CVS Health has announced plans to withdraw its Aetna-brand individual health insurance plans from the Affordable Care Act (ACA) marketplace starting in 2026. This major shift will impact around one million current Aetna ACA members across 17 states.

The decision stems from ongoing financial challenges in the ACA segment, including higher-than-expected medical claims and pricing miscalculations. Aetna has attempted to stabilize the business through premium adjustments and reduced enrollment, but CVS Health ultimately determined that a full exit would allow the company to focus on more sustainable areas within its healthcare portfolio.

What This Means for Aetna ACA Members

If you're currently enrolled in an Aetna ACA plan, your 2025 health coverage will not be affected. However, you will need to choose a new health insurance plan during the 2026 Open Enrollment Period, which typically begins in November 2025.

Consumers are encouraged to start reviewing their options early and seek help from a licensed health insurance broker or navigator to avoid gaps in coverage.

For additional details, read the full article on Forbes: https://www.forbes.com/sites/brucejapsen/2025/05/01/cvs-plans-to-exit-obamacare-in-2026-impacting-1-million-aetna-members/