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Summer 2026  Volume 19, Number 2        
 

Health Insurance in 2026: Rising Premiums, Bigger Deductibles, and How to Stay Protected

If you buy your own health insurance—through the ACA Marketplace or directly from an insurer—you’ve likely noticed that 2026 is shaping up to be another year of rising costs. Premiums in the individual market continue to climb, and many plans are shifting more of the upfront expense to consumers through higher deductibles and cost sharing.

Here’s a clear, consumer friendly look at what’s driving these changes and how to choose coverage that protects both your health and your budget.

Premiums Are Increasing—Here’s What’s Behind the Trend

Health insurance premiums in the individual market are rising again in 2026. While increases vary by state and carrier, many consumers are seeing higher monthly costs than last year.

Why Premiums Are Going Up

Several factors are contributing to this year’s increases:

  • Medical inflation continues to push up the cost of hospital care, outpatient services, and specialty drugs
  • Higher utilization, as more people return to routine care and elective procedures
  • Subsidy adjustments, which may change how much financial help some households receive
  • Rising claims costs, especially for chronic conditions and high cost medications

Even if your plan’s benefits look similar to last year, the underlying cost of care is driving premiums higher across the market.

Your Subsidy May Have Changed

If you receive premium tax credits, you may notice:

  • A smaller subsidy, increasing your monthly payment
  • A larger subsidy, depending on income changes or benchmark plan shifts
  • A different “second lowest silver plan”, which can affect your savings

Because subsidies are recalculated every year, it’s important to review your updated eligibility rather than assuming last year’s amount will carry over.

Deductibles Are Getting Higher—But You Still Have Options

As premiums rise, many insurers are increasing deductibles to keep monthly costs manageable. This means more families are facing higher out of pocket expenses before their coverage fully kicks in. .

How to Choose the Right Deductible

The right deductible depends on your health needs, financial situation, and risk tolerance. Here’s how to think about the tradeoffs:

  • Higher deductibles usually mean lower premiums, but more upfront cost if you need care
  • Lower deductibles mean higher premiums, but less financial shock when medical needs arise

A good rule of thumb: Choose a deductible you could realistically cover in an emergency without derailing your finances.

When a High Deductible Plan Makes Sense

A high deductible health plan (HDHP) may be a good fit if you:

  • Are generally healthy
  • Want lower monthly premiums Can pair the plan with a Health Savings Account (HSA)
  • Prefer to save tax advantaged dollars for future medical expenses

When a Lower Deductible Is Worth the Cost

A plan with a lower deductible may be better if you:

  • Expect regular doctor visits or ongoing treatment
  • Take expensive medications
  • Prefer predictable costs
  • Want to minimize exposure to large bills early in the year

The Bottom Line: Review Your Coverage Before Costs Catch You Off Guard

With premiums rising and deductibles shifting, 2026 is an important year to review your health insurance choices. A quick annual check can help you:

  • Understand how premium changes affect your budget
  • Choose a deductible that fits your financial comfort level
  • Compare plans to find the best value for your needs
  • Make sure you’re not paying more than necessary

If you’d like help reviewing your options or comparing plans, we’re here to guide you and make sure you’re protected for the year ahead.

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In this issue:

This Just In ... Many Families Qualify for Special Enrollment and Don’t Know It

Health Insurance in 2026: Rising Premiums, Bigger Deductibles, and How to Stay Protected

Life Insurance Rates Are Still Attractive—But They’re Changing

Long Term Care in 2026: What Today’s Families Need to Know About Their Options

Long Term Care Planning Shifts as Hybrid Policies Surge

 

 

 


The information presented and conclusions within are based upon our best judgment and analysis. It is not guaranteed information and does not necessarily reflect all available data. Web addresses are current at time of publication but subject to change. SmartsPro Marketing and The Insurance 411 do not engage in the solicitation, sale or management of securities or investments, nor does it make any recommendations on securities or investments. This material may not be quoted or reproduced in any form without publisher’s permission. All rights reserved. ©2023 The Insurance 411. www.theinsurance411.com Tel. 877-762-7877.