Health insurance premiums to spike 15% on ACA, with job and Medicare coverage also rising
Most Americans face significant premium increases in 2027 as healthcare costs soar, though the White House offers limited relief.
What to know
- ACA marketplace premiums are projected to rise 15% on average in 2027 (20% in 2026), hitting middle-class enrollees after pandemic subsidies ended in 2025.
- Rising healthcare costs—driven by expensive hospital care, doctor visits, and especially GLP-1 weight loss drugs—are pushing premiums up across all coverage types: work-based insurance, ACA, and Medicare.
- White House promised $500 rebate checks to 1 million ACA enrollees for alleged overcharges, but experts question funding sources and adequacy against actual premium hikes.
- Medicare beneficiaries face higher prescription drug premiums after the Trump administration ended a temporary price-control program.
“Insurers generally have felt pressure to add coverage of GLP-1 drugs for weight loss, but they're also seeing big, big increases in costs for those drugs.”
Larry Levitt, Executive vice president for health policy, KFF · NBC News ↗ · Sep 11
Larry Levitt Executive vice president for health policy, KFFMiranda Yaver Assistant professor of health policy, University of PittsburghThe White House Federal administrationTrump administration Federal administration
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Rising medical and drug costs, including GLP-1 medications, drive insurer rate hikes
Higher prices for hospital stays, doctor visits, and prescription drugs—particularly expensive GLP-1 weight loss medications—are the primary drivers of premium increases across all insurance types.
“Healthcare costs are going up faster than they have in years, and open enrollment is when the healthcare affordability crisis is really going to hit home for people. That's true for whatever kind of insurance you have.”
— Larry Levitt, Executive vice president for health policy, KFF · source -
Most Americans can expect to pay significantly more each month for health insurance next year, whether they get it through work, the Affordable Care Act or Medicare.
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“ Sept. 12, 2026, 4:00 AM PDT By Berkeley Lovelace Jr. Most Americans can expect to pay significantly more each month for health insurance next year, whether they get it through work, the Affordable Care Act or Medicare. In some cases, the premium increases may be the largest in decades and are driven by numerous economic pressures. But they won’t…
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Yeah, that’s why I said that I don’t want to act naive. Especially since I follow American politics since the 2016 elections, and more closely since the 2024 elections. Not gonna lie, that sounds very fucked up, but this is why I think a civic nationalist, but economically left wing agenda with teeth, and combined with anti corruption should be on…
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KFF analysis shows ACA insurers proposing 15% average premium increases for 2027 — Insurers offering ACA plans are proposing an average 15% premium increase for 2027, following a 20% average increase in 2026, marking a second straight year of double-digit hikes. An individual earning $80,000 without standard subsidies could see bronze plan costs rise roughly $80 monthly.
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White House announces $500 rebate checks for 1 million ACA enrollees — The White House promised $500 rebate checks to an estimated 1 million ACA enrollees, alleging they were wrongly overcharged. Experts questioned the funding source and relief adequacy.
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Trump administration ends temporary Medicare drug premium program — A temporary program that helped keep prescription drug premiums in check for Medicare beneficiaries was ended, exposing enrollees to higher costs.
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Enhanced ACA federal subsidies expire, ending pandemic support — Federal subsidies that lowered monthly premiums for millions in the middle class expired at the end of 2025, forcing enrollees to pay more or downgrade plans.
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ACA, Medicare or health insurance through work? Your health insurance bills are about to go up https://www. nbcnews.com/health/health-news /aca-medicare-work-health-insurance-cost-rise-2027-rcna597069