Personal Finance
How to pick a plan as health insurance premiums rise
A poster reads “Affordable Care Act Premiums Will Rise More Than 75%” as Senate Minority Leader Chuck Schumer (D-NY) (2nd-L), accompanied by Sen. Jeanne Shaheen (D-NH) (L), speaks at a news conference to call on Republicans to pass Affordable Care Act tax breaks on Capitol Hill on Sept. 16, 2025 in Washington, DC.
Andrew Harnik | Getty Images
Open enrollment is underway for many employees, Medicare recipients, and those who purchase health insurance on their own through Affordable Care Act plans — and many of those Americans will see significant price hikes.
Health insurance premiums for plans bought over the ACA marketplace will increase 114% on average if enhanced subsidies expire at the end of 2025, according to KFF, a nonpartisan health policy research group. About 22 million of the 24 million ACA marketplace participants — including many self-employed and small-business workers — receive those premium tax credits, which are a key issue in the ongoing government shutdown.
Contributing to that price increase, ACA insurers are raising premiums for next year by an estimated 26% on average, according to KFF, in part because those companies expect healthier people to drop coverage if the enhanced subsidies expire.
“What’s not certain is whether the price you’re seeing today is what it will actually be,” said Louise Norris, a health policy analyst with healthinsurance.org. “If those subsidy enhancements get extended, or if they get modified and extended, you might end up paying a different premium than what you’re seeing now.”
Employer-sponsored plans are seeing smaller, but still notable, increases. The vast majority of Americans, about 165 million people, including employees and their dependents, obtain health insurance through their employer, according to KFF.
Employees could see their payroll deductions for health care coverage rise by 6.5% on average for 2026 —the steepest increase in 15 years, global consulting firm Mercer found.
“It’s invisible for a lot of people because it’s paycheck deduction,” said Zach Teutsch, founder of Values Added Financial in Washington, DC. Teutsch is a member of CNBC’s Financial Advisor Council.
As costs spike, millions of Americans may be facing a tough decision about which health insurance option to choose — and how to afford it. Here are key steps financial advisors and health policy analysts recommend taking before enrolling in health coverage for 2026.
Review your 2025 health-care expenses
Before you look at 2026 options, tally your out-of-pocket costs for 2025 so far, including co-payments, medical bills, prescriptions and over-the-counter expenses. Tracking what you’ve spent on recent health-care needs will help you calculate potential 2026 expenses and give you a better idea of the type of medical coverage you’ll need.
Compare all available plans for 2026
Even if your insurer is offering the same health insurance plan options as this year in 2026, premiums and deductibles likely increased. Plus, your health needs may have changed. Check which of your current providers are still “in-network” and determine the coverage for out-of-network providers.
If you have to undergo surgery or now have a chronic illness, you may opt for a different plan, or you may need to make a plan change to better manage costs.
Many employers offer two choices, which boil down to: pay now or pay later. You can pay more upfront with higher premiums deducted from each paycheck and a lower deductible, which is the amount you pay before insurance kicks in. Or you can pay later with lower premiums and a higher deductible.
For ACA plans, you can compare options through the federal marketplace, or a state-specific website for residents in Washington, D.C., and 20 states.
If you’re enrolled in Medicare, use the Plan Finder Tool on Medicare.gov.
Pause on ACA enrollment
Longhua Liao | Moment | Getty Images
If you are getting coverage through the ACA marketplace, don’t sign up just yet. If the enhanced subsidies are extended or modified, “you might pay less than what it looks like it’s going to be,” said Norris.
Set yourself a reminder to check on the price in late November and make adjustments. Be sure to sign up before the December 15 deadline for a January 1 start date.
Consider your health needs
You don’t want to be uninsured, experts say: An emergency room visit or intensive care stay can reach six figures.
“The idea of a multi $100,000 hospital bill is not uncommon at all,” said Norris. “It’s one thing to set up a payment plan with the hospital to pay off, say a $7,000 deductible. It’s a totally different thing when you’re looking at trying to set up a payment plan for a $400,000 bill.”
People with no health issues and who rarely visit a doctor may save money with a high deductible plan, which, for ACA plans, is the bronze level. “That way, if you all of a sudden get hit by cancer or something bad, you’ll have health insurance coverage,” said Carolyn McClanahan, a physician and certified financial planner based in Jacksonville, Florida. Some doctors won’t even see you if you don’t have health insurance coverage, she said.
Another option, if you have chronic care needs or go to the doctor more often than a basic plan covers, is to add a direct primary care physician to a bronze health insurance plan, McClanahan said. A monthly subscription fee, typically $50 to $150, covers basic primary care visits and may include services such as lab work and x-rays. Those payments won’t count toward your deductible.
“It never goes under insurance,” said McClanahan, the founder of Life Planning Partners and a member of CNBC’s Financial Advisor Council. “It’s basically cash pay.”
Ask questions to understand what’s covered and that it’s a good fit, McClanahan said: “Just because they’ve opted to be a direct primary care doctor doesn’t mean that they’re necessarily the best doctor for you. So make sure that your personalities fit.”
Take advantage of FSAs and HSAs
If your employer offers a health flexible spending account, or FSA, you can use the pre-tax dollars you put into that account to pay for eligible out-of-pocket medical expenses, co-payments, deductibles, prescriptions and vision or dental care. Putting money into this account will not only lower your taxable income for next year, but also allow you to pay for health-care expenses with money that otherwise would have been taxed.
Health savings accounts, or HSAs, are another tax-advantaged option to help pay for medical, dental and vision expenses — as long as you are enrolled in a qualifying high-deductible health plan. Unlike FSAs, you can use the money over time and put it in long-term investments. Recent legislation has also expanded access to HSAs through more marketplace health plans.
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The Federal Reserve held interest rates steady at the conclusion of its policy meeting on Wednesday.
In what could be Jerome Powell’s last as chair before President Donald Trump’s yet-to-be-confirmed nominee Kevin Warsh takes the helm, central bankers maintained the federal funds rate in a target range of 3.5% to 3.75%.
Inflation has surged since the war with Iran began, leaving policymakers with limited room to act, according to Sean Snaith, the director of the University of Central Florida’s Institute for Economic Forecasting. “We’re in a kind of suspended animation — between Iran and the Fed transition,” Snaith said.
Before the oil shock, inflation was holding above the Fed’s 2% target but not worsening. Now the jump in energy costs could have longer-term inflationary effects, economists say.
For Americans struggling in the face of higher gas prices and overall affordability challenges, the central bank’s decision to keep interest rates unchanged does little to ease budgetary pressures. “The cavalry isn’t coming anytime soon,” Snaith said.
How the Fed decision impacts you
The Fed’s benchmark sets what banks charge each other for overnight lending, but also has a trickle-down effect on many consumer borrowing and savings rates.
Short-term rates are more closely pegged to the prime rate, which is typically 3 percentage points above the federal funds rate. Longer-term rates, such as home loans, are more influenced by inflation and other economic factors.
Credit cards
Most credit cards have a short-term rate, so they track the Fed’s benchmark.
After the Fed cut rates three times in the second half of 2025, the average annual percentage rate has stayed just under 20%, according to Bankrate.
“Without Fed rate cuts, there’s not much reason to expect meaningful declines anytime soon, so carrying a balance will remain very expensive,” said Matt Schulz, chief credit analyst at LendingTree.
Mortgage rates
Fixed mortgage rates, on the other hand, don’t directly track the Fed but typically follow the lead of long-term Treasury rates.
Concerns about how the Iran war will impact the U.S. economy have already pushed the average rate for a 30-year, fixed-rate mortgage up to 6.38% as of Tuesday, from 5.99% at the end of February, according to Mortgage News Daily.
That leaves homeowners with existing low mortgage rates “feeling stuck,” said Michele Raneri, vice president and head of U.S. research and consulting at TransUnion. “Mortgages, more than any other credit type, work on a churn,” she said, referring to how a dip in rates can boost borrowing activity.
Student loans
Federal student loan rates are also fixed and based in part on the 10-year Treasury note, so most borrowers are somewhat shielded from Fed moves and recent economic uncertainty.
Current interest rates on undergraduate federal student loans made through June 30 are 6.39%, according to the U.S. Department of Education. Interest rates for the upcoming school year will be based in part on the May auction of the 10-year note.
Car loans
Auto loan rates are tied to several factors, including the Fed’s benchmark. Because financing costs remain elevated, new car buyers are taking on longer loans to keep their monthly payments manageable, according to the latest data from Edmunds.
Even so, with the rate on a five-year new car loan near 7%, the average monthly payment on a new car rose to $773 in the first quarter of 2026, an all-time high.
“Car buyers are in a tough spot right now because they’re getting squeezed from both ends: high sticker prices and high interest rates, with neither showing any signs of letting up,” said Joseph Yoon, consumer insights analyst at Edmunds.
“Until the rate picture shifts, buyers will keep stretching loan terms to make payments work, which only adds to the total cost of ownership down the road,” Yoon said.
Savings rates
While the Fed has no direct influence on deposit rates, the yields tend to be correlated with changes in the target federal funds rate. So, although rates on certificates of deposit and high-yield savings accounts have fallen from recent highs, they are holding above the annual rate of inflation.
For now, top-yielding online savings accounts and one-year CD rates pay around 4%, according to Bankrate.
“Yields on high-yield savings accounts and certificates of deposit are down from their peaks of a few years ago, but they’re still strong compared to what we’ve seen for most of the past decade,” Schulz said.
Milan Markovic | E+ | Getty Images
The average tax refund is 11.2% higher this season, compared with about the same period in 2025, according to the latest IRS filing data.
As of April 10, the average refund amount for individual filers was $3,397, up from $3,055 about one year ago, the IRS reported on Friday.
The IRS data reflects about 114 million individual returns received, out of about 164 million expected through Tax Day. Next week’s filing update is expected to include data through the April 15 deadline.
President Donald Trump‘s 2025 legislation, rebranded to the “working families tax cuts,” was a key talking point for Republicans on Tax Day.
With the November midterm elections approaching and Republicans defending slim majorities in Congress, many GOP lawmakers have highlighted Trump’s tax breaks and higher average refunds.
Meanwhile, affordability has been top of mind for many Americans amid rising costs of gas, electricity, food and other living expenses.
For filers who expected a refund this season, nearly one-quarter, or 23%, planned to use the funds to pay down credit card debt, and the same share said they would save the payment, according to the CNBC and SurveyMonkey Quarterly Money Survey, released in April. It polled 3,494 U.S. adults at the end of March.
Who benefited from Trump’s ‘big beautiful bill’
“It’s been a great tax season for the American people,” many of whom have benefited from Trump’s tax breaks, Treasury Secretary Scott Bessent said during a White House press briefing on Wednesday.
More than 53 million filers claimed at least one of Trump’s “signature new tax cuts” — the deductions for tip income, overtime earnings, seniors and auto loan interest — the Department of the Treasury also announced on Wednesday.
Those filers, who claimed the deductions on Schedule 1-A, have seen an average tax cut of over $800, according to the Treasury. Tax cuts can trigger a higher refund or reduce taxes owed, depending on the filer’s situation.
Some filers who itemize tax breaks have also seen benefits from the bigger federal deduction limit for state and local taxes, known as SALT. Trump’s legislation raised that cap to $40,000, up from $10,000, for 2025.
The latest SALT deduction limit change is expected to primarily benefit higher earners, according to a May 2025 analysis of various proposals from the Tax Foundation.
The Treasury has not released data on how many filers have claimed the SALT deduction during the 2026 filing season.
Traders work at the New York Stock Exchange on April 16, 2026.
NYSE
U.S. stocks climbed to record highs on Thursday against a backdrop of war, an oil supply shock and economic forecasts warning of stunted growth amid a protracted conflict.
Many investors may be thinking: Why?
Largely, it’s because the stock market is a barometer of what investors think will happen in the future, rather than an assessment of the present day, according to economists and market analysts.
Investors are essentially shrugging off the Middle East conflict as a blip that will be resolved relatively quickly, they said.
“The stock market isn’t trying to price what’s happening today,” said Joe Seydl, a senior markets economist at J.P. Morgan Private Bank. “The stock market is always trying to price what the world is going to look like six to 12 months from now.”
Why stocks have been ‘resilient’
The S&P 500, a U.S. stock index, fell about 8% in the initial weeks of the Iran war, from the start of the conflict on Feb. 28 to a recent low on March 30.
But stocks have rebounded since then, erasing all losses since the beginning of the war. The S&P 500 closed at an all-time high on Thursday — about 11% higher than its nadir at the end of March. That followed a record close on Wednesday.
“The market has remained very resilient in the face of the war and has rallied strongly on the prospect that it will be resolved,” said Mark Zandi, chief economist at Moody’s.
A ship waits to pass through the Strait of Hormuz following the two-week temporary ceasefire between the US and Iran, which is conditional on the opening of the strait, in Oman on April 8, 2026.
Shady Alassar | Anadolu | Getty Images
And while investors cheered the possibility of a diplomatic off-ramp to the conflict, the temporary ceasefire has appeared tenuous, with the U.S. and Iran each accusing the other of breaking the agreement.
Nations haven’t been able to reach a peace deal ahead of the ceasefire’s end. Vice President JD Vance said U.S. officials left peace talks in Pakistan over the weekend after the Iranian delegation refused to agree to American demands not to develop a nuclear weapon.
The markets ‘have memory’
Ultimately, the stock market is signaling a collective belief that tensions will ratchet down, the war will end in the near term and oil flows through the Strait of Hormuz will normalize, economists said.
That’s largely because investors have been conditioned to believe that President Donald Trump will back off if the economic pain becomes too intense, economists said — the so-called “TACO” trade, shorthand for “Trump always chickens out.”
“Investors strongly believe — and have been conditioned to believe — he’s going to stand down, find a way to pivot, declare victory and move on,” Zandi said.
Trump has pushed back on the notion of backing down, framing his brinkmanship as a savvy negotiating tactic.
Economists pointed to a recent example of this dynamic: in April 2025 during so-called liberation day, when the Trump administration levied a host of tariffs on U.S. trading partners.
Within days — after the stock market had cratered more than 12% — Trump announced a 90-day pause on those tariffs. Stocks then saw one of their biggest daily rallies in history following Trump’s reversal.
Investors remember that Trump often de-escalates geopolitical shocks — which is why they’ve seized on positive headlines that hint at progress in peace talks, for example, Seydl said.
“The markets have memory,” Seydl said.
AI stocks and the ‘tech boom’
Traders celebrating at the New York Stock Exchange on April 15, 2026, as the S&P 500 closed above the 7,000 level for the first time.
NYSE
There are other factors underpinning market resilience during wartime, economists said.
One is the investors’ enthusiasm for artificial intelligence and technology stocks, which account for almost half of the S&P 500’s market capitalization, Zandi said.
“Those stocks run on their own dynamic independent of anything, including the war in Iran,” Zandi said. “I think we would have been down a lot more and it would have been harder for us to recover had it not been for the very, very optimistic perspectives on AI.”
We’re in the middle of a “tech boom” — and investors are likely to remain optimistic until they think the tech cycle has run its course, Seydl said.
More broadly, stock investors are essentially making a bet on the future earnings growth of a company — and the earnings backdrop has been “pretty solid,” Seydl said.
Consumer spending appears to be stable, for example, economists said. And companies are getting a boost to their after-tax earnings from the GOP’s so-called “big beautiful bill,” which, among other things, made it easier to write off investments upfront and therefore reduce their tax liability, Zandi said.
Going forward
Experts said there will be an economic hit from the Iran war, though.
“Despite the recent news of a temporary ceasefire, some damage is already done, and the downside risks remain elevated,” Pierre-Olivier Gourinchas, director of research at the International Monetary Fund, wrote Tuesday.
A protracted conflict risks deep and global economic pain, he wrote.
Even if the conflict is short-lived — as the broad market expects — stocks are unlikely to march much higher until it’s clear the U.S. is on the other side of the war and its economic fallout, Zandi said.
If investors are incorrect, and President Trump doesn’t back down or quickly extricate the U.S. from the war, the stock market may see a “full-blown correction” or worse, Zandi said. A stock market correction is a decline of at least 10% from recent highs.
“Everyone thinks they know what the script is,” Zandi said. “Now they just need to follow the script. If they don’t, the market will have some real problems.”
The uncertainty provides yet another example of why the average investor with a long time horizon should stick to their investment plan and ignore the noise, experts said.
“Trying to time the market is very difficult if not impossible for the average investor,” Seydl said. “It’s better to take a long-term perspective and ride out bouts of volatility.”
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