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 a

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