What are ACA Enrollees Paying this Year due to Trump/GOP Policies?

Charles Gaba

Partial post taken from; “How much more are ACA enrollees *really* paying this year due to Trump/GOP policies?” Charles Gaba @ ACA Signups.

Nationally, on average, net ACA premiums have jumped by 58% this year vs. last, from $113/month to $178/month, or around $780/year more per enrollee.

Meanwhile, by my estimates, average out of pocket expenses have jumped by around 46%, or another $716/year apiece.

Combined, to the best of my calculations, the ~19.2 million Americans who managed to hold onto their coverage through February of this year are paying over 50% more in total healthcare costs…or a whopping ~$1,500 apiece on average.

OOP = Out of Pocket Costs.

Here’s what all 50 states (+DC) look like side by side, sorted lowest to highest by average net 2026 premiums. Note that, again, this graph does not include the additional subsidies available to some or all enrollees in 9 states this year. I’ve noted those 9 states as well as highlighting the 4 states which have Basic Health Plan (BHP) programs for residents who earn up to 200% FPL; BHP programs severely skew average net premiums for the enrollees who earn more than 200% FPL since the ACA exchange subsidies for that population are far less generous.

The next graph lines up every state by estimated average per enrollee out of pocket expenses this year versus last. Note that the order is different from the net premium graph above.