Why Did My Health Insurance Go Up in 2027? 7 Reasons and What to Do
Your renewal letter came in higher. Here is exactly why that happens in 2027, and which of the seven causes you can actually fix before December 15.
Open Enrollment for 2027 runs November 1 to January 15. Dates and deadlines: Open Enrollment 2027 guide.
The short answer
Most people's 2027 increase comes from two things stacked on top of each other: insurers raised their prices again, and the tax credit that offsets the price did not rise as much for your plan. After that, smaller personal changes, like your age, your income estimate or your plan being discontinued, decide whether your letter shows a modest bump or a shock.
| 2027 number | What it means |
|---|---|
| About 10.4% | Average approved Florida Marketplace rate increase for 2027, before subsidies (insurers asked for about 15% to 16%). |
| 15% | Median increase insurers requested nationally for 2027, the second double-digit year in a row. |
| $63,840 | The 400% "subsidy cliff" for a single person. Earn a dollar more and the credit is gone. |
| $12,000 | 2027 out-of-pocket maximum for one person on a Marketplace plan, up from $10,600 in 2026. |
See how your state compares: 2027 health insurance rate increases by state.
The 7 reasons your premium went up
1. Insurers raised prices across the board
Insurers nationally asked for a median 15% increase for 2027. The biggest driver is the cost of care itself: insurers projected medical and prescription costs rising about 10% a year, with hospital prices, specialty drugs and GLP-1 weight-loss and diabetes drugs leading. In Florida, regulators approved an average of about 10.4%, lower than the roughly 15% to 16% insurers first requested, but some plans still rose much more than the average.
2. Healthy people left the Marketplace
The enhanced tax credits that made many plans nearly free expired at the end of 2025. Many healthier, lower-cost enrollees dropped coverage in 2026, which left a sicker risk pool. Insurers estimate that shift added roughly 4 percentage points to 2027 rates, on top of a similar amount in 2026.
3. Your tax credit did not keep up with your plan
Your credit is tied to one specific plan in your area: the second-cheapest silver plan, called the benchmark. The credit covers the gap between that plan's price and what the law says you should pay based on income. If the benchmark in your ZIP rose 6% but your plan rose 18%, you pay the entire difference. That is why two neighbors on different plans can get very different letters.
4. Your income estimate changed, or it is out of date
Credits are based on the household income you expect for the coming year. If the Marketplace is still using an old figure, or a raise put you over 400% of the poverty level ($63,840 for one person, about $132,000 for a family of four for 2027 coverage), the credit can shrink sharply or disappear. Self-employed people should use projected net profit, not gross revenue. What income counts for ACA subsidies.
5. You had a birthday
Marketplace prices are set on a federal age curve. Every year older moves you up the curve, and the steps get steeper after 50. A 64-year-old can be charged up to three times what a 21-year-old pays for the same plan. If you are not subsidized, you feel every step.
6. Your plan was discontinued and you were moved
When a plan or an entire insurer leaves, the Marketplace moves you to the closest match, which is rarely the cheapest option. For 2027 in Florida, Cigna is leaving the Marketplace, and Sunshine State Health Plan's Marketplace products end after 2026, with members who do not choose a plan moved to Ambetter. If your letter names a plan you never picked, this is why. What to do if your plan is ending.
7. You are about to auto-renew without shopping
Auto-renewal keeps you in the same plan (or its replacement) at the new price, with the credit recalculated from whatever income is on file. The cheaper plan you would have picked does not get applied automatically. In 2026, the average amount enrollees paid after subsidies rose 58% nationally. Auto-renewing locks in whatever your plan now costs, without checking whether a cheaper plan is available.
See your own numbers in one minute
Enter your 2026 premium and your 2027 renewal in the 2027 premium increase calculator. It shows your increase, what a benchmark plan should cost at your income, and whether you are likely overpaying.
How to bring your 2027 premium back down
- Update your 2027 income estimate before you choose a plan. A lower, accurate projection can restore part or all of your credit.
- Compare against the new benchmark. The cheapest silver and bronze plans in your ZIP may have changed insurers this year.
- Look at bronze plans with an HSA. Since 2026 every bronze and catastrophic Marketplace plan is HSA-eligible. For 2027 you can put away up to $4,500 single or $9,000 family, which also lowers the income your credit is based on.
- If you are over the 400% line, compare off-exchange and private PPO plans too. Without a credit, the Marketplace has no price advantage. Private health insurance options.
- Consider splitting the household. Kids may qualify for Florida KidCare, or one spouse may get a better deal on a different plan.
- Check your doctors and prescriptions in any new plan's network before you switch. Saving $80 a month is not a saving if your specialist is out of network.
- Decide by December 15. That is the last day to pick a plan that starts January 1. Open Enrollment closes January 15, with a February 1 start.
More detail on each move: How to lower your health insurance premium in 2027 and how to read your 2027 renewal notice.
Send us your renewal. We'll find out if you are overpaying.
Tell us what you paid in 2026 and what the 2027 letter says. A licensed Florida advisor checks every plan and tax credit for your ZIP and calls you with the options. Free, English or Spanish.
Start my free review →A real-world example
KFF tracked a 40-year-old in Indianapolis earning $65,000. With the enhanced credits this person paid $316 a month in 2025. When those credits expired, their cost rose to $477 in 2026, and the proposed 2027 rates put it at $546, an increase of $158 a month (41%) over two years. Nothing about her changed; the rules and the prices did. People in that situation often find a lower-cost bronze or HSA plan, or an off-exchange option, once they actually compare.
Sources: Peterson-KFF Health System Tracker, How much and why ACA Marketplace premiums are going up in 2027 (updated Aug 3, 2026); ACASignups, Florida 2027 rate changes, final approved rates (updated Oct 19, 2026); healthinsurance.org Florida 2027 Marketplace guide (Sep 17, 2026); CMS 2027 Notice of Benefit and Payment Parameters (out-of-pocket maximum); IRS Rev. Proc. 2026-24 (2027 HSA limits); 2026 HHS poverty guidelines. Figures checked October 27, 2026. Your own rate depends on your plan, age, ZIP code and income.
Frequently asked
Why did my health insurance go up so much for 2027?
Usually because two things stacked: insurers raised prices again (about 10.4% on average in Florida, a 15% median request nationally), and your tax credit did not rise as much as your specific plan did. Credits are tied to the benchmark silver plan in your area, so if your plan rose faster than the benchmark, you pay the whole difference. Age, an out-of-date income estimate or a discontinued plan can add to it.
Can I lower my premium if I already got my 2027 renewal letter?
Yes. During Open Enrollment, November 1, 2026 to January 15, 2027, you can switch to any plan in your area and update your income estimate. Choose by December 15 for a January 1 start. Your renewal letter is not final until you let it auto-renew.
My insurer is leaving the Marketplace. What happens to me?
For 2027 in Florida, Cigna is leaving the Marketplace and Sunshine State Health Plan's Marketplace products end, with members who do not choose a plan moved to Ambetter. If you do nothing you may be placed in a replacement plan you never compared. Pick your own plan during Open Enrollment and check that your doctors are in its network.
I make too much for a subsidy. What are my options?
Above 400% of the poverty level ($63,840 for one person for 2027 coverage) there is no premium tax credit. Compare Marketplace plans with off-exchange and private PPO plans, consider a bronze plan with an HSA, and check whether retirement or HSA contributions could bring your income back under the line.
Does it cost anything to have a broker review my increase?
No. Insurance carriers pay licensed brokers, and Marketplace prices are the same whether you enroll yourself or through a broker. VS Health Benefits reviews your renewal and compares plans for free.