Obamacare Premiums Jump by Double Digits for 2026
Millions of Americans who get health insurance through the Affordable Care Act (ACA) are seeing 2026 prices for the first time—and they’re going up. Reports show some of the biggest premium increases since the ACA began, raising concerns about affordability. With open enrollment approaching, many families may need to reassess their coverage options.
Premiums Surge
New data shows that benchmark plan premiums on the federal marketplace will rise by about 26% on average in 2026. In states that run their own exchanges, rates are expected to increase by around 17%. These are among the highest jumps in recent years, driven by several cost pressures across the healthcare system.
Reason for the Increase
A major reason for the spike is the expiration of enhanced premium tax credits that helped lower costs during the pandemic. Without those subsidies, some enrollees could see their premiums double. People earning more than 400% of the federal poverty level will no longer qualify for those extra savings.
Record Enrollment
ACA enrollment reached a record 24 million people in 2025, thanks to expanded eligibility and better outreach. But insurers say that more enrollees—and higher medical costs—are increasing the strain on the system. As a result, many filed for larger rate increases than in previous years.
Why Costs Are Rising
Insurance companies point to rising healthcare prices, the growing use of expensive prescription drugs like GLP-1s, and an aging enrollee population as major drivers of higher premiums. Inflation and uncertainty about federal policies are also adding to costs. Together, these factors have led to steeper rate hikes.
Premium Jumps
In some states, premiums could jump by more than 100% if the extra tax credits aren’t renewed. For instance, in New Jersey and Colorado, certain Silver plans could cost thousands more per year without federal support. Insurers say they’re preparing for the possibility that these subsidies won’t be extended.
November Changes
Starting November 1, consumers can preview 2026 ACA plans on HealthCare.gov and state marketplaces. This allows shoppers to compare new rates, coverage options, and potential savings before open enrollment begins. Actual out-of-pocket costs will still depend on income, location, and tax credit eligibility.
Coverage Concerns for Americans
Experts warn that rising premiums could cause more people to drop coverage or go uninsured if subsidies aren’t renewed. The Congressional Budget Office estimates up to 4 million Americans could lose ACA coverage by 2034 due to affordability issues. Many consumers may face tough choices this enrollment season.
Responses from the States
Some states are stepping in to help offset rising costs by offering extra financial aid or lobbying for new federal funding. A few are launching programs to keep plans affordable despite the national trend of higher rates. These efforts aim to prevent coverage losses and maintain access to healthcare.
Conclusion
As 2026 approaches, Americans using ACA plans face a difficult year ahead. Premiums are climbing, subsidies are shrinking, and millions rely on the marketplace for coverage. With open enrollment just around the corner, many families will need to carefully review their options to keep healthcare within reach.