Tennessee absorbed one of the largest rate increases in the country for 2026 — roughly 39% — in a state that never expanded Medicaid.
| 2026 rate change | About 39% before subsidies |
|---|---|
| Where you enroll | healthcare.gov |
| Medicaid | Not expanded — coverage gap under 100% FPL |
| Open enrollment | Opens November 1 for the following year |
| Subsidy cliff | $62,600 single · $128,600 for four |
Figures reflect 2026 plan year filings and state rules. If you're making a decision on any of these, ask me to confirm the current position for your county.
Rates in Tennessee rose roughly 39% before subsidies for 2026 — well above the national average of about 20%, and among the steepest increases of any state.
That happened for the same reason it happened everywhere, only harder: the enhanced federal premium tax credits expired on January 1, 2026, and carriers were already filing large increases for underlying medical costs. Tennessee got both at full strength.
Tennessee also enrolls through healthcare.gov rather than running its own marketplace. Across the country, states on the federal platform saw benchmark premiums rise roughly 30% against about 17% in states operating their own exchanges. Tennessee landed well above even that federal average.
Adults below 100% of the federal poverty level generally can't receive Marketplace subsidies and don't qualify for TennCare either. That's the coverage gap, and it's the first thing worth checking if your income is low — because the answer determines everything that follows.
Above that line, subsidies scale with income up to the cliff, and Tennessee's steep rate increase makes the value of a subsidy larger here than in most states.
Premium tax credits end completely above $62,600 for one person and $128,600 for a household of four in 2026. Not reduced — eliminated. A Tennessee household at $62,601 pays the same unsubsidized premium as one at $300,000, on rates that just rose nearly 40%.
That combination is why so many self-employed Tennesseans went shopping this year for the first time in a decade. If you're near that line, knowing exactly where you stand is worth more than any plan comparison.
Nothing. Brokers are paid a commission by the carrier, and it's built into the premium whether you use one or not — enroll direct and the carrier simply keeps it. The plan price is identical either way. There's a fuller explanation, along with my NPN, on the licensing page.
Tennessee rates rose roughly 39% before subsidies for 2026, among the largest increases in the country and well above the national average of about 20%. The expiration of enhanced federal premium tax credits on January 1, 2026 meant many enrollees saw a much larger increase in what they actually pay.
Yes. Tennessee has not expanded Medicaid, so adults under 100% of the federal poverty level generally cannot receive Marketplace premium tax credits and do not qualify for TennCare. This leaves a coverage gap that affects hundreds of thousands of residents.
Tennessee uses the federal marketplace at healthcare.gov rather than operating its own state exchange. Federal enrollment dates and deadlines apply.
My National Producer Number is 21388659. You can confirm it through the Tennessee Department of Commerce & Insurance or the National Insurance Producer Registry. I'd encourage it — you should never take a broker's word for their own credentials.
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