Overview
- Total enrollment for 2026 stands at about 486,000, down from 496,661 last year, as roughly one in five prior customers did not renew.
- Pennie reports an average 102% increase to keep the same plan for 2026, with some consumers saying their premiums tripled.
- About 33,000 additional enrollees shifted into lower-cost bronze plans, a roughly 30% rise that brings much higher deductibles and copays.
- Drop-offs are concentrated among older adults, people just above Medicaid eligibility, and residents of rural counties, according to Pennie.
- Officials expect additional attrition this spring because coverage ends about three months after nonpayment, and policy prospects to restore enhanced aid remain uncertain.