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Maine Regulators Approve Nearly 15% Average Rate Hike for 2027 ACA Plans

Regulators said rising medical and prescription drug costs drove the decision, noting advance premium tax credits will only partially offset higher sticker prices.

Overview

  • State insurance regulators approved average increases of 14.8% for individual marketplace plans and 13.5% for small-group coverage that take effect January 1, 2027.
  • Officials pointed to rising hospital and provider costs plus higher prescription drug prices as the main drivers, and they approved smaller hikes than insurers requested (insurers sought about 16.8% for individuals and 15.7% for small groups).
  • The decision affects roughly 65,000 people who buy coverage through CoverME.gov and most enrollees will see some relief because more than 70% receive advance premium tax credits.
  • Acting Insurance Superintendent Timothy Schott said the approved increases remain painful for Mainers and small businesses and urged consumers to compare plans during open enrollment on CoverME.gov.
  • The move follows national trends of roughly 15% rate growth and comes after the expiration of enhanced premium tax credits, a change that weakened enrollment and can leave unsubsidized buyers facing much larger out-of-pocket premium jumps.