What to know about the Affordable Care Act's open enrollment period
Summary
ACA marketplace open enrollment begins Sunday in most states and runs through Jan. 15. For 2027, premiums are expected to rise, some financial assistance and coverage options will be limited, and new eligibility and enrollment checks may reduce enrollment.Key Facts
- KFF estimates the average price of marketplace health insurance will rise 13% in 2027.
- Rising health care costs and hospital market concentration are among the factors cited for premium increases.
- People who do not qualify for subsidies may be especially affected by higher prices.
- About 19.2 million people were enrolled in ACA marketplace plans as of February, according to the Department of Health and Human Services.
- Enhanced subsidies expanded enrollment during the COVID-19 pandemic; Republicans opposed extending them, and 1.2 million fewer people signed up for coverage in the exchanges.
- New rules beginning in 2027 will limit tax credits for some lawfully present immigrants, which could leave an additional 1 million people uninsured over time.
- In September, Vice President JD Vance and other administration officials said they planned to remove 760,000 enrollees, alleging fraudulent or nonexistent enrollment.
- The administration said removing enrollees and canceling subsidy payments would save $2.2 billion.
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