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Open enrollment, that late autumn/early winter window when consumers choose their health insurance for the coming year, kicks off Nov. 1 in Minnesota and runs through Jan. 15. It’s typically one of the busiest times of the year for insurance brokers like Derek Pickett of Bemidji, with consumers who buy coverage on their own seeking out his agency’s expertise to find the best deals for the year ahead.
But Pickett has more on his mind than usual as open enrollment for 2025 looms. He’s already worrying about open enrollment for 2026 — and for good reason.
Enhanced federal subsidies put in place during the pandemic temporarily lifted the income cap — previously set at 400% of the federal poverty level — to qualify for financial assistance through the Affordable Care Act. The aid instantly and often substantially discounts monthly premium costs for private health plans purchased on MNsure. That has greatly benefited consumers who buy insurance on their own and who had previously made too much to qualify for this aid but not enough to comfortably afford quality coverage. In Minnesota, this included many farm families or younger retirees, in my reporting experience.
Unless Congress acts, the enhanced subsidies regrettably sunset at the end of 2025. If that occurs, many consumers will face serious sticker shock next fall. Pickett is particularly worried about retirees who no longer have coverage through their jobs but are still too young for Medicare, the government-run program mainly serving those 65 and up.
Pickett has this message for lawmakers: “If you do not extend these policies, there are a lot of people that would go without health care” because they can’t afford it.
That’s not good for consumers, who may put off care until they get seriously ill. Nor is it healthy for the state’s health care system, with potentially uncompensated care costs exacerbating pressure on hospitals’ bottom lines. Adding to price shock worries in Minnesota: The state’s reinsurance program, which acts in a different way to cushion consumers from insurance cost increases, effectively ends after 2025, according to the Minnesota Council of Health Plans. MCHP is the trade group representing the state’s nonprofit health plans.