Obamacare enrollment fell by more than 1M enrollees for 2026

Core Insights - Enrollment in Obamacare plans is projected to decline by over 1 million Americans in 2026 due to rising monthly premiums and the expiration of enhanced federal subsidies that were in place during the COVID-19 pandemic [1] Enrollment Data - The Centers for Medicare and Medicaid Services (CMS) reported that 23 million consumers signed up for individual health insurance coverage through the Marketplaces during the 2026 open enrollment period, with 15.8 million using HealthCare.gov and 7.2 million using state-based exchanges [2] - Enrollment as of mid-January 2026 was down approximately 1.2 million compared to the 24.2 million enrolled at the same time last year [4] Premium Costs - Average premium costs for subsidized Obamacare enrollees are expected to rise to $1,904 in 2026 from $888, according to KFF data [3] - KFF's analysis indicated that premium payments are anticipated to more than double on average in 2026, with about 25% of enrollees stating they would forgo health insurance if premiums doubled as expected [10] Effectuation and Disenrollment - The enrollment data includes automatic renewals and plan selections, which may not reflect actual enrollments as some consumers may choose not to pay for their plans [6] - Analysts predict that total enrollment in Obamacare plans will decrease as consumers react to higher premiums, potentially leading to significant disenrollment activity during the 90-day grace period [13]