Virginia Health Insurance Premiums to Skyrocket in 2026 Without Federal Subsidy Extension
Virginia families buying health insurance through the state marketplace face significant premium increases if enhanced federal subsidies expire. The changes, set to take effect in 2026, could see families paying hundreds to over $1,000 more each month.
The expiration of enhanced premium tax credits could hit families of different incomes and regions differently. A family of four earning $96,450 to $160,000 could face increases of up to $349 monthly. For a 60-year-old couple with income between $63,450 and $105,750, the jump could be up to $1,076, totaling $2,023.16 per month. Even a 45-year-old individual earning $31,300 to $62,600 could see a $155 monthly increase.
Rural regions and areas with higher average incomes are particularly affected. Roanoke County showed the highest projected increases statewide, with some couples facing a $1,076 monthly jump. Northern Virginia residents in Fairfax County could see premiums jump by $913 per month, totaling $1,846.42 for a 60-year-old couple earning just above $84,700.
Open enrollment for 2026 marketplace plans begins on November 1. U.S. Sens. Mark Warner and Tim Kaine have warned about the impact of the expiration of enhanced federal subsidies on Virginia families' health insurance premiums. Without congressional action, these increases could significantly impact families' budgets.
