Health insurance is getting more expensive in 2027. Insurers selling Affordable Care Act (ACA) plans have proposed a median premium increase of about 15% for 2027 — the steepest jump in years — according to a KFF analysis of filings from insurers across all 50 states and Washington, D.C. At the same time, enhanced federal subsidies that lowered premiums for millions of families are set to expire, and ACA enrollment has already fallen by nearly 3 million people this year.
If you buy your own coverage, that combination can hit your wallet hard. The good news: you have more control than you might think. Here’s how to compare plans the smart way and keep your coverage affordable.
Why are 2027 premiums rising so much?
Three forces are pushing rates up at once:
- Rising medical and drug costs. Hospitals, physician groups, and especially specialty prescription drugs cost more each year, and insurers price that into premiums.
- Expiring enhanced subsidies. The boosted premium tax credits that made coverage cheaper are scheduled to end, so many people will see the full “sticker price” of their plan for the first time.
- A shrinking risk pool. As healthier people drop coverage over cost, the remaining pool is more expensive to insure — which pushes rates higher still.
What a 15% increase could mean for you
A median increase is just the midpoint — some plans will rise less, others far more. On a $600 monthly benchmark plan, a 15% bump adds roughly $90 a month, or more than $1,000 a year. If you also lose subsidy help, your out-of-pocket premium could climb even faster. That’s why shopping — not auto-renewing — matters more this year than almost any year before.
How to compare health insurance plans the smart way
Don’t judge a plan by its monthly premium alone. Look at the total cost of coverage:
- Compare metal tiers. Bronze plans have low premiums but high deductibles; Silver plans often unlock extra cost-sharing savings; Gold suits heavy users. Match the tier to how often you actually use care.
- Add up premium + deductible + expected out-of-pocket. A cheaper premium with a $9,000 deductible can cost more overall than a slightly pricier plan.
- Check the provider network. Make sure your doctors and preferred hospitals are in-network before you enroll.
- Confirm your prescriptions are covered. Review the plan’s drug formulary and tier for each medication you take.
Don’t skip the subsidy check
Even with subsidies changing, many households still qualify for premium tax credits based on income and family size. Always run your numbers before assuming you’ll pay full price — a plan that looks unaffordable at list price may cost far less after credits.
Mark your calendar for Open Enrollment
For most states, ACA Open Enrollment for 2027 coverage runs in the late-fall window, and missing it can lock you out until the following year (outside of a qualifying life event). Set a reminder now so a rising rate doesn’t catch you on auto-renew.
Compare your options before you renew
Rising premiums are frustrating, but they’re also a reason to shop. Plan Finder USA helps you compare affordable health insurance options side by side so you can find coverage that fits your budget and your needs.
More on the 2027 changes
- What the 2026 subsidy cliff means for your 2027 premium
- 7 ways to protect your budget from rising health insurance costs
Frequently asked questions
How much are health insurance premiums rising in 2027?
ACA insurers have proposed a median increase of about 15% for 2027, according to a KFF analysis. Your actual change depends on your plan, insurer, and state.
Why are 2027 health insurance premiums going up?
Rising medical and prescription drug costs, the expiration of enhanced federal subsidies, and a shrinking risk pool are all pushing 2027 rates higher.
How can I lower my 2027 health insurance costs?
Compare plans instead of auto-renewing, check whether you still qualify for premium tax credits, and weigh total cost (premium plus deductible plus out-of-pocket) rather than the premium alone.