Health plans for small businesses, Individuals, & Families
Health Plans for Small Businesses & Individuals
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Health Plans for Small Businesses & Individuals
Health Plans for Small Businesses & Individuals

Pennsylvania Health Plans

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Affordable Coverage Options in Pennsylvania

Choosing a Pennsylvania health plan can help families, couples, and individuals protect their health, stay on budget, and get the long-term care they need to stay healthy. A variety of health insurance plans have been made available to Pennsylvania residents who want to shop, enroll, and apply for coverage that meets their income, budget, and health care needs under the Affordable Care Act.

Pennsylvania health plans generally cover essential health benefits like hospitalization, prescription drugs, preventive medical care, and mental health services. Individuals, families, and small business owners can take advantage of health plans that help them protect their health and financial security from a medical bill that they don’t expect or can’t afford.

The state's official health insurance marketplace makes it simple to learn about, compare, and select a plan based on your income. If you qualify, you may be able to enroll in Medical Assistance or Medicaid programs that reduce your out-of-pocket expenses and cover you year-round. If you didn't have a chance to enroll during open enrollment, you may be able to enroll outside of the open enrollment period if you qualify for a special enrollment period because of a qualifying life event, like marriage, new dependents, or a change in income.
Health Plans for Small Businesses & Individuals
Health Plans for Small Businesses & Individuals

Know Your Health & Wellness Benefits

Health Plans for Small Businesses & Individuals

Medical

BCBS PPO National Network

Deductible:$1,000
Coinsurance:80/20
Out-of-Pocket:$3,800
Primary Care Co-pay:$25
Specialist Co-Pay:$50
Medications:Generic 10%; Brand 35%
(see SBC for more details)
Wellness & Teledoc Visits: No Charge

(In-network only)

See Health Plan Outline for More Details

Dental-Health-Plans

Dental

Principal PPO Dental Network


Annual deductible networkCoinsurance network pays
Preventative$0100%
Basic$5080%
Major$5050%

Max benefit: $2,000 per calendar year

New Benefit: Implant coverage (see SBC for details).

Out-of-Network Coverage Available (Click Here to See Claim Example)

VIsion-Health-Plans

Vision

VSP Vision

Exams: $10 copay, 1 exam every 12 mo
Glasses: $25 copay for single lenses
Frames: Up to $250 every 24 mo
Contacts: Up to $250 every 12 mo

LIFE

10K Death Benefit

Know Your Health & Wellness Benefits

 At PEO4YOU, we believe comprehensive healthcare should be accessible, transparent, and tailored to your needs. That’s why every member receives a complete benefits package — medical, dental, vision, and life benefits — designed to give you peace of mind and real value.

Health-Plans-all.

Medical

BCBS PPO National Network

Deductible:$1,000
Coinsurance:80/20
Out-of-Pocket:$3,800
Primary Care Co-pay:$25
Specialist Co-Pay:$50
Medications:Generic 10%; Brand 35%
(see SBC for more details)
Wellness & Teledoc Visits: No Charge

(In-network only)

See Health Plan Outline for More Details

Dental-Health-Plans

Dental

Principal PPO Dental Network


Annual deductible networkCoinsurance network pays
Preventative$0100%
Basic$5080%
Major$5050%

Max benefit: $2,000 per calendar year

New Benefit: Implant coverage (see SBC for details).

Out-of-Network Coverage Available (Click Here to See Claim Example)

VIsion-Health-Plans

Vision

VSP Vision

Exams: $10 copay, 1 exam every 12 mo
Glasses: $25 copay for single lenses
Frames: Up to $250 every 24 mo
Contacts: Up to $250 every 12 mo

LIFE

10K Death Benefit

Accident

Click to Review Plan Details

Health Benefits You Can Count On

peo4you star icon 6peo4you star icon 6
Every health plan in Pennsylvania works to offer comprehensive care, which provides you with access to quality health care. As such, every Affordable Care Act-approved plan will offer you important health benefits like mental health services, maternity and newborn care, prescription drugs, and preventative screenings. Health benefits are important for your well-being and to protect you from unexpected high out-of-pocket costs.

Medicaid and Medical Assistance are programs for people with limited incomes. They provide free or low-cost health coverage so that individuals and families can see a doctor, go to a hospital, and receive health care without worrying about the cost. Unsure if you qualify? You can apply online by creating a Marketplace account and requesting assistance, calling a certified counselor, or entering your information to get an answer and review your options.

Pennsylvania health plans were created to take care of the needs of every age group. They were developed to ensure that, from young adults to older members who need care, you are covered. These plans also include important preventive services like checkups, vaccines, and screenings to ensure your family is healthy all year long.
Book your free consultation

H&W, Dental, Vision and Life benefits are Part of a Benefits Package

5 year average renewal of less than 3% – Trust established in 1958 – BCBS network since 2004 – Enrollment available year round – No underwriting

Features
H&W 125
DENTAL 125
VISION 125
LIFE 10K
ADMIN125
Union
Total
Employee Only
$731.00
$65.00
$10.00
$5.00
$100.00
$27.00
$938.00
Employee + Spouse
$1,500.00
$130.00
$22.00
$5.00
$200.00
$27.00
$1,884.00
Employee + (Children)
$1,146.00
$130.00
$22.00
$5.00
$200.00
$27.00
$1,530.00
Employee + Family
$1,636.00
$190.00
$35.00
$5.00
$200.00
$27.00
$2,093.00
Waived Employees



$5.00

$27.00
$32

H&W, Dental, Vision and Life Benefits are
Part of a Benefits Package

6 consecutive renewals of 3% or less – Trust established in 1958 – BCBS network since 2004 –
Enrollment available year round 

2026 Rates

Features
H&W 125
DENTAL 125
VISION 125
ACCIDENT
LIFE 10K
ADMIN125
Union
Total
Employee Only
$746.00
$75.00
$15.00
$12.00
$10.00
$100.00
$27.00
$985.00
Employee + Spouse
$1,530.00
$150.00
$30.00
$12.00
$10.00
$200.00
$27.00
$1,959.00
Employee + (Children)
$1,169.00
$150.00
$30.00
$12.00
$10.00
$200.00
$27.00
$1,598.00
Employee + Family
$1,669.00
$220.00
$45.00
$12.00
$10.00
$200.00
$27.00
$2,183.00
Waived Employees




$10.00

$27.00
$37
Scroll right to view the full chart.
PEO4YOU - Horizontal Logo

Accident coverage is for Employee/Member only
Groups above 10 have custom ancillary rates
First Year Dental Max is $1,000, Second year increases to $2,000
Surcharge for 4 or more dependent children – Dental :$50 , Vision: $15 per child.

*Additional $33/month Processing Fee Applies for Individual and Family Health Plans.
Pennsylvania Affordable Health Plans for Businesses & Individuals

Flexible Plans for Pennsylvania Businesses and Families

Employers have the ability to select a health insurance plan that benefits their employees, and can work with you to control costs. Plans may include additional benefits such as medical care, mental health services, and preventive care to help your business attract and retain qualified employees.

Private insurance companies, as well as Medical Assistance coverages in Pennsylvania, offer health plan choices for individuals and families not covered by an employer plan. Short-term health insurance may be able to help you fill in gaps when you are between jobs or waiting to start a new benefits package. Contact us to discover that short-term plans may not cover all of the essential health benefits.

If you require assistance in choosing the right plan for you, we can help. PEO4YOU has the information you need to apply, sign up, and enroll through the state website. Send questions or request information through the contact center to receive answers tailored to your specific needs.
Book your free consultation
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Something for everyone.

Health Plans

Book your free consultation

Why Choosing the Right Plan Matters in Pennsylvania
Protect your health and your budget by getting the right health insurance. With good coverage, you can get care from the doctors, hospitals, and other health care services you trust when you need them – without out-of-pocket costs.

If you qualify, be sure to sign up during open enrollment or a special enrollment period for a plan that matches your income and your family’s needs. From comprehensive health insurance to short-term health insurance, there are many health plans to choose from in Pennsylvania.

No matter which health insurance plan you choose, you get the essential health benefits to protect you and your family from unexpected medical bills. Compare options, get answers to your questions, and apply the easy way—with PEO4YOU’s help and the right website or enrollment center.

Get covered with the right Pennsylvania health plan and feel confident that your care, coverage, and overall well-being are in good hands. Whether you’re providing for your family, running your small business, or just trying to lower costs, there’s a plan designed to fit your needs and help you live healthier, year after year.

Chrystin Comeau
Director, Clinic Operations at Cambridge Biotherapies
Sam worked with us to decrease our health costs by nearly 50% without rasing the deductible on employees or limiting the doctor network. These savings enabled us to add additional, valuable benefits. He was always willing to take a call or zoom meeting to explain anything we had questions about. The insurance landscape can be complicated and hard to navigate, but he helped us make great, informed choices.
Chrystin Comeau - PEO4You Testimonial
Jameson Reeves
Owner, Full Grip Games
I got a big health insurance rate increase, and I didn't like the recommendations from my large, nationally recognized employee benefits agency, so I decided to speak with other agencies. None of them could provide the same level of solutions that Sam was able to. Now, we are saving 40% on both medical and overall costs while massively upgrading the health insurance benefits.
Jameson Reeves - PEO4You Testimonial
Jack Bazarbachian
Sako Auto Body, INC
Without changing payroll or undergoing medical underwriting, Sam helped reduce my business's health insurance rates by nearly 50%, all while improving the plan's benefits and network. He made the process effortless.
Jack Bazarbachian - PEO4You Testimonial
Dr. Hoorbod D, DO
Medical Sinai Healthcare PC, NY
The PEO4You plan lowered my family's cost substantially while improving my coverage. I've been so happy with it that friends, family, and colleagues have since joined the plan as well.
Dr Hoorbod - PEO4You Testimonial
Patrick Therrien
Founder & CEO, Nationals Scope Investigations
We were able to save almost 50% on our medical rates while fulfilling everything we were looking for
Patrick - PEO4You Testimonial
Dr. Elion Krok, MD
IMMC Health, NJ
Sam was able to take my family and business's situation and pull through where others failed. I am saving significantly while increasing my access to doctors.
Dr. Elion  - PEO4You Testimonial
Krystal Solimine
Sales Associate at RE/MAX Partners
We are loving the PEO4YOU plan. It is a much smoother experience with claims getting approved quickly. Just a much smoother experience and at a lower price than the alternative. I’m already telling friends and colleagues about it!
Krystal - PEO4You Testimonial
Karen M.

Absolutely loving the plan! Better than all other health insurance plans I have had. They have been flexible with my needs and it feels like I am getting a VIP, concierge treatment from customer service. I come from many years working in the health insurance industry. I didn't think my experience could be this good.
Karen M - PEO4You Testimonial
Alexandra Estrada
Operations Manager at FOUR PAWS
Sam Newland is a valuable asset to our company. Thanks to his expertise and guidance, FOUR PAWS USA has made informed decisions to increase coverage and benefits while reducing costs for both employees and the company. We truly appreciate his efforts to provide our employees with high-quality, affordable plans.
Alexandra - PEO4You Testimonial
Alexander Kady Tschopp
Co, Founders, Tailored Industry
Without changing payroll or going through underwriting, we saved over 50% on our medical plan while upgrading to a PPO, improving benefits, and reducing expected renewal increases. The savings allowed us to add dental and vision coverage and hire a new full-time employee to support our business growth.
Alexander - PEO4You Testimonial
Scarlett Bartlett
Operations Manager, Matthew Cunningham Landscape Design
MCLD has been working with Sam for many years. As we have grown and evolved as a company, they have been providing expert advice for our changing needs to help keep things simple and effiecient for the business and keep our employees happy. If and when anything comes up, we can always be confident that they will be there to help.
Scarlett - PEO4You Testimonial
Chelsea Curtis
Founder, Managing Partner at Seaport Consulting
Sam is an incredible asset to a small business like ours. He was able to balance simplicity with inclusivity and completeness so that we were able to make choices that make our employees happy, and for much less than we expected. In addition to their deep knowledge, they have provided exceptional service by responding quickly and providing thoughtful business solutions.
Chelsea - PEO4You Testimonial
Jacqueline Bellan
Manager, People Operations, Brio Systems
Sam is an expert in HR and Benefits. He took our preferences and guidelines to provide design solutions for both savings and growth strategies. He also spent time ensuring we understood every aspect of the healthcare plans we were considering, which can be challenging. With Sam’s help, we offered great benefits to our team, saved money, and grew quickly by attracting and retaining top talent.
Jacqueline - PEO4You Testimonial
Testimonials

What Our Clients Say

Read how Clever has transformed productivity for our users
and hear their success stories.

peo4you client Alexandra Estrada

Sam Newland is a valuable asset to our company. Thanks to his expertise and guidance, FOUR PAWS USA has made informed decisions to increase coverage and benefits while reducing costs for both employees and the company. We truly appreciate his efforts to provide our employees with high-quality, affordable plans.

Alexandra Estrada

Operations Manager at Spectrum
peo4you user say section frame
Spectrum
peo4you Abstract Design
peo4you client Alexandra Estrada

Sam worked with us to decrease our health costs by nearly 50% without rasing the deductible on employees or limiting the doctor network. These savings enabled us to add additional, valuable benefits. He was always willing to take a call or zoom meeting to explain anything we had questions about. The landscape can be complicated and hard to navigate, but he helped us make great, informed choices.

Chrystin Comeau

Director, Clinic Operations at Cambridge Biotherapies
peo4you Abstract Design
peo4you client Alexandra Estrada

I got a big health benefits rate increase, and I didn't like the recommendations from my large, nationally recognized employee benefits agency, so I decided to speak with other agencies. None of them could provide the same level of solutions that Sam was able to. Now, we are saving 40% on both medical and overall costs while massively upgrading the health benefits.

Jameson Reeves

Owner, Full Grip Games
peo4you Abstract Design
peo4you client Alexandra Estrada

Without changing payroll or undergoing medical underwriting, Sam helped reduce my business's health benefits rates by nearly 50%, all while improving the plan's benefits and network. He made the process effortless.

Jack Bazarbachian

Sako Auto Body, INC
jack logo
peo4you Abstract Design
peo4you client Alexandra Estrada

The PEO4You plan lowered my family's cost substantially while improving my coverage. I've been so happy with it that friends, family, and colleagues have since joined the plan as well.

Dr. Hoorbod D, DO

Medical Sinai Healthcare PC, NY
peo4you Abstract Design
peo4you client Alexandra Estrada

We were able to save almost 50% on our medical rates while fulfilling everything we were looking for

Patrick Therrien

Founder & CEO, Nationals Scope Investigations
Nationals Scope Investigations
peo4you Abstract Design
peo4you client Alexandra Estrada

Sam was able to take my family and business's situation and pull through where others failed. I am saving significantly while increasing my access to doctors.

Dr. Elion Krok, MD

IMMC Health, NJ
IMMC Health
peo4you Abstract Design
peo4you client Alexandra Estrada

We are loving the PEO4YOU plan. It is a much smoother experience with claims getting approved quickly. Just a much smoother experience and at a lower price than the alternative. I’m already telling friends and colleagues about it!

Krystal Solimine

Sales Associate at RE/MAX Partners
REMAX
peo4you Abstract Design
peo4you client Alexandra Estrada

Absolutely loving the plan! Better than all other health benefits plans I have had. They have been flexible with my needs and it feels like I am getting a VIP, concierge treatment from customer service. I come from many years working in the health benefits industry. I didn't think my experience could be this good.

Karen M.

Karen M.
peo4you user say section frame
Karen M.
peo4you Abstract Design
peo4you client Alexandra Estrada

Sam Newland is a valuable asset to our company. Thanks to his expertise and guidance, FOUR PAWS USA has made informed decisions to increase coverage and benefits while reducing costs for both employees and the company. We truly appreciate his efforts to provide our employees with high-quality, affordable plans.

Alexandra Estrada

Operations Manager at Spectrum
spectrum-logo
peo4you Abstract Design
Health plans for small businesses, Individuals, & Families

Without changing payroll or going through underwriting, we saved over 50% on our medical plan while upgrading to a PPO, improving benefits, and reducing expected renewal increases. The savings allowed us to add dental and vision coverage and hire a new full-time employee to support our business growth.

Alexander Kady Tschopp

Co, Founders, Tailored Industry
Tailored Industry
peo4you Abstract Design
Health plans for small businesses, Individuals, & Families

MCLD has been working with Sam for many years. As we have grown and evolved as a company, they have been providing expert advice for our changing needs to help keep things simple and effiecient for the business and keep our employees happy. If and when anything comes up, we can always be confident that they will be there to help.

Scarlett Bartlett

Operations Manager, Matthew Cunningham Landscape Design
Matthew Cunningham Landscape Design
peo4you Abstract Design
Health plans for small businesses, Individuals, & Families

Sam is an incredible asset to a small business like ours. He was able to balance simplicity with inclusivity and completeness so that we were able to make choices that make our employees happy, and for much less than we expected. In addition to their deep knowledge, they have provided exceptional service by responding quickly and providing thoughtful business solutions.

Chelsea Curtis

Founder, Managing Partner at Seaport Consulting
Seaport Consulting
peo4you Abstract Design
Health plans for small businesses, Individuals, & Families

Sam is an expert in HR and Benefits. He took our preferences and guidelines to provide design solutions for both savings and growth strategies. He also spent time ensuring we understood every aspect of the healthcare plans we were considering, which can be challenging. With Sam’s help, we offered great benefits to our team, saved money, and grew quickly by attracting and retaining top talent.

Jacqueline Bellan

Manager, People Operations, Brio Systems
Brio Systems
peo4you Abstract Design
Vin

My wife's medical emergency resulted in $300,000 in medical bills and over 90 claims - not one of them was denied and all costs covered by our $3800 per year max. She is still going to PT after 140 visits and we don't need to call and get more approvals. The rehab staff rave about our coverage. Also, I was the first patient in over eight years whose PRP treatments were covered, saving me over $3900. This plan really works.

Vin Cannistraro

PEO4YOU Member
vin Featured Logo
peo4you Abstract Design
Chrystin Comeau
Director, Clinic Operations at Cambridge Biotherapies
Sam worked with us to decrease our health costs by nearly 50% without rasing the deductible on employees or limiting the doctor network. These savings enabled us to add additional, valuable benefits. He was always willing to take a call or zoom meeting to explain anything we had questions about. The landscape can be complicated and hard to navigate, but he helped us make great, informed choices.
Chrystin Comeau - PEO4You Testimonial
Jameson Reeves
Owner, Full Grip Games
I got a big health benefits rate increase, and I didn't like the recommendations from my large, nationally recognized employee benefits agency, so I decided to speak with other agencies. None of them could provide the same level of solutions that Sam was able to. Now, we are saving 40% on both medical and overall costs while massively upgrading the health benefits.
Jameson Reeves - PEO4You Testimonial
Jack Bazarbachian
Sako Auto Body, INC
Without changing payroll or undergoing medical underwriting, Sam helped reduce my business's health benefits rates by nearly 50%, all while improving the plan's benefits and network. He made the process effortless.
Jack Bazarbachian - PEO4You Testimonial
Dr. Hoorbod D, DO
Medical Sinai Healthcare PC, NY
The PEO4You plan lowered my family's cost substantially while improving my coverage. I've been so happy with it that friends, family, and colleagues have since joined the plan as well.
Dr Hoorbod - PEO4You Testimonial
Patrick Therrien
Founder & CEO, Nationals Scope Investigations
We were able to save almost 50% on our medical rates while fulfilling everything we were looking for
Patrick - PEO4You Testimonial
Dr. Elion Krok, MD
IMMC Health, NJ
Sam was able to take my family and business's situation and pull through where others failed. I am saving significantly while increasing my access to doctors.
Dr. Elion  - PEO4You Testimonial
Krystal Solimine
Sales Associate at RE/MAX Partners
We are loving the PEO4YOU plan. It is a much smoother experience with claims getting approved quickly. Just a much smoother experience and at a lower price than the alternative. I’m already telling friends and colleagues about it!
Krystal - PEO4You Testimonial
Karen M.

Absolutely loving the plan! Better than all other health benefits plans I have had. They have been flexible with my needs and it feels like I am getting a VIP, concierge treatment from customer service. I come from many years working in the health benefits industry. I didn't think my experience could be this good.
Karen M - PEO4You Testimonial
Alexandra Estrada
Operations Manager at FOUR PAWS
Sam Newland is a valuable asset to our company. Thanks to his expertise and guidance, FOUR PAWS USA has made informed decisions to increase coverage and benefits while reducing costs for both employees and the company. We truly appreciate his efforts to provide our employees with high-quality, affordable plans.
Alexandra - PEO4You Testimonial
Alexander Kady Tschopp
Co, Founders, Tailored Industry
Without changing payroll or going through underwriting, we saved over 50% on our medical plan while upgrading to a PPO, improving benefits, and reducing expected renewal increases. The savings allowed us to add dental and vision coverage and hire a new full-time employee to support our business growth.
Alexander - PEO4You Testimonial
Scarlett Bartlett
Operations Manager, Matthew Cunningham Landscape Design
MCLD has been working with Sam for many years. As we have grown and evolved as a company, they have been providing expert advice for our changing needs to help keep things simple and effiecient for the business and keep our employees happy. If and when anything comes up, we can always be confident that they will be there to help.
Scarlett - PEO4You Testimonial
Chelsea Curtis
Founder, Managing Partner at Seaport Consulting
Sam is an incredible asset to a small business like ours. He was able to balance simplicity with inclusivity and completeness so that we were able to make choices that make our employees happy, and for much less than we expected. In addition to their deep knowledge, they have provided exceptional service by responding quickly and providing thoughtful business solutions.
Chelsea - PEO4You Testimonial
Jacqueline Bellan
Manager, People Operations, Brio Systems
Sam is an expert in HR and Benefits. He took our preferences and guidelines to provide design solutions for both savings and growth strategies. He also spent time ensuring we understood every aspect of the healthcare plans we were considering, which can be challenging. With Sam’s help, we offered great benefits to our team, saved money, and grew quickly by attracting and retaining top talent.
Jacqueline - PEO4You Testimonial
Vin Cannistraro
PEO4YOU Member
My wife's medical emergency resulted in $300,000 in medical bills and over 90 claims - not one of them was denied and all costs covered by our $3800 per year max. She is still going to PT after 140 visits and we don't need to call and get more approvals. The rehab staff rave about our coverage. Also, I was the first patient in over eight years whose PRP treatments were covered, saving me over $3900. This plan really works.
Vin

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