Home/2026 Health Insurance Crisis
CRISIS ALERT — ACT BY JANUARY 15, 2026

Minnesota's 2026
Health Insurance Crisis

ARPA enhanced subsidies expired December 31, 2025. Nearly 90,000 Minnesotans face an average 21.5% premium increase.

21.5%
Average Premium Increase
Largest since 2017
$177
Average Monthly Increase
$2,124 per year
90,000
Minnesotans Affected
62% of MNsure enrollees

What Happened?

Understanding the 2026 health insurance crisis

The American Rescue Plan Act (ARPA) of 2021 provided enhanced premium tax credits that made health insurance more affordable for millions of Americans. These enhancements were extended through the Inflation Reduction Act until December 31, 2025.

As of January 1, 2026, these enhanced subsidies have expired. Despite multiple legislative attempts, Congress did not pass an extension. The subsidy rules have reverted to the original pre-2021 ACA structure, which includes the 400% Federal Poverty Level (FPL) "subsidy cliff."

For Minnesota specifically, this coincides with the largest premium increases since 2017, averaging 21.5% across all individual market insurers. Commerce Commissioner Grace Arnold called the increases "a real gut punch" for Minnesota families.

Key Changes in 2026

What's Gone (ARPA Benefits Lost)

  • Enhanced tax credits above 400% FPL
  • 8.5% income cap on premiums
  • Subsidies for higher earners (above 400% FPL)
  • Average $500/month in enhanced credits

What Remains (Standard ACA Benefits)

  • Standard premium tax credits (under 400% FPL)
  • Cost-sharing reductions for Silver plans
  • Pre-existing condition protections
  • MN Reinsurance (20-25% premium reduction)

Check Your Impact

See how the 2026 changes affect your household

2026 Crisis Impact Calculator

See how ARPA subsidy expiration affects you

$

Include all income sources for everyone in your household

Include yourself, spouse, and dependents you'll claim on taxes

This calculator provides estimates only. Actual subsidy amounts depend on specific plan costs and other factors. Visit MNsure.org for official calculations.

Who Is Affected?

~89,000
Reduced Subsidies
~19,500
Lost ALL Subsidies
~62,000
May Drop Coverage
187,000
Total Individual Market

Hardest Hit Groups

  • Greater Minnesota residents: Often face higher premiums due to fewer provider options
  • Adults over 55: A couple in their early 60s in Mankato with $89,000 income could see monthly premiums surge from $474 to approximately $2,000 (322% increase)
  • Families just above 400% FPL: Earning $128,601 as a family of 4 means zero subsidy eligibility

2026 Premium Increases by Insurer

Approved by Minnesota Department of Commerce

2026 Minnesota Insurer Rate Changes

Approved by MN Department of Commerce, effective January 1, 2026

Medica Insurance Company
+30.76%
UCare
+27.48%
HealthPartners Insurance Co.New to exchange 2026
+19.15%
Blue Plus (BCBS MN)
+18.70%
HealthPartners, Inc.
+13.31%
Quartz Health Plan MN
+7.40%
Average increase: 21.5% — the largest premium increase since 2017

The "Subsidy Cliff" Explained

Income thresholds that determine your subsidy eligibility

2026 Federal Poverty Level (FPL) Thresholds

Income above 400% FPL = No subsidy eligibility (the "subsidy cliff")

Household Size100% FPL400% FPL (Subsidy Cliff)
1 person$15,650$62,600
2 persons$21,150$84,600
3 persons$26,650$106,600
4 persons$32,150$128,600
5 persons$37,650$150,600
6 persons$43,150$172,600
⚠️ Subsidy Cliff Restored: Earning even $1 above 400% FPL means you receive ZERO subsidies, regardless of premium costs.

⚠️ Real Example: The Subsidy Cliff in Action

A 60-year-old couple earning $85,000 (just above 400% FPL for 2 people at $84,600) could face approximately $22,600 annually in premiums—roughly 25% of their income. Under enhanced credits, their premiums would have been capped at 8.5% of income (~$7,225).

Critical Dates

Don't miss these important deadlines

December 31, 2025
ARPA enhanced subsidies expired
January 1, 2026
New premiums took effect
January 15, 2026
Final enrollment deadlineACT NOW
February 1, 2026
Coverage begins (if enrolled by Jan 15)

What You Can Do Now

Steps to protect yourself and find affordable coverage

1

Check Your Eligibility

Use the calculator above or visit MNsure to see your exact subsidy amount for 2026.

Visit MNsure
2

Compare Plans Carefully

Consider switching to a different metal tier or insurer. A Bronze plan may save money if you're healthy.

Learn About Plans
3

Check for Medicaid/MinnesotaCare

If income dropped, you may now qualify for Medical Assistance or MinnesotaCare with lower costs.

Learn More
4

Consider an HSA Plan

High-deductible plans with Health Savings Accounts can reduce taxable income and save long-term.

What is an HSA?
5

Act Before January 15

Open enrollment ends January 15, 2026. Missing this deadline means waiting until next year (or a qualifying event).

Deadline approaching!
6

Get Free Help

MNsure navigators and brokers provide free assistance with enrollment. Don't navigate this alone.

Find a Navigator

Minnesota's Response

State programs that help reduce costs

Minnesota Premium Security Plan (Reinsurance)

Minnesota's reinsurance program was extended through 2027 during the June 2025 special legislative session. The program has $335.6 million allocated for 2026.

Impact:

  • • Keeps premiums approximately 20-25% lower than they would otherwise be
  • • Without reinsurance, 2026 premiums would have increased 47% to 69%
  • • Helps stabilize the individual market

However: Minnesota has not enacted a state-funded subsidy program to replace the expired federal enhanced credits. Commerce Commissioner Arnold stated: "Minnesota shouldn't have to cover for a broken federal government."

Additional Resources

Don't Wait — Act Before January 15

Open enrollment closes soon. Check your options now and ensure you have coverage for 2026.