4 tips for navigating higher ACA health care premiums Nation Nov 6, 2025 11:06 AM EST

If you’re shopping for health insurance right now, you may have come down with a case of sticker shock.

Open enrollment for Affordable Care Act health care marketplaces began Nov. 1, and some insurance premiums have skyrocketed due to congressionally approved enhanced premium tax credits expiring.

Without those credits, some Americans may find their premium prices have doubled, and may feel uncertain about how to proceed. “This is going to be probably the most chaotic open enrollment period since the markets first launched.”

“This is going to be probably the most chaotic open enrollment period since the markets first launched,” said Cynthia Cox, vice president and ACA program director at KFF.

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