One In Seven ACA Enrollees Skip First Premium After Subsidies Expire With Millions More At Risk: Report

Benzinga_recent_news

Apr 15

One in seven Americans who signed up for Affordable Care Act (ACA) health plans this year did not pay their first monthly premium, as the lapse of enhanced federal subsidies drove insurance costs ...

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In some states, the nonpayment rate reached 25% or more. \nWakely’s data was drawn from insurers representing roughly 80% of national ACA enrollment across 30 states. Michelle Anderson, a Wakely consulting actuary, called it “a big drop,” noting that early-year falloff in ACA membership typically runs in the mid-single-digit range.\nACA enrollment had already declined to 23 million sign-ups in 2026, down from a peak of more than 24 million the prior year. The expiration of pandemic-era subsidies at the start of January forced many policyholders to absorb steep premium increases simultaneously with major insurer rate hikes tied to rising healthcare costs. \nWakely actuaries projected overall ACA enrollment could fall between 17% and 26% compared with last year. Blue Cross Blue Shield of Arizona disclosed it lost more than 30% of members who initially enrolled in 2026 plans, nearly all due to nonpayment, compared with just 2% the prior year.\nThe coverage losses have deepened public anxiety about healthcare affordability. A Gallup poll released in April found that 61% of Americans worry “a great deal” about access to and the affordability of healthcare, reclaiming the top spot among domestic concerns.\nDisclaimer: This content was produced with the help of AI tools and was reviewed and published by Benzinga editors.\nImage via Shutterstock\nTo add Benzinga News as your preferred source on Google, click here.","kind":"highlight","is_publish_news":true,"is_publish_highlight":false,"is_publish_live":false,"is_publish_wemedia":false,"editions":null,"column":"","sentiment":"0","news_tag":"","news_rank":0,"isVideo":false,"video":null,"symbols":[],"gpt_button":0,"need_auth":false,"need_login_tip":false,"code":"91000000","status":"200"}}}