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

Delta Air Lines Retirees Face ACA Premium Shock—Here’s How Others Are Responding

Healthcare Provider Update: Healthcare Provider for Delta Air Lines: Delta Air Lines employees typically access healthcare services through a variety of providers. The specific healthcare provider network can vary by plan, but Delta often partners with major health insurance companies such as UnitedHealthcare, Anthem (Elevance Health), and Cigna to offer health benefits to its employees. Brief on Potential Healthcare Cost Increases in 2026: As healthcare costs continue to rise, Delta Air Lines employees should prepare for significant out-of-pocket expenses in 2026. With projections indicating that premiums for Affordable Care Act (ACA) policies could soar by as much as 66% in certain states, nearly 92% of marketplace enrollees could face increases of over 75% due to the expiration of federal subsidies. These factors, combined with rising medical costs and insurer profit pressures, suggest that employees may need to reassess their healthcare plans and budget accordingly, as many companies, including Delta, are likely to pass on more costs to workers. Click here to learn more

'Delta Air Lines 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.

'Delta Air Lines 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 Delta Air Lines 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 Delta Air Lines Professionals

For Delta Air Lines 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.

Featured Video

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 Delta Air Lines?

The 401(k) plan offered by Delta Air Lines is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out, helping them prepare for retirement.

How does Delta Air Lines match employee contributions to the 401(k) plan?

Delta Air Lines offers a matching contribution to the 401(k) plan, which typically matches a percentage of the employee's contributions, up to a certain limit.

What are the eligibility requirements to participate in Delta Air Lines' 401(k) plan?

Employees of Delta Air Lines are eligible to participate in the 401(k) plan after completing a specific period of service, which is outlined in the plan details.

Can Delta Air Lines employees change their contribution rates to the 401(k) plan?

Yes, employees at Delta Air Lines can change their contribution rates to the 401(k) plan at any time, subject to the plan's guidelines.

What investment options are available in Delta Air Lines' 401(k) plan?

Delta Air Lines provides a variety of investment options in its 401(k) plan, including mutual funds, target-date funds, and other investment vehicles.

Is there a vesting schedule for the employer match in Delta Air Lines' 401(k) plan?

Yes, Delta Air Lines has a vesting schedule for the employer match, meaning that employees must work for a certain period before they fully own the matched contributions.

How can Delta Air Lines employees access their 401(k) account information?

Delta Air Lines employees can access their 401(k) account information through the company's benefits portal or by contacting the plan administrator.

What happens to my Delta Air Lines 401(k) if I leave the company?

If you leave Delta Air Lines, you have several options for your 401(k), including rolling it over to another retirement account, leaving it with Delta, or cashing it out, subject to taxes and penalties.

Are there loans available against my 401(k) at Delta Air Lines?

Yes, Delta Air Lines allows employees to take loans against their 401(k) balance, subject to the terms and conditions set forth in the plan.

How often can I change my investment allocations in Delta Air Lines' 401(k) plan?

Employees at Delta Air Lines can change their investment allocations in the 401(k) plan as often as they like, following the plan's guidelines.

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

Delta Air Lines provides a defined contribution 401(k) plan with company matching contributions. Employees can contribute pre-tax or Roth (after-tax) dollars, and Delta matches up to 9% of eligible compensation. The plan includes various investment options, such as target-date funds, mutual funds, and a self-directed brokerage account. Delta also offers financial planning resources and tools to help employees manage their retirement savings.

Cummins is implementing layoffs to improve operational efficiencies and meet zero-emission goals. The company has offered voluntary retirement and separation packages to eligible employees and is focused on reducing middle management roles. Despite cost-cutting measures, Cummins continues to offer a comprehensive benefits package including a 401(k) plan. Staying informed about these benefits is crucial given the current political environment

Delta Air Lines provides RSUs that vest over time, giving employees shares of the company upon meeting vesting conditions. Stock options are also available, allowing employees to buy shares at a set price.

Additional Articles

Check Out Articles for Delta Air Lines employees

For more information you can reach the plan administrator for Delta Air Lines at 1030 Delta Blvd Atlanta, GA 30320; or by calling them at (404) 715-2600.