EMPLOYEE OWNED HEALTH INSURANCE unleashes the power of free market choice: “I’ll take the plan with the rate reduction!”
How much and why ACA Marketplace premiums are going up in 2025
By Jared Ortaliza, Matthew McGough, Anna Cord, and Cynthia Cox KFF
August 2, 2024
HIGHLIGHTS:
- For 2025, across 324 insurers participating in the 50 states and DC, this analysis shows a median proposed premium increase of 7%, which is similar to last year. For context, the median proposed rate increase was 6% in 2024
- Proposed rates were collected from RateReview.Healthcare.gov for 324 insurers across 50 states and Washington, DC. Additionally, 61 insurer actuarial memoranda were collected from state rate review websites and were comprehensively reviewed to understand the factors contributing to rate changes.
- On average, ACA Marketplace insurers are raising premiums by about 7% in 2025
- Among the 324 ACA Marketplace participating insurers nationally, premium changes range from a drop of -14% to an increase of 51%, but most proposed premium changes for 2025 fall between about 2% and 10%
- Of the 324 insurer filings, 50 insurers proposed decreasing premiums. On the other end of the spectrum, 85 insurers requested premium increases greater than 10%. These filings are preliminary and may change during the rate review process. 2025 rates will be finalized in late summer
Overall 2025 proposed rate change among Texas ACA Marketplace plans, by insurer
Aetna 9.1% (THIRD HIGHEST REQUESTED INCREASE)
Blue Cross Blue Shield of Texas 4.2% (ABOUT THE SAME AS SCOTT & WHITE)
Celtic Insurance Company −3.2% (HOLY SMOKE!)
CHRISTUS Health Plan 0.5%
Cigna HealthCare of Texas, Inc. 12.3% (SECOND HIGHEST REQUESTED INCREASE)
Community First Insurance Plans −1.7% (HOLY SMOKE!)
Community Health Choice, Inc. −0.5% (HOLY SMOKE!)
Imperial Insurance Companies, Inc. −0.7% (HOLY SMOKE!)
Moda Health Plan, Inc. 14.6% (HIGHEST REQUESTED INCREASE)
Molina Healthcare of Texas, Inc. −0.2% (HOLY SMOKE!)
Oscar Insurance Company 2.1%
Scott and White Health Plan 4.7% (ABOUT THE SAME AS BCBS)
Sendero Health Plans, Inc .−0.6% (HOLY SMOKE!)
Superior Health Plan 1.1%
SOURCE: How much and why ACA Marketplace premiums are going up in 2025 – Peterson-KFF Health System Tracker
