to 64 of the 7 Northeast U.S. communities on this site).
  • 25.1% of Philadelphia households include children under 18, below the U.S. figure of 29.8%.
  • 7.9% of Philadelphia workers are self-employed, below the U.S. figure of 9.8%. Self-employed people have no employer plan for health, life or disability coverage.
  • The median household income in Philadelphia is $60,698, below the U.S. average of $78,538.

Philadelphia and nearby communities

PlaceUninsured adults 19–64Self-employedMedian household income
Philadelphia9.6%7.9%$60,698
New York9.4%11.4%$79,713
Boston4.2%7.9%$94,755
Baltimore8.1%7.2%$59,826
U.S.11.1%9.8%$78,538

Sources: U.S. Census Bureau, American Community Survey 2019–2023 5-year estimates.

How we help with individual and family health insurance

  • Compare the Marketplace plans offered in your county
  • Check premium tax credit and cost-sharing eligibility
  • Confirm your doctors, hospitals and prescriptions are in network
  • Enroll during Open Enrollment or a Special Enrollment Period

Read our full guide to individual and family health insurance

Rules that apply in Pennsylvania

  • Pennsylvania residents buy individual and family Marketplace plans through HealthCare.gov or their state exchange. Plans and prices vary by county.
  • Open Enrollment typically runs November 1 to January 15. Enroll by December 15 for coverage that starts January 1.
  • Outside Open Enrollment, a qualifying life event such as losing other coverage, moving, marriage or a new baby opens a Special Enrollment Period.
  • Marketplace premiums are the same with or without an agent. Insurance companies pay the agent.

Questions from Philadelphia

When can I enroll in a Marketplace plan?

Open Enrollment typically runs November 1 to January 15. Enroll by December 15 for coverage that starts January 1. Outside that window you need a qualifying life event, such as losing other coverage, moving, marriage or a new baby, to use a Special Enrollment Period.

Do I need to visit an office in Philadelphia?

No. Olive works with Philadelphia and Philadelphia County households by phone or video, so you can compare options from home. Most applications and signatures can be completed online.

Talk with Olive about individual and family health insurance.

Free, no obligation, by phone or video. Or call or text (937) 388-5346.