2026 Open Enrollment

Almost exactly a year ago I began my 2025 ACA Open Enrollment Period guide with the following words:

This is the best OEP ever for the ACA for several reasons:

  • The expanded/enhanced premium subsidies first introduced in 2021 via the American Rescue Plan, which make premiums more affordable for those who already qualified while expanding eligibility to millions who weren't previously eligible, are continuing through the end of 2025 via the Inflation Reduction Act;
  • A dozen states are either launching, continuing or expanding their own state-based subsidy programs to make ACA plans even more affordable for their enrollees;
  • 100,000 or more DACA recipients are finally eligible to enroll in ACA exchange plans & receive financial assistance!

What a difference a year can make.

CoverME, Maine's ACA exchange, is the second state after New Mexico to publish official 2026 Open Enrollment data:

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) will release biweekly updates on plan selections through CoverME.gov, Maine’s Health Insurance Marketplace.  

Plan selections provide a snapshot of activity by new and returning consumers who have selected a plan for 2026. “Plan selections” become “enrollments” once consumers have paid their first monthly premium to begin coverage. These numbers are subject to change as consumers may modify or cancel plans after their initial selection.   

The deadline to select a plan for coverage beginning January 1, 2026 is December 15, 2025. Consumers who select a plan between December 16, 2025 and January 15, 2026 will have coverage beginning February 1, 2026. 

In my post about the U.S. Senate vote to end the federal government shutdown last week, I concluded that:

I'll have a lot more to say about this "HSAs for All" silliness which Trump & Sen. Cassidy are suddenly pitching, but in the meantime, whether you think 8 of them voting for the CR Sunday night was the right thing to do or not, once they did so, shifting the national dialogue back to healthcare policy (where Dems are strongest and Republicans are weakest) and the Epstein Files is probably the best outcome Democrats could've realistically hoped for from that point forward.

Almost every day since the, various Republican House & Senate members have underscored my point:

GOP Rep. Tom Emmer of Minnesota:

via MNsure, Minnesota's ACA exchange:

ST. PAUL, Minn.—MNsure, Minnesota’s official health insurance marketplace, assures UCare members that their health plans through MNsure will not change in coverage or cost for plan year 2026.

Medica has announced a definitive agreement to acquire individual and family health plans from UCare, a Minnesota-based nonprofit health plan. This is a change for the individual market, but MNsure assures consumers that their coverage remains unchanged and will not be interrupted.

For consumers who are currently enrolled in a 2025 UCare private plan:

  • There are no changes to coverage.
  • They can continue to access care as usual.
  • As long as they have paid their premiums, current coverage goes through December 31, 2025.

For consumers who have selected a 2026 UCare private plan through MNsure:

via NY State of Health:

NEW YORK – New York Attorney General Letitia James and Department of Health (DOH) Commissioner Dr. James McDonald today issued a consumer alert warning New Yorkers about common health insurance scams as 2026 open enrollment begins through the NY State of Health Marketplace. Health insurance scams spike during open enrollment periods, and the Office of the Attorney General (OAG) and DOH are providing consumers with tips to protect themselves against potential scams.

“As health care costs skyrocket and federal support hangs in the balance, access to affordable health insurance is more important than ever,” said Attorney General James. “We cannot allow predatory scammers to swindle New Yorkers out of their hard-earned money. I urge all New Yorkers to remain vigilant and contact my office if they believe they are the target of a scam or fraud. My office will always work to hold bad actors and fraudsters accountable.”

BeWell NM, New Mexico's ACA exchange, is the first out of the gate to report hard enrollment data for 2026:

New Mexico Open Enrollment 2026 - Enrollment Summary

Last Refreshed On: November 12th 2025

Officially, they're reporting 70,485 Qualified Health Plan (QHP) enrollments already, which is actually slightly higher than the 70,373 which they ended with during the 2025 Open Enrollment Period (OEP) last January.

HOWEVER...and this is a major caveat...that 70,485 includes all current enrollees being auto-renewed for 2026, which doesn't really count for my purposes. Most state exchanges used to hold off on lumping in the auto-renewals until after the initial December deadline, only reporting current enrollees who actively re-enroll along with new enrollees.

When I look at it that way, I get:

IMPORTANT: Premium Alignment is NOT a substitute for making the enhanced ACA tax credits permanent. It does little to help the lowest-income folks who are still better off with Silver plans thanks to robust CSR assistance, and the benefits of it will be mediocre for those over 400% FPL if the enhanced tax credits expire.

Even for those it benefits the most (primarily those who earn between 200 - 400% FPL),  it's a complement to the upgraded subsidies, not a replacement for them.

HOWEVER, it's still hugely helpful to those who know how to take advantage of it, and particularly in the states newly implementing it, it should relieve a huge portion of the pain being caused by the enhanced APTC expiring next month.

via NV Health Link:

Nevadans can now enroll in health insurance for 2026: 140 Qualified Health Plans from eight insurance carriers and new Battle Born State Plans for Nevadans to choose from

CARSON CITY, Nev. (November 3, 2025) – On November 1, Nevada Health Link kicked off the Open Enrollment Period for Plan Year 2026 with 140 Qualified Health Plans through eight brand-name private insurance carriers, including the new state-approved Battle Born State Plans (BBSPs). Nevadans can view, compare and shop plans now through January 15, 2026 on NevadaHealthLink.com.

New this year, Nevada Health Link will offer Battle Born State Plans or BBSPs.

Like all plans on the Marketplace, BBSPs will cover all ten essential health benefits, including hospitalization, doctor visits, emergency care, lab work and prescription drugs. These plans are required to be offered statewide, while also meeting specific reduction targets to bring costs down. This is especially significant for Nevadans living in rural areas, who will have more options this year when selecting a plan.

Health insurance carriers include:

via NY State of Health:

New “Yes, NY” Campaign Encouraging New Yorkers to Enroll in Quality, Affordable Health Coverage

Open Enrollment for 2026 Qualified Health Plans Began November 1 and Ends January 31, 2026

Enhanced Dental Benefits Introduced for 2026

ALBANY, NY (November 6, 2025) – The New York State Department of Health today announced the start of Open Enrollment for 2026 health insurance coverage through NY State of Health, the Official Health Plan Marketplace, launching a new statewide “Yes, NY” campaign to encourage New Yorkers to enroll in affordable, high-quality health coverage. Open enrollment runs from November 1, 2025, to January 31, 2026.

via GetCovered Illinois:

Amid federal health care changes negatively impacting Americans, Get Covered Illinois is here to help.

CHICAGO – Get Covered Illinois kicked off 2026 open enrollment and launched its “Here to Help” campaign across the state.

Open enrollment, which began on November 1 and runs through January 15, is the annual opportunity for Illinoisans to enroll in, renew, or change their health insurance plans. Nearly 466,000 Illinoisans purchased health coverage through Get Covered Illinois during open enrollment last year, a 17% increase from the previous year.

This year, Illinoisans will experience a new marketplace. Enrollees will apply for and enroll directly on GetCoveredIllinois.gov now that Illinois has officially transitioned to a state-based marketplace. They will also have access to increased support that is more tailored to their needs.

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