KFF found insurers are requesting a 14% median premium increase for 2027 as enrollment fell after enhanced subsidies expired and medical costs continue to climb.
Companies offering Affordable Care Act marketplace plans are seeking a 14% median premium increase for 2027, according to KFF, marking the second-highest proposed jump since 2018. The filings suggest insurers are still facing sustained cost pressure after many exchange plans posted double-digit increases for 2026. KFF said a sicker risk pool as healthier members drop coverage is expected to add 4% to premiums next year, while broader inflation, higher drug costs and consolidation among medical providers are also pushing rates up. Obamacare enrollment fell 13% in 2026 from 22.1 million in 2025 after extra pandemic-era subsidies expired, and the Department of Health and Human Services now estimates 19.2 million Americans are enrolled. KFF said premiums rose 58% in 2026 without the subsidies, while deductibles increased by about $1,000 per person. Earlier insurer filings highlighted company-specific increases including Centene's proposed 28% hike in Washington state and Blue Cross & Blue Shield of Illinois' 15% request.