ACA health insurance will cost the average person 75% more next year, research shows

Research shows ACA health insurance costs are projected to rise dramatically for millions of Americans — with some estimates showing increases of 75% or more for those who lose enhanced subsidies. For Arizona residents currently on marketplace coverage, here’s what this means and what you can do about it.

Why ACA Health Insurance Costs Are Rising

The enhanced premium tax credits introduced by the American Rescue Plan significantly reduced ACA health insurance costs for millions of enrollees. Research from multiple policy organizations has found that when those subsidies expire or are reduced, premiums could increase by 75% or more for people in certain income brackets — especially those earning between 400% and 600% of the federal poverty level.

According to KFF research, the expiration of enhanced subsidies would cause the largest premium increases for middle-income enrollees who currently benefit most.

Who Gets Hit Hardest by ACA Premium Increases

Not everyone pays the same ACA health insurance costs. The impact of subsidy expiration varies significantly by income:

What Arizona Residents Can Do Now

If you’re facing rising ACA health insurance costs in Arizona, here are your options:

Free Help Managing ACA Health Insurance Costs in Arizona

I’m Andy Orlikoff, an independent health insurance broker in Surprise, AZ. I help Arizona residents navigate rising ACA health insurance costs — comparing marketplace plans, off-exchange PPOs, and alternatives at no cost to you.

Call or text: (623) 742-3878
Fill out the contact form →

Serving Surprise, Phoenix, Peoria, Glendale, Goodyear, Scottsdale, Mesa, Chandler, Gilbert, and all of Arizona.


American Insurance Benefits | 14955 W Bell Rd #8031, Surprise, AZ 85374 | Licensed Arizona Insurance Broker since 2004

Unlocking Affordable Healthcare: A Look at Allstate Health Access

Finding affordable health insurance in Arizona can feel overwhelming — especially if you earn too much for meaningful ACA subsidies but too little to absorb full-price premiums. Allstate Health Access and similar health access plans offer one alternative worth understanding. Here’s what they are, what they cover, and how they compare to traditional insurance.

As healthcare.gov notes, in a world full of “what ifs,” healthcare can often feel like a puzzle. “What if I get sick or injured?” or “What if unexpected costs arise?” are common concerns that can leave us wondering about our coverage. Allstate Health Access aims to address these worries with its fixed-benefit insurance plans, offering an affordable and predictable way to manage everyday healthcare expenses.

 

What is Allstate Health Access?

Allstate Health Access provides fixed-benefit insurance, meaning you choose a set dollar amount upfront, and they’ll pay covered expenses for that plan year. A key advantage is that there are no deductibles or copays; you simply cover any costs above the chosen dollar amount. This approach makes managing healthcare costs more predictable.

While Allstate Health Access is most effective when combined with a major medical plan, it can also serve as minimum coverage if a major medical plan isn’t an affordable option. This flexibility allows you to get coverage at a cost that suits your budget.

Key Benefits and Features:

Predictable Payments: You know exactly what your plan will pay for various services, including office visits, lab tests, and hospitalization. Plus, premium rates are guaranteed for three years on all plans.

Short Waiting Periods: You get immediate benefits for injury and sickness, with a 90-day waiting period for preventative care.

Adult and Child Options: Coverage is available for all ages up to 65, with child-only plans also offered in most states.Flexibility and Renewability: You can apply anytime, and plans auto-renew, with some benefits increasing annually.

No Maximums: There are no annual or lifetime maximum caps on benefits.

First Health Network Access: Allstate Health Access plans provide access to the First Health Network, which includes 5,300 hospitals, 100,000 ancillary facilities, and 695,000 doctors and healthcare providers, offering discounts on covered services. There are no penalties for seeing out-of-network providers; the plan pays the same dollar amount regardless.

Recuro Health Virtual Care: Members have access to 24/7 virtual urgent care with zero out-of-pocket costs for conditions like colds, flu, and rashes.

Recuro Health Prescription Benefit: This includes a $0 copay for chronic conditions and urgent care medications, accepted at over 65,000 retail pharmacies nationwide. It offers a prescription benefit card, medication delivery, a national pharmacy network, and an easy-to-use member portal.

Understanding How the Plan Works:

Allstate Health Access plans pay set benefits for covered services. For example, for a preventative office visit, if the total cost after a network discount is $268.00, a Core plan might provide a total benefit of $185.00, leaving you with a balance of $83.00. For a Plus plan, the total benefit might be $235.00, resulting in a $53.00 balance.

Similarly, for a rotator cuff surgery with a total cost of $9,360.00 after a network discount, a Core plan could offer a total benefit of $6,500.00 (covering surgery, assistant surgeon, anesthesia, and ambulatory surgical center benefits), leaving a balance of $2,860.00. A Plus plan might provide an $8,500.00 total benefit, reducing your balance to $860.00

For more details and a quote just reach to me:

Andy Orlikoff

623-742-3878

www.AZhealth.us

Looking for affordable health insurance in Arizona? I compare all your options — ACA marketplace, PPO plans, short-term coverage, and supplemental plans — at no cost to you. Call Andy Orlikoff at (623) 742-3878 or fill out the contact form.

Navigating Cancer Costs: Why a Supplemental Plan Matters

A cancer supplemental insurance plan can be one of the most important financial protections you add to your health coverage. A cancer diagnosis is life-altering — and the financial impact can be devastating without the right coverage. Here’s how cancer supplemental insurance works and why Arizona families increasingly rely on it.

A cancer diagnosis is a life-altering event. According to Cancer.Net, beyond the emotional and physical toll, it often brings a significant financial burden that many are unprepared for. While your primary medical insurance covers a portion of treatment costs, out-of-pocket expenses can quickly accumulate, creating immense stress during an already challenging time.

This is where a supplemental cancer insurance plan can make a profound difference.

The Unseen Costs of Cancer

Nobody plans for cancer, but unfortunately, it’s a reality for many. Even with excellent health insurance, you might face unexpected costs such as:

How Supplemental Cancer Coverage Helps

Allstate Health Solutions has designed cancer coverage to work seamlessly with any existing medical plan, providing a crucial safety net. These plans are affordable, easy to understand, and incredibly easy to use.

The key benefit? Cash paid directly to you.

Upon a first-time cancer diagnosis, you receive a lump-sum cash benefit. This money is yours to use however you need it – whether it’s for medical bills, rent, groceries, transportation, or even to replace lost income. This direct cash infusion helps protect your finances and provides peace of mind, allowing you to focus on what truly matters: your recovery.

Benefits You Can Count On:

Imagine receiving a $50,000 cash benefit. Even after covering significant medical bills, a substantial portion could remain to help with mortgage payments, vehicle expenses, or other critical needs.

Secure Your Peace of Mind

No one can predict the future, but you can plan for the unexpected. A supplemental cancer plan offers a practical and compassionate way to protect your financial well-being and ensure you have the resources needed to navigate a cancer diagnosis with greater confidence.

Get a quote today: www.AZhealth.us or call Andy 623-742-3878

Questions about cancer supplemental insurance in Arizona? I’m Andy Orlikoff, an independent broker in Surprise, AZ. Call (623) 742-3878 or fill out the contact form — my help is free.

Prepare Now for Big ACA Changes Ahead

Major ACA changes in 2026 are coming that could significantly affect health insurance premiums for millions of Arizona residents. Enhanced subsidies that dramatically reduced marketplace costs may expire, and Congress is debating what comes next. Here’s what to expect and how to prepare before the changes take effect.

Major shifts are on the horizon for the Affordable Care Act (ACA) in 2026 — The Trump administration’s newly proposed rule introduces changes that could leave millions of Americans without viable coverage options or struggling to afford marketplace plans.

Here’s what’s ahead—and why Short-Term Medical (STM) insurance remains a smart, strategic choice, even as we await the potential reinstatement of the previous 3-year coverage option.

Open Enrollment is Shrinking

Year-Round Enrollment for Low-Income Americans May Disappear

Subsidy Rollbacks = Steep Premium Increases

Reduced Access to Enrollment Assistance

Reach out today to learn about options available to you:

American Insurance Benefits – Andy Orlikoff

www.AZhealth.us

623-742-3878

Located locally in Surprise Arizona, and serving the entire state.

Navigating ACA changes in 2026 is easier with a local broker who knows all your options. I’m Andy Orlikoff, an independent health insurance broker in Surprise, AZ. Call (623) 742-3878 or fill out the contact form — my help is always free.

Andy Orlikoff • NPN #7558435 • Licensed in Arizona, North Carolina & South Carolina
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