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Healthcare.gov plan premiums projected to jump again in 2027

Digilifetrends Published 2 min read

People enrolled in Obamacare could face another year of double-digit premium increases, according to a new report.

Health policy group KFF said the average cost of Obamacare coverage is expected to climb by 13 percent in 2027, after rates rose 26 percent from 2025 to 2026.

The estimate was based on fresh data released by the Trump administration, which included 2027 prices for the 30 states that use the federal health insurance marketplace. The figures arrived ahead of the start of the 2027 enrollment period.

An estimated 19.2 million Americans are enrolled in Obamacare plans, according to federal figures released earlier this year. A KFF analysis from May found enrollment declined in 2026 after four straight years of record growth.

The Trump administration has added new hurdles to enrollment as part of its campaign against what it says is widespread fraud. Earlier this year, enhanced Obamacare premium tax subsidies expired after Republican lawmakers blocked a Democrat-led effort to extend them.

KFF said that during the first Trump administration, Obamacare premiums increased by an average of 20 percent in 2017 and 34 percent in 2018.

The projected increases for 2027 are broadly in line with other health insurance markets, with federal and employer-sponsored plans expected to rise by about 10 percent over the same period.

Health care costs have emerged as a major campaign issue, with rising living expenses continuing to rank among the top concerns shaping voters' decisions.

A KFF survey released earlier this month found that six in 10 voters were worried about affording health insurance and out-of-pocket medical bills. Respondents placed health care costs alongside gas prices as the most important affordability issue in the election cycle.

The Trump administration has tried to respond to those concerns before Election Day. The president said the federal government would send one-time $500 checks to nearly 1 million Americans whom the administration said were overcharged for Obamacare.

The administration has also started sending $90 payments to more than 20 million seniors enrolled in Medicare Part B, for a total of roughly $2 billion.

Democrats have said restoring Obamacare subsidies and health care tax credits will be a top priority if they regain control of Congress.

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