Health insurance price forecast

Patients may pay more next year, but coverage may shrink, according to experts.

- TOM MURPHY

ERIC THAYER Getty Images EXPECT prescription coverage changes next year because of high prices for medications, experts say.

Pricey prescriptions and nagging medical costs are swamping some insurers and employers now. Patients may start paying for it next year.

Health insurance will grow more expensive in many corners of the market in 2026, and coverage may shrink. That could leave patients paying more for doctor visits and dealing with prescription coverage changes.

Price increases could be especially stark in individual coverage marketplaces, where insurers also are predicting the government will end some support that helps people buy coverage.

“We're in a period of uncertainty in every health insurance market right now, which is something we haven't seen in a very long time,” said Larry Levitt, an executive vice president at the nonprofit KFF, which studies healthcare.

What's hitting insurers

In conference calls to discuss recent earnings reports, insurers ticked off a list of rising costs: More people are receiving care. Visits to expensive emergency rooms are rising, as are claims for mental health treatments.

Insurers also say more healthy customers are dropping coverage in the individual market. That leaves a higher concentration of sicker patients who generate claims.