Premiums For Many In The Individual Market May Change Next Year - Â鶹ŮÓÅ Health News /news/premiums-for-many-in-the-individual-market-may-change-next-year/ Thu, 16 Apr 2026 04:42:47 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.5 /wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=32 Premiums For Many In The Individual Market May Change Next Year - Â鶹ŮÓÅ Health News /news/premiums-for-many-in-the-individual-market-may-change-next-year/ 32 32 161476233 Premiums For Many In The Individual Market May Change Next Year /news/premiums-for-many-in-the-individual-market-may-change-next-year/ /news/premiums-for-many-in-the-individual-market-may-change-next-year/#comments Thu, 26 Jun 2014 19:58:49 +0000 http://khn.wp.alley.ws/news/premiums-for-many-in-the-individual-market-may-change-next-year/ Health insurance premiums for people with subsidies could increase substantially in some markets – but consumers who shop around may not end up paying more, a .

Shopping around may not be as likely, however, by the Obama administration which will automatically re-enroll the vast majority of those who are signed up for plans through the online marketplaces. Automatic re-enrollments might ease the experience, but will also make it less likely consumers will check out other options.

Consumers who choose to would still be able to shop around, the administration said. And the Avalere study shows they should.

The analysis of rates filed in nine states found that as insurers battle for a share of the individual market, some plans that were the low-priced leaders this year are not the least expensive options next year.

Because subsidies through the Affordable Care Act are tied to “benchmark” plans, which are the second lowest-cost silver-tier plans in each market, even those with subsidies could see the monthly amounts they pay change. In most of the states studied, the second lowest-cost plan is changing.

“If you are a savvy buyer, you could pick a low-cost plan and probably avoid a significant rate increase,” said Caroline Pearson, vice president at Avalere. But those who do nothing may end up paying more.

Here’s how it works:  Subsidy-eligible individuals – those who earn between about $11,480 and $45,960 – can enroll in any plan they like. But those who choose plans other than the benchmark silver plans would pay the difference in monthly premium cost, dollar for dollar.

In a hypothetical example cited by Avalere, a 40-year-old consumer who enrolled this year in a $214-a-month benchmark plan paid $58 of her own money toward the premium after the subsidy. But now her insurer plans to raise rates next year to $267 a month. Because other plans have come in lower, her plan is no longer the benchmark. That benchmark plan is now a different one, whose price is $231 a month.

Unless she switches plans, the consumer must now pay the difference. Her income has stayed the same, so her subsidy of $173 a month remains unchanged. But, because her plan is now $36 more than the benchmark plan, her monthly payment rises to $94 for the premium – unless she switches to the lower-cost plan.

Instead of narrowing, as might be expected, the range in premium prices widened from 2014 to 2015, Pearson said.

Reasons varied. In some markets, new insurers are entering with low rates, possibly to try to wrest market share. At the same time, the low-priced plans in some markets are raising rates because they won significant market share the first year – and are hoping to keep their new customers even with a price increase.

The Avalere study looked at rate filings in Connecticut, Indiana, Maine, Maryland, Oregon, Rhode Island, Vermont, Virginia and Washington.  The filings have not yet been approved by regulators, so the rates might change before the fall open enrollment season begins.

Â鶹ŮÓÅ Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at Â鶹ŮÓÅ—an independent source of health policy research, polling, and journalism. Learn more about .

This <a target="_blank" href="/news/premiums-for-many-in-the-individual-market-may-change-next-year/">article</a&gt; first appeared on <a target="_blank" href="">Â鶹ŮÓÅ Health News</a> and is republished here under a <a target="_blank" href=" Commons Attribution-NonCommercial-NoDerivatives 4.0 International License</a>.<img src="/wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=150&quot; style="width:1em;height:1em;margin-left:10px;">

<img id="republication-tracker-tool-source" src="/?republication-pixel=true&post=7517&amp;ga4=G-J74WWTKFM0&quot; style="width:1px;height:1px;">]]>
/news/premiums-for-many-in-the-individual-market-may-change-next-year/feed/ 8 7517
Comments on: Premiums For Many In The Individual Market May Change Next Year /news/premiums-for-many-in-the-individual-market-may-change-next-year/ Thu, 16 Apr 2026 04:42:47 +0000 hourly 1 https://wordpress.org/?v=6.8.5 By: Act Fast to Get Health Insurance for Next Year—But Not Too Fast | USA Press /news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1582 Wed, 10 Dec 2014 11:23:06 +0000 http://khn.wp.alley.ws/news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1582 […] they stay in their current plan, consumers may discover that their subsidy may not go as far if the price of the benchmark plan declined for 2015. “We strongly, strongly encourage people to […]

]]>
By: Federal Officials Urge Marketplace Consumers To Look For Better Deals In 2015 | MBL /news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1518 Sat, 06 Dec 2014 08:44:34 +0000 http://khn.wp.alley.ws/news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1518 […] they stay in their current plan, consumers may discover that their subsidy may not go as far if the price of the benchmark plan declined for 2015. “We strongly, strongly encourage people to […]

]]>
By: Federal Officials Urge Marketplace Consumers To Look For Better Deals In 2015 - ECHO /news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1496 Fri, 05 Dec 2014 15:33:55 +0000 http://khn.wp.alley.ws/news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1496 […] they stay in their current plan, consumers may discover that their subsidy may not go as far if the price of the benchmark plan declined for 2015.  “We strongly, strongly encourage people […]

]]>
By: Federal Officials Urge Marketplace Consumers To Look For Better Deals In 2015 | North Carolina Health News /news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1489 Fri, 05 Dec 2014 10:57:20 +0000 http://khn.wp.alley.ws/news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1489 […] they stay in their current plan, consumers may discover that their subsidy may not go as far if the price of the benchmark plan declined for 2015.  “We strongly, strongly encourage people […]

]]>
By: Federal Officials Urge Marketplace Consumers To Look For Better Deals In 2015 | Health Care /news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1482 Fri, 05 Dec 2014 03:27:51 +0000 http://khn.wp.alley.ws/news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1482 […] they stay in their current plan, consumers may discover that their subsidy may not go as far if the price of the benchmark plan declined for 2015.  “We strongly, strongly encourage people […]

]]>
By: Federal Officials Urge Marketplace Consumers To Look For Better Deals In 2015 – Optimum Health Daily /news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1480 Fri, 05 Dec 2014 02:21:29 +0000 http://khn.wp.alley.ws/news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1480 […] they stay in their current plan, consumers may discover that their subsidy may not go as far if the price of the benchmark plan declined for 2015. “We strongly, strongly encourage people to […]

]]>
By: Federal Officials Urge Marketplace Consumers To Look For Better Deals In 2015 | Health and Beauty /news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1478 Thu, 04 Dec 2014 22:37:05 +0000 http://khn.wp.alley.ws/news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1478 […] they stay in their current plan, consumers may discover that their subsidy may not go as far if the price of the benchmark plan declined for 2015.  “We strongly, strongly encourage people […]

]]>
By: Federal Officials Urge Marketplace Consumers To Look For Better Deals In 2015 | Health Insurance Exchange /news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1476 Thu, 04 Dec 2014 21:54:05 +0000 http://khn.wp.alley.ws/news/premiums-for-many-in-the-individual-market-may-change-next-year/#comment-1476 […] they stay in their current plan, consumers may discover that their subsidy may not go as far if the price of the benchmark plan declined for 2015. “We strongly, strongly encourage people […]

]]>