In Massachusetts, the latest enrollment trends show a striking shift in health insurance coverage. About 23,000 residents have dropped their coverage this year, but nearly the same number—over 23,500—have signed up for new plans through the state Health Connector, according to Jason Lefferts, a spokesperson.
However, this year’s drop is notable. It’s more than double the cancellations from the previous year at this time, when only about 11,300 residents opted out. Executive Director Audrey Morse Gasteier noted that many who dropped their plans might turn to lower-quality insurance options, often referred to as “junk coverage.”
Interestingly, the number of new enrollees is lower than last year by about 2,000. According to the Connector’s data, individuals who qualify for unsubsidized plans are more likely to cancel their coverage. This might be connected to changes in federal subsidies that have left many facing unexpected premium hikes.
These enhanced subsidies, introduced via a 2022 federal law, are set to expire soon. As a result, many residents have voiced frustration over rising costs. Some have reported increases of up to $25,000, making health insurance feel almost unaffordable.
As of the end of December 2025, the Connector reported 371,020 enrollees, marking a 1% decrease from the previous year. Last January, enrollment was at an all-time high, with nearly 30,000 new sign-ups.
The political landscape hasn’t made things easier. Efforts to extend subsidy support failed in Congress this year, leaving many without crucial financial assistance. Estimates suggest that around 300,000 residents could soon lose their insurance due to these federal policy changes.
Local authorities, like Governor Maura Healey, are exploring ways to help residents find alternative coverage. State law mandates that individuals must have insurance that meets specific standards, or face potential tax penalties.
Significantly, the state’s uninsured rate could double, driven by provisions in recent legislation. A recent survey indicated that roughly 139,741 people are currently uninsured, presenting serious implications for health access across the state.
With open enrollment still active until January 23, 2026, Massachusetts residents have a chance to find better coverage. Staying informed and acting quickly can help minimize the impact of these changes and ensure access to necessary health services.
For more information about your coverage options, visit the Health Connector website.
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