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Marketplace premiums rise 13% as open enrollment starts

Published Nov 13, 2026 · Last checked Nov 13, 2026 · Last changed Nov 13, 2026
The short version

Open enrollment for 2027 marketplace coverage began with benchmark premiums up 13% on average and enrollment projected to fall.

For
Medical practices, hospitals. Owner, manager, billing.

The facts

  • Open enrollment began on Nov 1, 2026, Becker's Payer Issues reported.
  • Benchmark premiums for 2027 are up 13% on average, according to KFF. They rose 26% the year before.
  • The enhanced premium tax credits ended at the end of 2025.
  • Individual market enrollment fell 18% from June 2025 to June 2026, to 20.5 million people.
  • The Congressional Budget Office projects 13.1 million people enrolled in 2027.
  • Twelve insurers are leaving the exchanges, nationally or in some states, for 2027. Seven are entering.

What it means for you

The projections point to fewer patients with marketplace coverage in 2027.

Sources