Brace yourself for skyrocketing health insurance costs next year. Here’s who’s set to take the biggest hit in 2026

Core Insights - Nearly 24 million Americans enrolled in the Affordable Care Act (ACA) Marketplace could face health insurance premium increases of over 75% by 2026 due to the expiration of pandemic-era tax credits [1][2][3] Group 1: Impact of Tax Credits - Since 2021, many enrollees have benefited from tax credits that significantly reduced their insurance premiums, aiding freelancers, gig workers, small business owners, and early retirees [2][3] - The expiration of these tax credits at the end of 2025 is expected to lead to a substantial rise in health insurance costs, with insurers planning to increase premiums by approximately 18% [4][6] Group 2: Consequences of Rising Premiums - The end of subsidies may result in some ACA Marketplace policyholders, particularly small business owners and younger retirees, dropping their insurance or opting for less generous plans [5][6] - As healthier individuals leave or downgrade their coverage, the remaining policyholders will face higher premiums, which insurers have already factored into their pricing strategies [6] Group 3: Broader Financial Implications - The Consumer Financial Protection Bureau (CFPB) has issued guidance indicating that states cannot prevent medical debt from appearing on credit reports, potentially exacerbating financial challenges for those affected by rising health care costs [7]