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ACA Marketplace Costs Surge, Impacting Millions

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Millions of Americans with Affordable Care Act marketplace plans are grappling with significantly higher health insurance costs this year due to the expiration of enhanced premium tax credits. A new KFF survey reveals that 80% of returning enrollees are facing increased premiums, deductibles, coinsurance, or copays, with 51% reporting substantial hikes. Without the tax credits, subsidized individuals average annual premiums were projected to surge by 144%, from $888 to $1904. Many families are struggling to keep up, with 55% cutting back on essentials and 17% worried about making monthly payments. The open enrollment process left many feeling anxious, angry, or confused. Despite these challenges, 23 million selections were made for 2026, with healthcare costs emerging as a key factor in midterm elections.

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ACA Marketplace Costs Surge, Impacting Millions

US News Today | 2 Min News | The Daily News Now!

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US News Today | 2 Min News | The Daily News Now!ACA Marketplace Costs Surge, Impacting Millions. Machine-transcribed; use the interactive transcript above to jump the player to any line.

On March 19, millions of Americans with affordable care, act-to-market place plans are dealing with much steeper health insurance costs this year after. Enhanced premium tax credits ran out at the end of 2025. A new KFF survey shows 80% of returning enrollees facing higher premiums, deductibles, coinsurance, or copays compared to last year, with 51% calling the increases a lot higher. Those tax credits got a big boost back in 2021 under the American Rescue Plan and stayed extended through the Inflation Reduction Act until now. Without them, KFF had predicted subsidized folks yearly premiums would jump 114% on average from $888 to $1,904. Many families feel the pinch hard, with 55% cutting back on food or other household basics to cover their plans and care. Meanwhile, 17% worry they cannot keep up with monthly payments all year, and the open enrollment process left 63%. Worried, 52% angry, and 46%

confused. Just 69% of last year's enrollees picked a marketplace plan again, including 28% who switched options while 22% shifted to other coverage, and 9% went uninsured. Even so, the centers for Medicare and Medicaid services report 23 million selections for 2026. As midterm elections near, 48% of voters say health care costs will heavily sway their turnout, and 49% say it will. Shape their candidate choice, putting affordability front and center in the ongoing Affordable Care Act conversation.

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