"Where it stands: Insurers are raising the monthly premiums they charge for marketplace coverage by an average of 26% across the country, according to an analysis from KFF. Virginia's marketplace started sending renewal notices to residents outlining premium increases between 4% and 40%. Colorado announced this week that the cost of 2026 coverage sold on the state's marketplace will double compared with this year. Pennsylvania said premiums will increase an average of 21.5% next year."
"Reality check: People earning between 100% and 400% of the federal poverty level will continue to get some of their premium subsidized next year, regardless of what Congress does. However, the COVID-era changes lowered premium costs for this group, meaning they'd also see higher costs next year if Congress doesn't act. The Trump administration emphasized Wednesday that many consumers will have marketplace plan options with lower premiums than they did before the COVID-19 pandemic, even without enhanced subsidies."
Insurers are raising marketplace premiums nationwide, with an average increase of 26% per KFF and state examples ranging from 4%–40%, doubling in Colorado, and 21.5% in Pennsylvania. Insurer trade group AHIP attributes increases to higher medical costs and rising prescription drug prices. KFF estimates that if enhanced tax credits expire, monthly premiums would surge an average of 114%, and some residents could pay roughly $2,000 more. The enhanced subsidies were enacted as a temporary pandemic measure and cap consumer payments above 400% of the federal poverty level at 8.5% of income. People between 100% and 400% of the poverty level will still receive some subsidies but would face higher costs without congressional action.
Read at Axios
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