Kansas Health Insurance Enrollment Hits Record High, but Subsidy Changes Could Lower Numbers in 2026

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Kansas has seen record numbers of people signing up for health insurance on the marketplace over the past four years. Enrollment is expected to drop once the extra financial help ends at the close of 2025. A new report from the Kansas Health Institute looks at this likely change, along with current enrollment by county, region, and available plans.

During the open enrollment period that ended Jan. 15, 2025, about 200,000 Kansans signed up or were automatically re-enrolled in a marketplace health plan for 2025 — a 16.7% increase from 2024.

The average monthly premium for all enrollees was $106, down $5 from the previous year. Those using financial help (APTC) paid an average of $73 per month, while people without help paid $590. About 94% of enrollees used APTC to lower their monthly costs.

New federal rules will shorten open enrollment from 75 to 45 days, remove a special low-income enrollment period, update eligibility rules, and require a $5 premium for those who don’t update their eligibility before the deadline.

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