Midwest, Florida Health Insurance Premiums Expected to Rise in 2026 as Federal Subsidies End

Health insurance premiums are expected to rise significantly in 2026 across various states, largely due to the expiration of enhanced advance premium tax credits that have helped many Americans afford coverage. Missouri's Department of Commerce and Insurance finalized rate increases but ensured that most counties will still have multiple insurance carriers available, urging residents to carefully evaluate their plans amid changing provider networks. In Florida, the end of government subsidies has led to concerns over affordability, with some residents facing potential premium spikes of 30% or more, raising fears that many will become uninsured. Indiana's marketplace is experiencing similar trends, with approved average premium increases around 27%, and households losing eligibility for premium tax credits once the enhanced subsidies expire. Nationwide, open enrollment periods are underway, but consumers face a challenging environment of higher costs and reduced financial assistance, emphasizing the importance of timely enrollment and careful plan selection. These changes reflect broader national challenges in health insurance markets amid evolving federal policies and legal uncertainties.