Health insurance premiums on the Affordable Care Act marketplace have risen an average of 12% for the 2026 plan year, marking the largest single-year increase since the exchanges launched.

Why Are Premiums Climbing?

Insurers cite rising prescription drug costs, increased utilization of GLP-1 weight loss drugs like Ozempic and Wegovy, and the expiration of enhanced subsidies from the Inflation Reduction Act as primary drivers.

The average benchmark Silver plan now costs $620/month for a 40-year-old nonsmoker, up from $554 in 2025.

States with the Cheapest Plans

How to Save

Experts recommend shopping during the extended enrollment period through May 15, comparing plans across all metal tiers, and checking if you qualify for cost-sharing reductions.