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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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PayPal Workers Prepare for Sharp Health Care Cost Increases in 2026

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Healthcare Provider Update: Healthcare Provider for PayPal PayPal leverages various health insurance providers for its employee benefits program, typically offering options through major health insurers. While specific details can vary based on location and employee needs, prominent providers such as UnitedHealthcare and Cigna are commonly utilized by large companies like PayPal to ensure a comprehensive suite of healthcare options for their workforce. Healthcare Cost Increases in 2026 As we look ahead to 2026, healthcare costs are anticipated to surge dramatically due to a confluence of factors impacting the Affordable Care Act (ACA) marketplace. Record increases in insurance premiums-some exceeding 60%-are driven by escalating medical costs, the prospective expiration of enhanced federal subsidies, and aggressive rate hikes from major insurers. The failure to renew these subsidies could see out-of-pocket premiums for millions of Americans rising by over 75%, placing significant financial pressure on middle-income families. As the healthcare landscape evolves, stakeholders must navigate these challenges with a proactive approach to manage costs effectively. Click here to learn more

'With health care costs rising, PayPal employees should take time to review their coverage and align it with their broader retirement income goals,' — Wesley Boudreaux, a representative of The Retirement Group, a division of Wealth Enhancement.

'PayPal employees can stay ahead of rising health care expenses by proactively evaluating benefits and incorporating future medical costs into their long-term retirement strategy,' — Patrick Ray, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. Why health insurance premiums may rise in 2026.

  2. How these changes could affect PayPal employees and retirees.

  3. Steps to help prepare for higher health care costs.

Millions of Americans, including employees at PayPal, are learning that health insurance premiums could increase significantly in 2026. Depending on the state, income, and whether federal subsidies are offered, monthly premiums for many people may jump by double-digit percentages. 1

Insurers are sending out letters to Affordable Care Act (ACA) marketplace plans nationwide, detailing significant rate increases that could impact PayPal households who rely on supplemental or early retirement coverage. In many cases, people’s monthly premiums will go up by hundreds of dollars in the upcoming year. 2

Health policy researchers have collected new data suggesting average increases for marketplace plans could range from 10% to more than 20%. 1  Many subscribers, including PayPal retirees using marketplace plans, may see payments more than quadruple if expanded government subsidies disappear. 1

Those purchasing insurance on the exchanges are not the only ones facing higher costs. Employer-sponsored plans used by many PayPal families are also facing rising expenses as medical spending rebounds. In 2026, businesses anticipate an average cost increase of approximately 9%. 3

Reasons for Increasing Premiums

The main drivers behind premium hikes, according to insurers, include an aging population, rising medical costs, and increased health care usage post-pandemic—trends likely to impact PayPal retirees.

In addition, unless Congress intervenes, the expanded ACA subsidies implemented during the pandemic are scheduled to expire after 2025, a potential concern for former PayPal workers who rely on this support before Medicare eligibility. Without these subsidies, many middle-class families could see costs surge immediately.

More than 90% of ACA subscribers receive some government assistance with their premiums, 4  and analysts warn that if the expanded subsidies end, millions—including some who retired from PayPal early—could lose coverage entirely by 2027. 4  

The Individual Effect

Every statistic reflects a personal challenge impacting families. Small business owners, independent contractors, and early retirees are already reporting premium increases from $250 to $700 per month in several states. 5

Some households losing subsidies could face monthly premiums of $2,000 or more 4 —far above the $300–$400 range typical today—creating greater strain for PayPal retirees trying to manage health care expenses.

Those living with chronic conditions face even harder decisions, since routine care and medications remain essential.

Getting Ready for 2026

Advisors recommend reviewing health plan options thoroughly during upcoming enrollment seasons, especially for those nearing retirement. This includes checking subsidy eligibility, comparing multiple coverage options, and evaluating whether a spousal or employer-sponsored plan could offer better value.

Professionals approaching retirement may want to consider tax-efficient health care savings tools like Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) to help manage higher costs. It is also important to account for health care inflation when forecasting post-employment income.

A Monetary Urge to Act

Rising health care expenses can disrupt long-term goals for individuals and families, including those with many years of service at PayPal. Medical coverage decisions should tie to retirement income strategies, tax planning, and asset preservation.

From retirement income and tax strategies to insurance and budgeting, The Retirement Group can help you evaluate how these changes may impact your future. Before open enrollment ends, call The Retirement Group at (800) 900-5867 to review retirement planning options and strategies to help navigate rising health care costs.

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What is the 401(k) plan offered by PayPal?

PayPal offers a 401(k) plan that allows employees to save for retirement through pre-tax contributions, which can grow tax-deferred until withdrawal.

How does PayPal match employee contributions to the 401(k) plan?

PayPal provides a matching contribution to employees' 401(k) plans, typically matching a percentage of the employee's contributions up to a certain limit.

Can employees at PayPal choose how to invest their 401(k) contributions?

Yes, PayPal allows employees to choose from a variety of investment options for their 401(k) contributions, including mutual funds and target-date funds.

What is the eligibility requirement for PayPal’s 401(k) plan?

Employees at PayPal are generally eligible to participate in the 401(k) plan after completing a specified period of service, often within the first year of employment.

How can PayPal employees enroll in the 401(k) plan?

PayPal employees can enroll in the 401(k) plan through the company's benefits portal, where they can select their contribution amount and investment options.

What is the maximum contribution limit for PayPal employees under the 401(k) plan?

The maximum contribution limit for PayPal employees under the 401(k) plan is subject to IRS guidelines, which can change annually.

Does PayPal offer a Roth 401(k) option?

Yes, PayPal provides a Roth 401(k) option, allowing employees to make after-tax contributions that can grow tax-free.

What happens to my PayPal 401(k) if I leave the company?

If you leave PayPal, you can choose to roll over your 401(k) balance to another retirement account, cash out, or leave it in the PayPal plan if eligible.

Can PayPal employees take loans against their 401(k) savings?

Yes, PayPal allows employees to take loans against their 401(k) savings, subject to specific terms and conditions set by the plan.

Are there any fees associated with managing the PayPal 401(k) plan?

Yes, there may be administrative fees and investment-related fees associated with the PayPal 401(k) plan, which are disclosed in the plan documents.

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