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Charles Gaba @charlesgaba.com

But once again, as much as being hit with a 24% health insurance premium spike would suck for those currently paying full price in the first place, that's nothing compared to what's facing the other ~4.3 million or so Floridians who currently receive federal subsidies.

Florida: Impact on net ACA benchmark Silver plan premiums for various h ouseholds if IRA subsidies expire & CMS
aug 28, 2025, 12:59 am • 29 6

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Charles Gaba @charlesgaba.com

Oh yeah...I forgot to mention that in addition to everything else, the Trump Admin's so-called "Integrity Rule" will also increase the maxmium *out of pocket* ceiling on ACA plans (ie, deductibles, co-pays, etc) by ~$900 more than it otherwise would be. So, y'know...there's that.

aug 28, 2025, 1:02 am • 36 8 • view
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Charles Gaba @charlesgaba.com

OK, that's it for the Big States. Next, let's look at the final 3 states. All of them have small populations and small ACA enrollment numbers. So why am I posting them last? You'll see in a moment.

aug 28, 2025, 1:05 am • 14 1 • view
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Charles Gaba @charlesgaba.com

First up: WYOMING, which only has ~39,000 or so ACA enrollees (which is still 6.6% of their total population). Wyoming has 3 ACA carriers this year, but will only have 2 next year because one of them is dropping out...largely due to the subsidies expiring. acasignups.net/ira-subsidy-...

aug 28, 2025, 1:08 am • 20 10 • view
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Charles Gaba @charlesgaba.com

Wyoming's 2 remaining ACA carriers are raising premiums by 22% on average, which (spoiler) is also roughly the national average for 2026. Only a couple thousand Wyomingites are currently unsubsidized; that's what they have to look forward to.

wyoming 2026 avg aca rate hikes
aug 28, 2025, 1:12 am • 26 13 • view
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Charles Gaba @charlesgaba.com

What about the ~44,000 who are currently subsidized? Well...this may explain why one of the carriers said "Screw you guys, we're out of here."

Wyoming impact on net ACA benchmark Silver premiums if IRA subsidies expire & CMS
aug 28, 2025, 1:14 am • 16 5 • view
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Charles Gaba @charlesgaba.com

This leaves ALASKA and WEST VIRGINIA. On the surface, Alaska looks more dramatic, but the Federal Poverty Level (FPL) thresholds are also 25% higher in Alaska than the rest of the country (except for Hawaii, which is 15% higher). So, I'm listing Alaska 2nd to last: acasignups.net/ira-subsidy-...

aug 28, 2025, 1:20 am • 14 5 • view
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Charles Gaba @charlesgaba.com

Alaska only has around 27,000 ACA enrollees, and amazingly, their 2 individual market carriers are actually DROPPING gross premiums ever so slightly next year (by a whopping 0.2% on average). Alaska has the dubious honor of being the ONLY state REDUCING gross ACA premiums in 2026.

Alaska: 2026 ACA individual market premium rate hikes
aug 28, 2025, 1:22 am • 15 4 • view
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Charles Gaba @charlesgaba.com

"Ah-ha!" you may be thinking: Alaska's ACA premiums are essentially FLAT year over year, so enrollees can breath a sigh of relief, right?" For the ~3,000 or so who are paying full price this year...yes. They should be fine. For the other ~25,000 or so, however...

aug 28, 2025, 1:24 am • 18 4 • view
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Charles Gaba @charlesgaba.com

...not so much. That's not a typo: A 64-yr old couple earning $110,000/year would likely see their net premiums for the benchmark Silver plan skyrocket from $828/month to $4,900/month.

Alaska: Impact of IRA subsidies expiring & CMS
aug 28, 2025, 1:27 am • 23 15 • view
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dear Abbie @abbie4science.bsky.social

only leaving about $2000/month for.... everything else❗

aug 28, 2025, 1:29 am • 1 0 • view
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Charles Gaba @charlesgaba.com

🚨🚨🚨 AND FINALLY, WE COME TO WEST VIRGINIA. WV has arond 67,000 #ACA individual market enrollees. Perhaps 2,000 are unsubsidized. acasignups.net/ira-subsidy-...

aug 28, 2025, 1:28 am • 18 5 • view