If you thought healthcare was already expensive, brace yourself. Insurers across the U.S. are asking for Affordable Care Act (ACA) premium increases of up to 15% for 2025 plans—and it could mean hundreds of extra dollars out of your pocket every year.
Why This Matters
For many young Americans, ACA Marketplace plans are the only affordable option for health insurance—especially for freelancers, gig workers, and students without employer coverage.
But this proposed jump in premiums could push coverage further out of reach.
According to filings reviewed by Kaiser Family Foundation, some insurers say rising hospital costs, expensive prescription drugs, and higher demand for mental health services are driving the increases
What’s Driving the Spike?
Inflation → Higher prices for everything, including medical supplies.
Hospital labor shortages → Hospitals are paying more to retain nurses and specialists.
Prescription drug prices → The U.S. still pays some of the highest rates in the world.
One insurer in New York filed for a 14.8% hike, while another in Texas is seeking 12.3%. Even “small” increases add up over time—especially if you’re already juggling rent, student loans, and groceries.
Did You Know?
💡 Nearly 45% of ACA Marketplace enrollees are under 35, according to federal enrollment data. That means young adults could be disproportionately impacted by these hikes.
How Much Could This Cost You?
If your monthly premium is $300 now, a 15% hike means an extra $540 a year—before factoring in deductibles and copays.
That’s basically a brand-new iPhone, gone to insurance bills.
If you qualify for subsidies, you may be shielded from the worst of it—but those subsidies are set to expire in 2026 unless Congress acts.
What You Can Do Right Now
Compare plans early → Open enrollment starts November 1, 2025.
Check for local assistance programs → Many states offer extra subsidies.
Lobby your reps → Lawmakers pay attention when constituents speak up. Find yours here.