Preliminary rate filings show Affordable Care Act marketplace premiums will increase an average of 14% for 2027, the largest single-year jump since the exchanges launched.
Why Premiums Are Rising
Insurers cite higher drug costs (especially GLP-1 medications), increased utilization post-pandemic, and the expiration of enhanced subsidies that were keeping premiums artificially low.
- Average premium increase: 14%
- Silver plan benchmark: $620/month for 40-year-old
- Enhanced subsidies expire December 2026
- 12 million could lose financial assistance
Without congressional action to extend enhanced subsidies, an estimated 12 million Americans could face significantly higher out-of-pocket costs or lose coverage entirely.
