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ACA Premiums Surge 25% as 'Death Spiral' Looms: Ohio Family's Bill Hits $2,034

other · 2026-08-16

The Affordable Care Act (ACA) is currently experiencing a significant crisis regarding affordability, with experts cautioning about a possible 'death spiral.' Karen Scholl, a freelance writer from Ohio, has seen her family's premium soar to $2,034.38, reflecting a 25% hike. This surge follows the end of enhanced subsidies from the American Rescue Plan and Inflation Reduction Act, reintroducing the 400% federal poverty level threshold and resulting in many middle-income families losing their subsidies. Louise Norris, a health policy analyst, highlights that individuals not eligible for subsidies are facing an average premium rise exceeding 25% nationwide. Additionally, over a million enrollees are impacted as at least twelve insurers, such as Aetna and Cigna, withdraw from the ACA marketplace. Nonprofits like Accessia Health are witnessing a surge in requests for help as families downgrade their coverage due to escalating premiums.

Key facts

  • Karen Scholl's monthly premium rose to $2,034.38, a 25% increase from 2025.
  • The ACA's enhanced subsidies from the American Rescue Plan and Inflation Reduction Act expired in 2025.
  • The 400% federal poverty level subsidy cliff has been reinstated, causing many to lose subsidies.
  • Average premium increase for non-subsidy-eligible individuals in 2025 was over 25%.
  • 1.2 million people dropped ACA enrollment from 2025 to 2026, nearly half aged 18-34.
  • Aetna exited all ACA exchanges at the end of 2025, affecting about 1 million enrollees.
  • Cigna is leaving the ACA marketplace entirely after 2026, affecting almost 400,000 people.
  • A hypothetical 63-year-old couple in West Virginia earning $85,000 would see their ACA Gold plan jump from $300 to $4,562 per month in 2026.

Entities

Institutions

  • Affordable Care Act
  • CVS Health
  • Aetna
  • Cigna
  • Accessia Health
  • healthinsurance.org
  • The Brokerage Inc.
  • Ohio State

Locations

  • Ohio
  • West Virginia
  • United States

Sources