Saturday, November 01, 2025
Wilkes-Barre, Pa. (November 1, 2025)—Highmark today announced its Affordable Care Act (ACA) health insurance products in Northeastern Pennsylvania for 2026, offering individuals and families high-quality and convenient coverage options tailored to their lives and health goals.
“The ACA marketplace has been a vital part of the U.S. healthcare system for more than a decade, ensuring that Americans who don’t receive insurance through work or another government program are protected and connected to high-quality care,” says Bill Tuthill, vice president of Federal Markets for Highmark. “We know that a lot is changing this year, and our customer service team is ready to help consumers navigate through those changes and choose the best plan for them.”
Roughly 85% of Highmark’s ACA Marketplace members in Pennsylvania qualify for tax credits that make their coverage more affordable, and most members are expected to have access to a plan with a premium of $100 or less after tax credits in 2026.
“Highmark has been a reliable, dependable partner for ACA consumers since the beginning,” says Ellen Galardy, president of Federal Business at Highmark. “We want to remind people that ACA plans cover all ten essential health benefits, including doctor visits and maternity care, and provide access to important preventive care at no cost to the member. And, starting this year, all bronze and catastrophic ACA plans are eligible to be paired with a Health Savings Account, allowing members to use tax-advantaged funds to pay for their care.”
2026 Individual and Family plans
Highmark will offer my Priority Blue Flex PPO plans in the 13 Northeastern Pennsylvania counties for 2026. These plans provide individuals and families with broad access to high-quality doctors and hospitals across the region.
Plus, no plans require referrals to see a specialist and include in-network coverage for services received from 97 percent of hospitals and over 2 million providers nationwide through the BlueCard® program, including facilities in New York and New Jersey.
While the open enrollment period runs through January 15, consumers must enroll by December 15 for coverage that starts on January 1. For more information on Highmark’s 2026 ACA health insurance products, visit Highmark.com or call 888-510-1084.
About Highmark Blue Cross Blue Shield
Highmark Inc., doing business as Highmark Blue Cross Blue Shield, serves approximately 2.6 million members through the company’s health care benefits business and hundreds of thousands of additional members through the BlueCard® program. Highmark Blue Cross Blue Shield is the market leader in commercial market share, and through its affiliated Blue companies has strong Medicare Advantage market share as well. All of Highmark's Medicare Advantage plans in Pennsylvania achieved quality ratings from the Centers for Medicare and Medicaid Services (CMS) of at least 4.5 out of a possible 5 Stars. Highmark Blue Cross Blue Shield employs approximately 4,500 people in western, north central and northeastern Pennsylvania. Highmark Blue Cross Blue Shield’s total economic impact throughout Pennsylvania is more than $16 billion. Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information, visit www.highmark.com.
For more information, contact
Anthony Matrisciano
Highmark Blue Cross Blue Shield
570-200-6310
anthony.matrisciano@highmark.com
