Health insurance premiums through Pennie set to rise sharply for many Pennsylvanians By Ross DiMattei, Casey Kuhn November 5, 2025 / 4:47 PM EST / CBS Philadelphia Many Pennsylvanians who buy their health insurance through Pennie, the state's Affordable Care Act marketplace, can expect higher premiums during this year's open enrollment period. For small business owners like Megan Read, the increase is significant. The Philadelphia-based wedding photographer said her monthly premium is rising from about $230 to nearly $400. "My health care is more than a car payment at this point, which is crazy," Read said. "It makes you think twice about what you're spending money on. Not only as a small business owner, but as an individual trying to survive in this economy." Another Pennie customer, Sarah Cunningham of Hatboro, said her premium will climb by more than 300%. She credits her coverage with saving her life after a cancer scare five years ago, but the price jump came as a shock. "I was expecting like 50%, but I wasn't expecting it to go up over three times the amount," Cunningham said. "Little things, like basic needs, I'm going to have to cut down on." View for more information and Video