Alaska
Cheapest ACA plans in Alaska for 2026
Cheapest Bronze plan in Alaska, before subsidies: Moda Health Moda Select Alaska Standard Bronze in Aleutians East County at $648/month for a 40-year-old non-tobacco user; Moda Health Moda Select Alaska Standard Bronze in Aleutians East County at $2,066/month for a family of four (two 40-year-olds and two kids under 14). Alaska has the highest posted ACA premiums in the country, but the Alaska Reinsurance Program pulls gross rates down before federal APTC applies. Medicaid expansion closes the coverage gap.
Cheapest plans by metal tier
Lowest 2026 monthly premium for a single 40-year-old non-tobacco user, on-exchange, before any subsidy. Per-age figures derived from the CMS QHP Landscape file using the HHS standardized age-rating curve (45 CFR 147.102).
| Tier | Cheapest age 40 monthly | Plans statewide |
|---|---|---|
| Expanded Bronze | $648 | 180 |
| Gold | $882 | 150 |
| Silver | $984 | 120 |
The actual cheapest plan in major counties
Same data the search returns: carrier, plan name, monthly premium, individual deductible, individual MOOP. Computed for a single 40-year-old non-tobacco user, before any subsidy. Catastrophic plans excluded because adults 30+ typically need a hardship-exemption certificate to enroll.
Anchorage County
$648/moModa Health Plan, Inc. · Moda Select Alaska Standard Bronze
Matanuska-Susitna County
$680/moModa Health Plan, Inc. · Moda Select Alaska Standard Bronze
Fairbanks North Star County
$680/moModa Health Plan, Inc. · Moda Select Alaska Standard Bronze
Kenai Peninsula County
$678/moModa Health · Moda Select Alaska Bronze HDHP 5500
Juneau County
$663/moModa Health Plan, Inc. · Moda Select Alaska Standard Bronze
Bethel County
$648/moModa Health · Moda Select Alaska Standard Bronze
The actual cheapest plan for a family of four
Two 40-year-old adults and two kids in the 0-14 age band, before any subsidy. Carrier, plan name, premium, deductible, and MOOP exactly as the search would return them.
Anchorage County
$2,071/moModa Health Plan, Inc. · Moda Select Alaska Standard Bronze
Matanuska-Susitna County
$2,177/moModa Health Plan, Inc. · Moda Select Alaska Standard Bronze
Fairbanks North Star County
$2,177/moModa Health Plan, Inc. · Moda Select Alaska Standard Bronze
Kenai Peninsula County
$2,163/moModa Health · Moda Select Alaska Bronze HDHP 5500
Juneau County
$2,121/moModa Health Plan, Inc. · Moda Select Alaska Standard Bronze
Bethel County
$2,066/moModa Health · Moda Select Alaska Standard Bronze
Subsidies: federal APTC + Alaska Reinsurance Program (§1332)
Two programs apply on Healthcare.gov for Alaska residents:
- Federal Advance Premium Tax Credit (APTC). Households 100-400% FPL on the PY2026 standard ACA contribution curve. Alaska uses the separate Alaska FPL table (higher than the contiguous 48), so dollar income thresholds are higher than in other states. The ARPA / IRA enhanced subsidies expired 2025-12-31 and are not in effect for 2026.
- Alaska Reinsurance Program (§1332 waiver).Administered by the Alaska Comprehensive Health Insurance Association (ACHIA) and authorized under AS 21.55. The federal §1332 waiver has been active since PY2018 and pays claims for 33 high-cost condition categories, which pulls gross individual-market premiums down before subsidy. Alaska's reinsurance program is the earliest and one of the most consequential in the country; without it, posted premiums would be materially higher. No consumer application — the savings are baked into posted rates.
Alaska expanded Medicaid in September 2015. Adults 19-64 with income up to 138% FPL qualify regardless of parental status or disability; the Alaska FPL table applies, so dollar thresholds are higher than in the lower 48. There is no coverage gap in Alaska.
Catastrophic plans in Alaska follow federal rules
Alaska follows the federal ACA default: Catastrophic coverage is available to enrollees under age 30, or at any age with a hardship / affordability exemption. The PY2026 federal auto-expansion applies (adults 30+ automatically eligible when the lowest-cost Bronze plan exceeds the affordability threshold). APTC does not apply to Catastrophic plans.
Tobacco surcharges follow the federal 1.5x default in Alaska
Alaska applies the federal ACA default (45 CFR 147.102): carriers may charge tobacco users up to 50% more than non-users (a 1.5-to-1 rate ratio). The Alaska Division of Insurance reviews rate filings under AS 21.54. No Alaska-specific cap below the federal 1.5x ceiling has been identified. Federal APTC does not cover the tobacco portion of the premium.
Carriers selling 2026 plans in Alaska
4 carriers, 480 plans across 30 counties. 450 sold on Healthcare.gov, 30 off-exchange-only direct from carriers. Premera Blue Cross Blue Shield of Alaska is the historic statewide carrier; Moda Assurance Company (Delta Dental of Oregon's health affiliate) re-entered the individual market and competes in Anchorage, Mat-Su, and Fairbanks. Many remote boroughs and census areas have a single on-exchange carrier.
| Carrier | Plans (on + off exchange) |
|---|---|
| Moda Health | 227 |
| Premera BlueCross BlueShield of Alaska | 223 |
| Premera Blue Cross Blue Shield of Alaska | 17 |
| Moda Health Plan, Inc. | 13 |
Enrollment
Open Enrollment for 2026 coverage runs November 1, 2025 through January 15, 2026. Enroll by December 15 for a January 1 effective date; December 16 through January 15 takes effect February 1. Special Enrollment is available year-round for qualifying life events.
Direct enrollment: healthcare.gov.
Frequently asked questions
What is the cheapest ACA plan in Alaska for 2026?
The cheapest Bronze-tier plan a 40-year-old non-tobacco user can enroll in without paperwork is Moda Health Moda Select Alaska Standard Bronze in Aleutians East County at $648 per month before subsidies. Data refreshed 2026-04-19T08:08:55.462Z.
Why are Alaska premiums so high?
Alaska has the highest individual-market premiums in the country driven by a small risk pool, very high provider costs (partly from limited in-state specialty care and medical evacuation needs), and geographic challenges. The Alaska Reinsurance Program §1332 waiver moderates these premiums by paying claims for 33 high-cost condition categories, but even with reinsurance Alaska routinely posts the nation's top benchmark premium.
Did Alaska expand Medicaid?
Yes. Alaska expanded Medicaid in September 2015 under Gov. Bill Walker. Adults 19-64 with income up to 138% of the (higher) Alaska FPL table qualify regardless of parental status or disability, so there is no coverage gap in Alaska.
What is the Alaska Reinsurance Program?
It's a state reinsurance program run by the Alaska Comprehensive Health Insurance Association (ACHIA) under AS 21.55, approved by CMS as a §1332 waiver. It pays claims for 33 high-cost condition categories, which pulls individual-market premiums down before subsidies are applied. You don't apply for it; savings show up in the premiums posted on Healthcare.gov.
Does Alaska use Healthcare.gov?
Yes. Alaska uses the federally-facilitated Marketplace (FFM) at healthcare.gov for enrollment, APTC applications, and CSR applications. Alaska does not operate a state-based exchange.
Will tobacco use raise my Alaska premium?
Yes, up to 1.5x the non-tobacco rate. Alaska follows the federal default under 45 CFR 147.102 with no state statutory cap below 1.5x. APTC does not cover the tobacco portion of the premium, so the full surcharge is out of pocket.
Sources
- HealthCare.gov for enrollment, OEP dates, and federal APTC / CSR application.
- Alaska Division of Insurance — Health Insurance for rate review, carrier filings, and reinsurance administration.
- Alaska Comprehensive Health Insurance Association (ACHIA) for the §1332 reinsurance program operator.
- CMS §1332 Alaska Reinsurance Program Fact Sheet for federal approval and program terms.
- Alaska Medicaid (Department of Health) for expansion eligibility and Alaska FPL application.
- KFF — Alaska State Health Facts for enrollment, expansion, and benchmark premium context.
- CMS QHP Landscape Individual Medical 2026 for plan availability, premiums, and metal tiers.
Plan year 2026, last refreshed 2026-04-19T08:08:55.462Z. Methodology and full data attribution at about.