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Story perspectives

ACA Premiums Rise 58%, Enrollment to Drop 5 Million

5/20/2026

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Story summary
  • Average ACA enrollee now faces a deductible over $1,000 higher and a premium $65 more than a year ago.
  • Enrollment is projected to drop from 22.3 million in 2025 to 17.5 million in 2026 after Jan. 1 subsidy expiration.
  • Middle-income Americans without subsidies left coverage faster than other groups.
  • Premiums rose 58 % on average, driving shoppers to lower-premium, higher-deductible plans with deductibles up to $7,000.