Aetna, the Hartford-based health insurance provider under CVS Health, has announced plans to exit the Affordable Care Act (ACA) marketplaces nationwide in 2026. This decision will impact around 1 million individuals across 17 states who currently rely on Aetna for their health coverage.
The move stems from ongoing financial challenges within Aetna's individual exchange products. Despite improved first-quarter earnings—adjusted operating income rose to $2 billion from $732 million the previous year—Aetna continues to face underperformance in this segment, prompting the withdrawal.
CVS Health, Aetna's parent company, reported a 7% year-over-year revenue increase, reaching $94.6 billion for the first quarter. However, the company expressed concerns about potential impacts from new pharmaceutical tariffs and vaccine hesitancy within the current administration, which could affect their drug supply and retail business operations.
Aetna's exit from the ACA marketplaces underscores the volatility and challenges insurers face within the individual insurance market. As the healthcare landscape continues to evolve, affected policyholders are advised to explore alternative coverage options to ensure uninterrupted access to healthcare services.