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Aetna's ACA Exit: 1 Million Americans Must Find New Health Coverage by 2026

Nicholas Ricci
May 10, 2025
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Aetna's ACA Exit: 1 Million Americans Must Find New Health Coverage by 2026

CVS Health has announced that its subsidiary, Aetna, will exit the ACA individual insurance marketplaces starting in 2026. This move will impact around one million Aetna policyholders in 17 states, who will need to secure new health insurance plans during the upcoming open enrollment period .

Why Is Aetna Leaving?

The decision aligns with CVS Health's strategic shift to streamline operations and focus on more sustainable health benefit solutions. Factors influencing this move include:

  • Financial Performance: Aetna's individual exchange products have underperformed, prompting CVS to reassess their viability .
  • Expiration of Subsidies: Enhanced ACA subsidies, expanded under the American Rescue Plan Act and extended through 2025, are set to expire. Without renewal, premiums could rise, making marketplace plans less affordable and potentially reducing enrollment.

What Should Affected Individuals Do?

If you're among those impacted, it's crucial to:

  1. Review Your Options: During the open enrollment period, compare available health plans to find one that suits your needs and budget.
  2. Seek Assistance: Utilize resources and tools to navigate the insurance landscape and make informed decisions.

How WorkPlay Can Help:

Navigating changes in health insurance can be challenging. WorkPlay offers tools and resources to help you understand your options, compare plans, and make choices that align with your healthcare needs and financial situation.

Take Action Now:

Don't wait until the last minute. Join WorkPlay today to access personalized guidance and ensure you're prepared for the upcoming changes in the health insurance marketplace.

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