Highmark BCBSD Inc. 2026 ACA Individual Market Rate Filing (Delaware)
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Summarizes Highmark BCBSD Inc.'s requested average rate increase for ACA individual market products effective 2026, drivers for the change, and affected membership.
An average ACA individual market rate increase of 26.7% is being requested (range 24.5%–31.0%).
Projected medical costs are expected to increase via utilization and average cost per service across service types.
Cost sharing parameters were changed to maintain compliance with Federal AV requirements.
Filing Rationale and Projections
Filing rationale and projections
Drivers and justifications included in the filing:
Rate Parameters and Key Metrics
| No codes listed |
Rate Filing Summary and Provider Impact
Rate filing summary — rate request and effective dates; no PA actions
Highmark BCBSD Inc. is requesting an average ACA individual market rate increase of 26.7% (range 24.5%–31.0%) for products effective January 1, 2026 through December 31, 2026. The filing does not specify any provider prior authorization requirements or actions.
- Requested average rate increase: 26.7% (range 24.5%–31.0%).
- Products' effective dates: January 1, 2026 to December 31, 2026.
- No provider prior authorization actions specified in the filing.
Key Terms and Adjustments
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