ExchangeAdministrativeMedium impact
Significant Changes Coming to the Health Insurance Marketplace
Florida Blue·FL·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 16, 2026
Summary
Florida Blue is notifying providers that enhanced ACA subsidies for Health Insurance Marketplace plans will expire at the end of 2025 unless renewed by Congress, potentially causing substantial premium increases for patients starting January 2026. The policy also warns of stricter enrollment requirements and fewer special enrollment opportunities outside of Open Enrollment periods.
Action Required
Before December 2025: Front desk staff should proactively discuss potential insurance changes with patients who have Marketplace plans during scheduling calls. Direct patients to FloridaBlue.com/StayCovered for subsidy information. Billing team should prepare for potential coverage gaps or plan changes starting January 2026 by verifying insurance eligibility more frequently for Marketplace patients.