State Policy · GA
Georgia ACA Exchange Plans Propose Premium Increases Up to 29% for 2027
Health insurers on Georgia's ACA marketplace have proposed premium increases ranging from 10% to 29% for 2027 coverage, with open enrollment beginning November 1, 2026. Two insurers—Cigna and UnitedHealthcare—are exiting the market, while Antidote is entering. These increases follow 2026 rate hikes after Congress allowed pandemic-era enhanced ACA subsidies to expire, which led approximately 350,000 Georgians to drop coverage. The proposed rates are not final and remain subject to state review and federal subsidy calculations.
Why it mattersPremium volatility in state-based ACA exchanges directly affects Medicaid policy because coverage gaps created by unaffordable commercial plans drive uncompensated care costs and may increase pressure on states to expand Medicaid eligibility or provide supplemental premium assistance programs.