Ben J. Mauldin | Apr 02 2026 11:30

If your health insurance premium jumped significantly at the start of 2026, you're not imagining it — and you're not alone.

Thousands of South Carolina families are opening their bills this year and doing a double-take. Premiums on ACA Marketplace plans increased by an average of 21% in South Carolina for 2026. That's not a typo. And for many families, the shock is even bigger because the extra federal subsidies that kept premiums low from 2021 through 2025 have now expired.

Here's what happened, why it matters, and — most importantly — what you can do about it right now.


What Changed in 2026?

From 2021 through 2025, Congress passed enhanced premium subsidies through the American Rescue Plan and the Inflation Reduction Act. These subsidies made health insurance dramatically more affordable for millions of Americans — including right here in the Midlands. During that period, more than 95% of South Carolina Marketplace enrollees qualified for premium help, with an average savings of $523 per month.

Those enhancements expired at the end of 2025.

What that means in plain language: the subsidies that used to cover a large portion of your monthly premium are smaller now. And if your household income is above 400% of the federal poverty level — roughly $62,400 for an individual or $127,000 for a family of four — you may no longer qualify for any subsidy at all.


What Does This Mean for Your Family?

If you buy your own health insurance through the ACA Marketplace, you're likely seeing one or more of these situations:

  • Your monthly premium increased significantly even though your income didn't change
  • Your subsidy shrank or disappeared entirely
  • The plan you had last year is no longer the most affordable option for 2026
  • You're considering going without coverage because it feels unaffordable

All of these are real and we hear them every week at Mauldin Insurance Group. The good news is that options still exist — you just have to know where to look.


What You Can Actually Do Right Now

1. Review your current plan immediately. The plan that was right for you in 2025 may not be the most affordable option in 2026. Carriers adjusted their pricing differently, and a different plan — even with the same coverage level — might save you hundreds per month.

2. Check your subsidy eligibility again. Subsidies still exist in 2026 — they're just calculated differently. If your income is below 400% of the federal poverty level, you likely still qualify for some help. Many families are leaving money on the table because they assumed they no longer qualify.

3. Look at all six carriers. South Carolina has six insurers offering Marketplace plans in 2026. Most people only compare one or two. An independent agent like Mauldin Insurance Group can compare all six side by side and find the plan that covers your doctors and prescriptions at the lowest net cost.

4. Consider whether a Special Enrollment Period applies to you. Lost a job? Had a baby? Got married or divorced? Moved? These life events can qualify you for a Special Enrollment Period, meaning you can change your plan right now — you don't have to wait until November.

5. Talk to an independent agent — not a carrier directly. When you call a carrier, they can only show you their own plans. An independent agent like us represents all the carriers and has no incentive to push you toward any one of them. That means you get a real, unbiased comparison — at no cost to you.


The Bottom Line

Yes, health insurance costs more in 2026. That's a real challenge for South Carolina families, and it's frustrating. But higher premiums don't mean you're stuck paying whatever your current plan charges. There are still ways to reduce your costs, access subsidies, and find coverage that fits your budget — if you know how to look.

At Mauldin Insurance Group in Lexington, SC, helping families navigate exactly these situations is what we do every day. We serve clients all across South Carolina, and our services are always free to you.

If your premium went up this year and you haven't had someone review your options, now is the time.

If your health insurance premium jumped significantly at the start of 2026, you're not imagining it — and you're not alone.Thousands of South Carolina families are opening their bills this year and...