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Category: Health Insurance
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Navigating Health Plan Options: A Quick Guide | Pennsylvania Benefits Group
Choosing a health insurance plan can feel a lot like solving a puzzle—there are many moving pieces, and the best fit depends on how they come together for your unique situation. With so many options and acronyms—HMO, PPO, POS, EPO, HDHP—it’s easy to feel unsure about where to start. This guide breaks down the most…
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Health Insurance Made Easy Newsletter March 2026 | PA Benefits Consultants
Your health insurance member identification (ID) card is proof of your coverage and a vital source of health plan information. It allows you to access medical care, verify coverage and ensure accurate billing. However, because these cards often include various numbers, terms and abbreviations, they can be challenging to understand and confusing to use. Whether…
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Benefits and Me | Pennsylvania Benefits Group
The Affordable Care Act (ACA) created a federally financed subsidy, known as the premium tax credit (PTC), to help eligible individuals and families with low to moderate incomes afford health insurance purchased through an Exchange. During the COVID-19 pandemic, Congress temporarily enhanced the PTC by eliminating the income cap for eligibility and increasing the subsidy…
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Educating Employees on Increasing Healthcare Costs | PA Employee Benefits Team
Health care costs in the United States continue to rise, increasing pressure on both employers and employees. Organizations that provide health benefits must balance growing expenses with transparency and trust from their workforce. Clear, compassionate communication is key to helping employees understand and navigate these rising costs. Consider these strategies: Employers have a unique opportunity…
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Compliance Guide: New 2026 Rules for HSA Expansion | PA Benefits Group
The One Big Beautiful Bill Act (OBBBA) was signed into law on July 4, 2025, introducing significant updates to Health Savings Accounts (HSAs). Following this, the IRS released Notice 2026-5 to provide specific guidance on how these changes expand HSA eligibility and usage. The OBBBA broadens HSA availability through the following key provisions: 1. Permanent…
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2026 Medical Cost Outlook | Pennsylvania Benefits Agents
PwC’s latest annual analysis forecasts that group health insurance costs will increase by 8.5% in 2026—the third straight year at this elevated trend. This sustained rise means health care expenses are now similar to those seen 15 years ago, after a brief dip post-pandemic. Researchers gathered data from actuaries at 24 major U.S. health plans,…
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Navigating Your Health Plan: A Guide to Your Explanation of Benefits (EOB) | Pennsylvania Benefits Agency
Ever found a confusing document in your mailbox after a doctor’s visit, wondering if it’s a bill, especially with an “amount you owe” at the bottom? You’re not alone! That document is most likely an Explanation of Benefits (EOB) from your health insurance company. It’s crucial to remember: an EOB is NOT a bill. Think…
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Health Insurance Terms You Should Know | PA Employee Consultants
Health care terms, medical bills, and forms can be hard to understand. Here are some common health care terms, and what they mean. Allowed Amount This is the maximum payment the plan will pay for a covered health care service. May also be called “eligible expense,” “payment allowance,” or “negotiated rate.” For example, if…
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Benefits Insights: Key Drivers of 2025 Health Care Cost Increases | Pennsylvania Benefits Team
Healthcare costs are projected to increase substantially in 2025. Estimates show a similar growth in spending to 2024, marking multiple years of compounding costs. Specifically, healthcare costs in the United States are likely to increase by 7%-8% in 2025, according to the following data from multiple surveys: Large employers predicted their healthcare costs would rise…
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Benefits Breakdown December 2024 | Pennsylvania Benefits Consultants
Mercer Report Projects 5.8% Health Benefits Cost Increase in 2025 U.S. employers estimate health benefit costs will increase by 5.8% in 2025, according to Mercer’s 2024 National Survey of Employer-sponsored Health Plans. This would mark the third consecutive year that the total cost per employee rose more than 5%. The report attributed the higher costs to…
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