As open enrollment kicks off for the Affordable Care Act (ACA), many in North Carolina are bracing for significant increases in health insurance premiums. The state’s Department of Insurance approved hikes between 16.88% and 36.4% for plans in 2026, impacting countless families.
Insurance commissioner Mike Causey pointed to rising health-care costs and the end of federal subsidies that made coverage more affordable during the pandemic as key reasons for the jump. These subsidies had helped lower monthly premiums since 2021.
Around 900,000 North Carolinians are expected to explore their options through HealthCare.gov before the January 15 deadline. Independent insurance agent Doug Lack noted that many are already feeling the strain. For example, some silver-level plans are increasing by up to $100 a month. One client’s plan moved from $111 to $262, while another rose from $120 to $320.
Many of these changes hit silver plans hardest. These plans relied heavily on federal assistance, which is now dwindling. As Lack explained, it’s not that the insurance premiums themselves have increased; instead, the burden is shifting back onto consumers.
For many families, this means an added expense of $150 to $200 each month. While most of Lack’s clients are striving to maintain their coverage, some are contemplating dropping it altogether. He observed a broader trend: while healthcare costs like hospital services and medications rise steadily, the subsidies that once helped balance those costs are vanishing.
“Money’s tight,” Lack said. “Everything costs a lot, and then they find out their health insurance is going to cost them significantly more.”
Experts suggest that anyone shopping for ACA coverage should act quickly, carefully compare plans, and ensure their income information is accurate to receive the correct subsidies. Plans selected by December 15 will take effect on January 1, 2026.
In light of these changes, it’s crucial for consumers to stay informed. Understanding the nuances of their plans, accessing available resources, and planning ahead can make a significant difference in navigating this challenging landscape. For more information or to compare plans, visit HealthCare.gov.
