Marketplace All-in-One

Skyrocketing health insurance premiums for millions after today

7 snips
Dec 31, 2025
Nancy Marshall-Genzer, an investigative health policy reporter, dives into the imminent rise in health insurance premiums as enhanced ACA subsidies expire. She reveals that premiums could more than double, with average costs spiking from $888 to around $1,900 by 2026. Nancy explains how families earning above 400% of the poverty line will lose their subsidies, leading some to drop coverage entirely. This shift could strain risk pools further and worsen costs, especially in rural markets.
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INSIGHT

Premiums Poised To More Than Double

  • KFF expects average ACA premiums to more than double from $888 to about $1,900 in 2026.
  • Expanded pandemic-era subsidies expire today, removing aid for higher-income enrollees up to ~4x the poverty level.
INSIGHT

Middle-Income Families Lose Aid

  • People making up to about $129,000 for a family of four will lose expanded subsidies entirely.
  • The CBO estimates roughly four million people could become uninsured after the subsidy expansion ends.
ADVICE

Reevaluate Coverage Before Dropping It

  • If you're covered and subsidies end, reassess your plan options before dropping coverage.
  • Compare carriers, check for remaining state or employer assistance, and factor in potential higher premiums next year.
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