WASHINGTON (AP) — Dinam Bigny, 52, finds himself stretched thin financially, in part due to health insurance premiums nearing $900 per month. With next year's premiums set to increase by an additional $200, he is now on the hunt for more affordable coverage.
“I can’t handle this increase. I’ve exhausted my savings,” Bigny lamented. “The thought of my emergency fund drying up is frightening.”
Bigny represents many Americans who rely on Affordable Care Act (ACA) marketplace plans and are already contending with exorbitant healthcare costs, as corroborated by a recent survey from health care research nonprofit KFF.
Out of 1,300 marketplace enrollees surveyed in early November, most expressed concerns over their health costs for the coming year, particularly if Congress does not renew the expiring COVID-era tax credits that allow more than 90% of enrollees to manage their premiums. With expectations of a budgetary impasse, the chances of an extension seem slim.
The tax credits have recently stirred significant contention in Congress, fueling a historic 43-day government shutdown earlier this fall as Democrats pushed for a full extension while several Republicans opposed it outright.
Recent proposals from President Donald Trump and certain Republican lawmakers have floated the idea of offering a temporary extension, but no solid plan has emerged as of yet. Meanwhile, the window for Americans to acquire next year’s plans is rapidly closing, and billions in subsidies are at risk of expiring.
The KFF poll underscores the high levels of concern among marketplace enrollees regarding the potential expiration of aid programs, with many acknowledging their inability to handle the anticipated cost increases. The weight of such increases was heavily felt among those already struggling to meet basic living expenses.
Experts note that the affected population largely consists of individuals living paycheck to paycheck, ill-equipped to absorb further financial shocks. Even a modest increase in costs can result in significant hardship for these households, said Cynthia Cox, KFF's vice president.
With roughly half of enrollees fearing they will face substantially higher costs in 2024, many have begun to steel themselves for a painful financial reality. Enrolees like Larry Griffin, 56, are already bracing for stark price jumps that threaten their financial security, as drastic increases in their insurance premiums loom.
This widespread concern has cultivated a rare moment of bipartisan support for extending the tax credits, gaining traction across party lines. However, the clock is ticking for lawmakers to deliver a viable solution before the expiration deadline lapses.
Despite the impasse, Bigny remains hopeful for a compromise, calling on lawmakers to prioritize the needs of American families as discussions continue.




















