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U.S. Expands ACA Catastrophic Plan Eligibility Amid Premium Hikes

9/18/2025

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Summary

Story summary

The U.S. Department of Health and Human Services will expand eligibility for ACA catastrophic health insurance plans starting November 1, 2025.
This initiative aims to improve access due to anticipated premium increases for 2026 marketplace plans.
Catastrophic plans will cover essential health benefits after high deductibles, projected to be $10,600 in 2026.
New eligibility will include adults earning over 400% of the federal poverty level.
Arkansas anticipates a 36.1% average premium increase, leading to a possible reintroduction of catastrophic plans.

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Story summary

The U.S. Department of Health and Human Services will expand eligibility for ACA catastrophic health insurance plans starting November 1, 2025.
This initiative aims to improve access due to anticipated premium increases for 2026 marketplace plans.
Catastrophic plans will cover essential health benefits after high deductibles, projected to be $10,600 in 2026.
New eligibility will include adults earning over 400% of the federal poverty level.
Arkansas anticipates a 36.1% average premium increase, leading to a possible reintroduction of catastrophic plans.