# ACA faces crisis as insurers flee and premiums soar > Eleven insurers are leaving ACA marketplaces in 2027 as premiums rise 15 percent, forcing millions to find new coverage or go uninsured. - Title: ACA faces crisis as insurers flee and premiums soar · NBC News - Summary: Eleven insurers are leaving ACA marketplaces in 2027 as premiums rise 15 percent, forcing millions to find new coverage or go uninsured. Eleven insurers are… - Keywords: affordable care act, health insurance, cigna, pacificsource, insurance premiums, aca marketplace, 2027, enrollment, politics, news, ACA, faces - Source: NBC News — https://nbcnews.com/health/health-care/many-aca-coverage-face-new-crisis-2027-insurers-fleeing-market-rcna606211 - Author: Berkeley Lovelace Jr. - Published: 2026-10-29T15:36:22.494+00:00 - Read time: 2 min - Topics: affordable care act, health insurance, cigna, pacificsource, insurance premiums, aca marketplace, 2027, enrollment, politics, news ## Cigna pulls out of Tennessee ACA Courtney Mroch, fifty-six, from Nashville, has diabetes, asthma and is a cancer survivor. Her insurer Cigna is leaving Tennessee's ACA marketplace, forcing her to find new coverage. > Who knows who will cover me in 2027 or how much more it'll cost ## Premiums rising 15 percent for 2027 Insurers offering ACA plans are proposing a premium increase of about fifteen percent on average for twenty twenty-seven, the second straight year of double-digit increases, according to KFF analysis. ## Eleven insurers leaving ACA markets Eleven insurers have announced plans to leave ACA marketplaces in twenty twenty-seven in at least some states.Cigna will exit all eleven states where it offers ACA plans, affecting more than three hundred fifty thousand enrollees. ## More leaving than entering the market Six insurers have announced plans to enter new ACA marketplaces, but more are leaving than coming in. Cynthia Cox, director of the program on the ACA at KFF, said this imbalance is the main concern. > The main takeaway is that more insurance companies are leaving the marketplace than coming in ## Fewer choices, disrupted care Fewer insurers mean fewer plans to choose from and more people switching coverage. Miranda Yaver, assistant professor at University of Pittsburgh, warns this creates discontinuities in care for people with chronic illnesses. > This is going to create a lot of discontinuities in care and coverage for people ## Tax credits expired, enrollment fell Enhanced tax credits expired at the end of twenty twenty-five, causing ACA enrollment to fall by roughly three million. Healthier people moved to cheaper coverage or dropped insurance altogether. ## Sicker pool makes market less profitable Those who remained on ACA plans tended to have greater health needs and higher medical costs. This makes the marketplace less profitable for insurers as healthcare costs rise, according to insurance broker Jennifer Chumbley Hogue. ## Cigna cites sustainable growth goals Cigna CEO Brian Evanko said in April that leaving the ACA marketplace aligns with goals to position the company's core healthcare businesses for sustainable growth, according to a company spokesperson. ## Colorado couple's premiums double Denise O'Connor and her husband in Colorado saw monthly premiums more than double from just over nine hundred dollars to about twenty-three hundred dollars. They are covered by Cigna and must find new coverage. > It's a worry. He's healthy, but anything can happen at any time. ## Idaho winery owner faces steep costs Mark Lathrop in Idaho and his wife are losing coverage after PacificSource left the ACA marketplace. > We don't know what we are going to do yet ## ACA favorability drops to 58 percent A recent KFF poll found overall public favorability toward the ACA dropped to fifty-eight percent from sixty-four percent. Miranda Yaver warns the marketplace could weaken without formal repeal if fewer people enroll and costs rise. > We don't see the repeal and replace of 2017, but we're making it much harder for patients to remain on these plans ## Review options during open enrollment Open enrollment begins Sunday, giving people about two months to compare plans for next year. > It's worth the five minutes to take a look ## Key takeaway Eleven insurers are exiting ACA marketplaces in 2027 while premiums rise 15 percent on average, leaving millions with fewer choices and higher costs.