So.....did your insurance premium go up?

essentialsaltes said:

1 in 10 ACA enrollees dropped their coverage due to rising health care costs: Poll​

Click to expand...

Do I hear 2 in 10?

Affordable Care Act enrollment projected to plunge by 5 million as costs spike, analysis shows​

Nationwide enrollment in the Affordable Care Act health insurance marketplace could plummet by nearly 5 million people this year, shrinking the number of participants in the program by more than 20%, according to a new analysis from the healthcare research nonprofit KFF.

[From that link]

Premium payments from enrollees increased by an average of 58% from $113 to $178 per month. This is lower than the 114% increase KFF projected if everyone had stayed in the same plan because many people bought down to higher-deductible plans and because those just past the subsidy cliff with the steepest increases dropped ACA coverage at higher rates.

• Average ACA Marketplace deductibles increased by 37% (or $1,027 per person) to a record high of $3,786 in 2026. This is the steepest increase in deductibles ever seen in this market and largely reflects the shift from silver plans with reduced deductibles for lower-income enrollees to bronze plans with very high deductibles.

Maine: Preliminary 2027 unsubsidized ACA rate changes: Indy market up 16.8%, sm. group up 15.7%; Manding/Taro out

How much more are ~220,000 MARYLAND ACA enrollees *really* paying this year due to Trump/GOP policies? (with important additional data points)


As I've repeatedly warned, however, the increases in premium costs (whether gross or net) are only half the story. The other big shoe which is dropping this year is increased out of pocket costs as millions of the ~19.2 million or so remaining enrollees as of April have been forced to downgrade their coverage to avoid (or at least minimize) those massive premium spikes.

In most cases this means moving to plans with higher deductibles, higher co-pays & higher coinsurance costs. In many cases this has also included moving to plasn with worse networks, referral requirements to see specialists and so on.

With that in mind, that's exactly what I've decided to set out to do: Calculate the average year over year increase not just in net premiums (that is, how much more ACA enrollees are having to pay each month) but also the year over year change in average out of pocket costs.

Rest@link