Individual Market Rates to Increase by an Average 12.4 Percent in 2024

Posted September, 12 2023 by Mia Wagner

New Yorkers bracing for health insurance premiums in the individual market are in for some unwelcome news as we look ahead to 2024. According to the latest data, individual market rates are set to surge by an average of 12.4 percent next year. Health plans had initially requested a whopping 22.1 percent average rate hike for 2024, but the Department of Financial Services has managed to trim down this figure through New York’s prior approval process.

The table below presents a comparison of the health plans’ original rate hike requests and the rates that were ultimately approved, giving you insight into how the process affects your healthcare costs. (Feel free to refer to our detailed comments on each rate request.)

The prior approval process serves as a critical safeguard; however, the 12.4 percent increase still poses a financial challenge for many New Yorkers. It underscores the need for New York to explore additional measures to protect consumers from steep premium rises outside of the rate review process. States like Connecticut, Delaware, Massachusetts, Nevada, New Jersey, Oregon, Rhode Island, and Washington have already taken steps in this direction, establishing Health Care Cost Containment task forces or agencies.

For those concerned about the affordability of health insurance, there’s some relief to be found. Most New Yorkers purchasing their own health coverage qualify for subsidies that can help offset premium costs. To explore your options and find out more about available subsidies, head over to the NY State of Health enrollment site. If you need assistance with switching plans or enrolling in affordable health insurance, the Navigator program is here to help. Navigators provide free, unbiased enrollment assistance and can help you understand your eligibility for premium assistance and your coverage options. You can reach out Navigators in the CSS Navigator Network at 888-614-5400 or drop them an email at enroll@cssny.org. You can reach out to assistors with the NY State of Health online here or call at 855-355-5777.

2024 Individual Market Rate Changes   
PlanRequested IncreaseApproved IncreaseChange
Emblem/HIP52.7%25.1%-52.4%
IHBC39.2%25.3%-35.5%
MetroPlus26.4%17.6%-33.3%
CDPHP23.5%12.1%-48.5%
Highmark22.6%13.0%-42.5%
Healthfirst20.9%12.5%-40.2%
UnitedHealthcare20.9%12.2%-41.6%
Anthem (Formerly Empire HealthPlus)20.7%8.6%-58.5%
Oscar18.4%7.9%-57.1%
Excellus15.2%12.2%-19.7%
MVP13.3%6.5%-51.1%
Overall22.1%12.4%-43.9%