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

Advantage Solutions Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for Advantage Solutions: Advantage Solutions typically collaborates with various insurance providers and plans for their healthcare offerings, primarily through partnerships with large national insurers such as UnitedHealthcare and Anthem, among others. These partnerships allow Advantage Solutions to provide a diverse range of health plans and options for their employees and clients. Overview of Potential Healthcare Cost Increases in 2026: As the healthcare landscape evolves, significant hikes in Affordable Care Act (ACA) premiums are anticipated in 2026, with some states experiencing increases exceeding 60%. The driving forces behind these surging costs include escalating medical expenses, the potential loss of enhanced federal premium subsidies, and sizeable rate hikes requested by major insurers. Industry analysts suggest that without intervention to extend these subsidies, over 22 million marketplace enrollees could face out-of-pocket premium increases of more than 75%. This impending financial strain casts a shadow over the current healthcare market landscape, compelling consumers to adopt proactive strategies to mitigate the financial impact. Click here to learn more

'Advantage Solutions employees approaching retirement should recognize that proactive income and health care planning can make the difference between preserving subsidy eligibility and facing sharply higher ACA premiums.' – Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement.

'Advantage Solutions employees planning their retirement should consider how income levels influence ACA subsidies, as even small adjustments in taxable withdrawals can affect future health care affordability.' – Tyson Mavar, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

How the expiration of enhanced ACA subsidies after 2025 could impact health care costs for retirees and early retirees.
Real-life case studies illustrating how different individuals are adjusting to rising ACA premiums.
Practical steps Advantage Solutions professionals can take before enrolling in 2026 Marketplace plans.

by Brent Wolf, CFP®, Wealth Enhancement

As open enrollment for 2026 Marketplace plans begins, many households are seeing dramatic shifts in their renewal letters. Rising base premiums and the possible end of enhanced subsidies after 2025 could mean significantly higher out-of-pocket costs for anyone purchasing coverage through the Affordable Care Act (ACA) exchange.

The Kaiser Family Foundation (KFF) estimates that if Congress does not extend enhanced premium tax credits, average net premium payments could more than double in 2026. ¹

“It feels like a second mortgage to pay this premium.”

Profile: A couple in their early 60s who retired a few years before becoming Medicare-eligible.

What changed: Their ACA premium had been manageable due to increased subsidies. Their renewal now indicates a rise of about $1,000 to $1,200 monthly if enhanced credits expire.

Decision pressure: They faced hard choices—drawing more taxable income from IRAs, going without coverage, or returning to the workforce for employer-based insurance.

Our response: We reworked their income plan to align with the ACA’s income-based subsidy structure. By controlling their Modified Adjusted Gross Income (MAGI) through smaller IRA withdrawals, use of cash reserves, and partial Roth conversions, we kept them eligible for key subsidies. Comparing a Bronze high-deductible plan with a health savings account (HSA) to a Silver plan revealed the Silver plan—thanks to cost-sharing reductions—was more economical given their expected medical treatments.

“I can’t risk losing coverage while battling an illness.”

Profile: A single client in her early 60s undergoing ongoing medical treatment.

What changed: Without enhanced subsidies, her premiums nearly tripled.

Decision pressure: Balancing affordability with the need to keep her care team and prescriptions consistent.

Our response: We prioritized staying with her provider network and controlling her out-of-pocket costs. A dedicated “medical reserve” fund—equal to one year’s maximum out-of-pocket limit—gave her a cushion without liquidating investments during market declines. We also worked with her physicians to identify lower-cost prescriptions through her plan’s formulary.

“The new premiums are hurting our business margins.”

Profile: A self-employed couple—one partner managing asthma and the other a cardiac rhythm condition.

What changed: Without subsidies, their net premiums are expected to rise sharply.

Decision pressure: Continue paying high premiums, choose a plan with a very high deductible, or seek W-2 employment for benefits.

Our response: We compared total annual costs for a Silver plan versus a Bronze option, factoring in frequent specialist visits and prescriptions. Once total medical costs were considered, the Silver plan proved more cost-effective. We also aligned their life and disability coverage and tailored their tax approach to reflect potential changes in premium tax credits.

“I’m young and healthy—do I even need full coverage?”

Profile: An independent contractor in their 20s with minimal expected medical use.

What changed: Premiums for mid- and high-tier plans nearly quadrupled.

Decision pressure: Choosing between a high-deductible Bronze HSA plan and catastrophic coverage.

Our response: We modeled three options—a Bronze HSA-eligible plan, a mid-tier plan, and catastrophic coverage. The Bronze HSA option offered the best mix of lower premiums and long-term tax benefits. Monthly automated HSA contributions build a future medical fund that can later be used for qualified health care expenses or Medicare premiums (excluding Medigap) after age 65.

Five Steps to Take Before You Enroll

1. Evaluate your total annual cost, not just the premium. Factor in deductibles, copays, and the possibility of reaching your out-of-pocket maximum.

2. Manage your MAGI carefully. ACA subsidies depend on income. Coordinate Roth conversions, capital gains, and IRA withdrawals strategically.

3. Verify your doctor and prescription coverage. Always confirm your plan’s provider network and formulary before enrolling.

4. Maintain a medical reserve fund. Hold six to 12 months of premiums plus a portion of your maximum out-of-pocket in cash or short-term Treasuries.

5. Finalize your plan by December 15. Open Enrollment for 2026 coverage ends on December 15, with plans effective January 1.

If Affordability Is a Concern

Choosing to go without insurance can expose you to serious financial strain in case of illness or accident. Consider the most affordable Bronze plan that still meets ACA minimum coverage requirements. If your income decreases during the year, you may become eligible for Medicaid or CHIP and qualify for a Special Enrollment Period. ²

How The Retirement Group Supports Advantage Solutions Professionals

For Advantage Solutions employees approaching or already in retirement, the intersection of rising health care costs and income planning can be complex. The Retirement Group focuses on helping clients navigate ACA subsidy rules, tax-efficient withdrawal strategies, and health care cost planning during retirement transitions.

To speak with an advisor about aligning your retirement income and health care planning, call (800) 900-5867 today.

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Articles you may find interesting:

Sources:

1. Cox, Cynthia, et al. “ACA Marketplace Premium Payments Would More Than Double on Average Next Year if Enhanced Premium Tax Credits Expire.” Kaiser Family Foundation (KFF) , 2025, pp. n.p., https://www.kff.org/affordable-care-act/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire/ .
2. Centers for Medicare & Medicaid Services. ' Understanding Special Enrollment Periods. ' June 2025.
Other resources:
1. “When Can You Get Health Insurance? | Dates & Deadlines.” HealthCare.gov , U.S. Centers for Medicare & Medicaid Services, n.d., https://www.healthcare.gov/quick-guide/dates-and-deadlines/ .
2. Publication 969: Health Savings Accounts and Other Tax-Favoured Health Plans. Internal Revenue Service, 2024, pp. 8–9, https://www.irs.gov/pub/irs-pdf/p969.pdf .
3. “Silver vs. Bronze Plan Selection: Cost-Comparison Scenarios.” Centers for Medicare & Medicaid Services (CMS) , 23 Dec. 2024, pp. 1–3, https://www.cms.gov/files/document/silver-vs-bronze-cost-comparison-scenario-resource.pdf .
4. Murphy, Tom. “Expect Health Insurance Prices to Rise Next Year, Brokers Say.” AP News , Associated Press, 24 Aug. 2025, https://apnews.com/article/health-insurance-drug-costs-2026-rates-c4d865ec09c7088ecc6b55dc520f3566 .

What is the 401(k) plan offered by Advantage Solutions?

The 401(k) plan at Advantage Solutions is a retirement savings plan that allows employees to save a portion of their salary on a pre-tax or Roth after-tax basis.

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

Advantage Solutions offers a matching contribution to the 401(k) plan, typically matching a percentage of employee contributions up to a certain limit.

Can employees at Advantage Solutions choose how to invest their 401(k) funds?

Yes, employees at Advantage Solutions can select from a variety of investment options within the 401(k) plan, including mutual funds and other investment vehicles.

What is the eligibility requirement for Advantage Solutions’ 401(k) plan?

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

Is there a vesting schedule for the Advantage Solutions 401(k) match?

Yes, Advantage Solutions has a vesting schedule for the matching contributions, meaning employees must work for a certain period before they fully own the matched funds.

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

Employees can enroll in the Advantage Solutions 401(k) plan through the company’s HR portal or by contacting the HR department for assistance.

What are the contribution limits for the Advantage Solutions 401(k) plan?

The contribution limits for the Advantage Solutions 401(k) plan are set by the IRS and may change annually; employees should refer to the latest IRS guidelines for the current limits.

Can Advantage Solutions employees take loans against their 401(k) accounts?

Yes, Advantage Solutions allows employees to take loans against their 401(k) accounts, subject to specific terms and conditions outlined in the plan.

What happens to my 401(k) if I leave Advantage Solutions?

If you leave Advantage Solutions, you have several options for your 401(k), including rolling it over to another retirement account, cashing it out, or leaving it with Advantage Solutions.

Does Advantage Solutions provide financial education regarding the 401(k) plan?

Yes, Advantage Solutions offers resources and workshops to help employees understand their 401(k) options and make informed investment decisions.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.

Advantage Solutions announced a major restructuring plan involving significant layoffs and office closures. The company cited the need to streamline operations and reduce costs amid ongoing economic uncertainties and shifting market demands.

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For more information you can reach the plan administrator for Advantage Solutions at 18100 Von Karman Avenue, Suite 1000 Irvine, CA 92612; or by calling them at (949) 797-2900.