The design of a hexagonal six-ridged waveguide (H6RWG) phased array antenna (PAA) element featuring a wide scan angle matched slotted horn aperture is presented for Ka-band satellite downlink in low Earth orbit non-terrestrial network applications. The proposed PAA element is evaluated against an open-ended waveguide (OEWG) PAA element and achieves a very low active reflection coefficient (ARC) of less than -18 dB and a total antenna efficiency greater than 84% over a wide bandwidth from 17.3 to 20.2 GHz with a
$\pm$ 50
$^\circ$ scan range. Specifically, the aperture of the H6RWG was designed to limit the variations in ARC during scanning, thereby minimizing load pulling of integrated active devices, as demonstrated with a power amplifier (PA) in a co-simulation. As a result, the power-added efficiency, output power, and linearity of the PA remained stable over the bandwidth and scan range. Compared to the OEWG PAA, the co-polarized system efficiency and equivalent isotropic radiated power are improved for most scan angles within the bandwidth, especially at high scan angles.