Pennsylvania individual health insurance for Philadelphia ICHRAs

Looking for the best individual health insurance options in Philadelphia to use with an ICHRA? You're in the right place - and there's good news! The individual coverage HRA (ICHRA for short) is taking off where you live, thanks to a vibrant local individual health insurance market. That means more ACA-compliant, high quality health insurance choices for employees.  

Who this guide is for: 

• Employees shopping for health insurance to use with their ICHRA
• Employers wanting to help their employees make educated decisions about their health plans to use with their ICHRA
• Employers of any size considering implementing an ICHRA

What this guides covers:

• What is an ICHRA?
• 2022 Philadelphia individual insurance options
• Philadelphia insurance market snapshot
• Philadelphia health insurance carriers
• Cost of individual insurance in Philadelphia across carriers
• List of hospitals in network with carriers 

What is an ICHRA? 

First things first. An Individual Coverage HRA (ICHRA, for short) is a fundamentally new model of benefits that allows employers to set aside tax-free dollars to reimburse employees for health plan premiums that individuals choose themselves. That means employees get to choose the best plan for their family, their unique health needs, and their budget.

2022 Philadelphia individual health insurance options for ICHRA

The competitive individual health insurance market in Pennsylvania, with a strong carrier lineup, innovative broker partnerships, and multiple options in every county sets the stage for ICHRA to thrive.

This builds on an ongoing trend, signaling the health and affordability of the individual health insurance market. More and more employers in Philadelphia are realizing their benefits dollars stretch further on the individual health insurance market instead of group plans, and this brings ample employee benefits too, like personalization and choice. 

Disclaimer: These rates are estimates for Philadelphia in 2021 in the 19120 zip code. Your premiums may vary and we expect slight changes for 2022. See our window shopping tool to check for exact premium rates in your area.

Market Snapshot

Philadelphia's competitive individual health insurance market and innovative carrier lineup mean more choices for employees. The infographic below demonstrates the wide range of carriers, network types, and average lowest cost premiums by tier. 

Pro-tip: To calculate costs for adding a spouse or family to a plan, use double the rate for married, or triple for families. 

The Philadelphia insurance market has more than 70 plan options across four carrier choices.

Note: Cigna is new to the Philadelphia market for 2022!

Disclaimer: Plan information is based on 19120, the most populated zip code in Philadelphia. Rates will vary by zip code and county. 

Remember, all of the plans listed here are ACA-compliant, meaning they cover pre-existing conditions and 10 essential benefits. These benefits include coverage with no annual cap for the following:

• Ambulatory patient services (outpatient services)
• Emergency services
• Hospitalization
• Maternity and newborn care
• Mental health and substance use disorder services, including behavioral health treatment
• Prescription drugs
• Rehabilitative and habilitative services and devices
• Laboratory services
• Preventive and wellness services and chronic disease management
• Pediatric services, including oral and vision care

The lineup: Philadelphia's best individual health insurance carriers to use with ICHRA

Philadelphia has four individual health insurance carriers to choose from.

These include (in alphabetical order):

1. Ambetter
2. Cigna (new for 2022!)
3. Independence BlueCross
4. Oscar

Here's a Philadelphia health insurance infographic for a quick visual. 

*Autopay is a new feature on our platform that enables employers to take advantage of ICHRA and all its benefits without asking their employees to pay premiums out of pocket and wait for reimbursements.

*Easy Enroll is a plan feature that allows employees on the Take Command platform to enroll directly in the portal with no further steps needed. This is the simplest type of plan to choose.  

*Off-exchange options are important for employees that choose a plan that costs more than their allowance, since they'll have to put in some of their own money to cover the difference. That difference can be tax-free when combined with a Section 125 payroll deduction but only for off-exchange plans (due to some ACA restrictions).

Here's another handy infographic that includes some of our favorite things about each individual health insurance carrier in Philadelphia. 

Note: Cigna is new for Philadelphia in 2022!

How much does individual health insurance cost in Philadelphia per carrier?

The below rates are 2021 estimates based on Philadelphia zip code 19120 only.  We will update this section with 2022 rates as they become available. 

What we love:

• 24-hour $0 copay telehealth
• Fitness incentives like gym discounts, healthy eating discounts with Home Chef
• Redeem Health Decision points for a variety of benefits 
• Easy Enroll options
• AutoPay eligible

What we don't love: 

• Frustrating customer service 

Lowest cost by metal tier for Ambetter in Philadelphia 

For rates in your area based on your age, family size, and other variables, check out our window shopping tool!

What health plans are in network with your hospitals in Philadelphia? 

Part of the beauty of choosing your own health plan is that you can make sure your hospitals are in network. Below you'll find the hospital networks for each Philadelphia health insurance carrier. 

Disclaimer: Coverage varies across plans so we highly recommend you check with your provider. 

Disclaimer: Please check with your provider to make sure they accept your insurance as networks can change year over year.

How do I choose the best individual insurance plan for me? 

One of our favorite things about ICHRA is that it allows employees to choose the best plan for them, as opposed to a one size fits all group plan where they only have one or two options. At Take Command, we have tools to help employees sort through the options. 

• Doctor search: Try out our doctor search tool to ensure that your trusted doctors stay in network with your new health plan. Try out our window shopping tool and search for plans that work with your doctors!
  
• Prescription search: Prescriptions can also be a big expense! Different carriers cover them differently, so it’s important to price check and take a good luck at formularies for all of your health plan options, especially if there’s something you take regularly to manage chronic conditions. Our new prescription search tool allows you to compare plan coverage and formularies side by side to find the best coverage at the lowest cost to you. Check it out here. 
  
  
• Be informed! We've put together an Open Enrollment Guide that will give you all of our best tips and tricks. 

To get started shopping for a plan, head on over to our individual health insurance shopping page to compare plans side by side and find one that will work for you and your HRA.

How Take Command can help

With an abundance of quality health insurance plans for employees to choose from throughout the state, Philadelphia employees are positioned for success in terms of satisfaction with their ICHRA. 

To learn more about why Pennsylvania is prime for ICHRA, check out our blog post on the subject. 

• Employees: If you are an employee looking to sign up for individual health insurance in Philadelphia to use with your ICHRA, our enrollment team is standing at the ready to help. You can set up a call with enrollment team here.
• Business owners: If you're a business owner and have questions about ICHRA, please schedule a time to chat with our HRA Design team to see if ICHRA is a good fit for you. 
• Brokers: If you're a broker considering ICHRA as an option for a client, submit an HRA Design request to see if this is a good fit for your client. 

Other questions? Email support@takecommandhealth.com or chat with us on the website. We'd be pleased to help!