Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees

(Authors: Lunna Lopes, Isabelle Valdes, Grace Sparks, Mardet Mulugeta, and Ashley Kirzinger for The Kaiser Family Foundation Published: Mar 19, 2026)

Half of those who have re-enrolled in ACA Marketplace coverage say their health care costs are “a lot higher” this year. Following the expiration of the enhanced premium tax credits and an open enrollment period that left many Affordable Care Act (ACA) Marketplace enrollees feeling “worried” and “angry,” most of those who have re-enrolled in Marketplace coverage now report paying more for coverage. A large majority (80%) of returning Marketplace enrollees say their 2026 plan’s premiums, deductibles, or coinsurance and co-pays are higher than last year, including half (51%) who say they are “a lot higher.” Continue reading here…

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