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BiggerPockets Money Podcast

Will 2026 Healthcare Costs Destroy Financial Independence for Millions?

BiggerPockets Money Podcast

BiggerPockets

Education, Investing, Business

4.53K Ratings

🗓️ 25 November 2025

⏱️ 54 minutes

🧾️ Download transcript

Summary

Will 2026 healthcare costs destroy your FIRE plan? Enhanced ACA tax credits expire in 2026—meaning health insurance premiums could DOUBLE or TRIPLE overnight. This healthcare subsidy cliff threatens millions who depend on affordable marketplace coverage. In this episode of the BiggerPockets Money podcast, Mindy Jensen and Scott Trench interview Matt McGough from KFF to break down the 2026 healthcare crisis and what you can do NOW to protect your early retirement. This Episode Covers: Who gets hit hardest by 2026 healthcare premium increases Exact cost projections for early retirement health insurance in 2026 Actionable strategies to prepare NOW for rising healthcare costs Which FIRE strategies still work after ACA subsidy changes Affordable health insurance alternatives for early retirees History of ACA subsidies and why they're expiring Steps to protect your financial independence from the healthcare affordability crisis And SO much more! Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

If you're planning to retire early, we need to talk about health care.

0:03.6

Specifically, what is about to happen to your ACA premiums?

0:07.4

Enhanced tax credits that have kept marketplace insurance affordable are potentially going to

0:12.6

dramatically change in 2026. And for many early retirees, this could mean premiums doubling

0:19.1

or even tripling. Today we're breaking down who

0:22.2

could get hit hardest, how much costs could jump, and what you need to do now to protect

0:26.8

yourself.

0:32.5

Hello, hello, hello, hello, and welcome to the Bigger Pockets Money podcast. My name is Mindy Jensen,

0:36.8

and with me as always is my HealthShare's co-host, Scott Trent.

0:39.8

Thanks, Mindy, so great to be here and thank you for ensuring that all of us know what's going on with health care in America today for the financially independent.

0:47.3

With us today we have a very special guest.

0:49.3

Matt McGough is a policy analyst at KFF where he conducts policy research on the Affordable Care Act,

0:56.3

also known as the ACA or Obamacare, and its effects on private insurers and enrollees,

1:01.1

as well as analyses on health spending, quality of care, access, and affordability.

1:05.9

KFF is an independent source for health policy research, polling, and journalism,

1:09.6

and I spent a lot of time

1:10.8

on KFF in the last week or two trying to wrap my head around this issue. It's a wonderful,

1:14.8

wonderful resource. Matt, thank you so much for joining us today. And thanks for all the work

1:18.4

you do over at KFF. Yep. Thank you for having me. Happy to be here. I thought that we could start

1:22.8

off the discussion here by just framing health care in America. How do most Americans get their health care here in

1:29.2

2025? Most Americans receive their health insurance through their employer. That's about half the

1:34.6

country or about two-thirds of people with insurance. Over a third or part of a public program run by the

...

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