President Donald J. Trump’s administration is issuing health insurance rebate checks.
Credit: Kevin Dietsch / Getty ImagesKey Takeaways
- The Trump administration is mailing $500 refunds to 950,000 Americans who purchased marketplace health plans without tax credits.
- The rebates are bound for people in 30 states that rely on federally-operated health exchanges.
- The White House said these exchanges collected more in user fees than was needed for operations.
The Trump administration will begin sending $500 checks to nearly 1 million Americans who bought health insurance on a federally run exchange without subsidies.
The White House told Investopedia the U.S. Treasury would begin mailing refunds Wednesday to people in 30 states that rely on exchanges run by the Centers for Medicare & Medicaid Services (CMS). CMS charges insurers a user fee, a percentage of premiums that insurers build into their prices, to run the exchanges. The exchanges collected more than they needed to operate, the White House said.
The surplus will go to more than 950,000 people who didn’t receive tax credits or other help with premiums. President Donald Trump has said they were overcharged the most.
Why This News Matters to You
Healthcare costs are rising for those on marketplace plans and for those receiving insurance through an employer. Higher premiums and out-of-pocket expenses are adding to consumer concerns about the cost of living.
Some families with more than one affected member will get multiple payments, by check or direct deposit, a White House official said. Texas will have the most recipients, followed by Florida (127,900) and Ohio (65,700). People in the 20 states that run their own exchanges, and in Washington, D.C., won’t get checks.
Trump said the exchanges had a roughly $500 million surplus in a Sept. 10 video on X. “Our administration is doing the right thing and giving the money back to the people who were wrongly ripped off,” Trump said in the video.
A White House official told Investopedia the prior administration initially wanted to use the money to finance contraception, though the White House’s Sept. 10 fact sheet didn’t mention the issue.
Most checks are going to people with incomes above 400% of the federal poverty level: $62,600 for a single person or $128,600 for a family of four. Some people with lower incomes who didn’t receive subsidies will also get checks, the official said.
The White House didn’t immediately respond when asked whether the checks are going to people who went without tax credits in 2025 or in 2026. About 1.5 million people in the 30 states bought 2026 plans without assistance, according to the Center for American Progress (CAP), a left-leaning think tank, which means roughly a third of them may not get a check.
The lower someone’s income, the more help they qualify for when buying insurance on an exchange. Enhanced tax credits, which had extended help to people earning more than 400% of the poverty level, expired at the end of 2025, and lower-income households now get less assistance, according to the Commonwealth Fund, which focuses on the healthcare system.
The CMS user fee has fallen for most of the past decade, hitting a low of 1.5% of premiums in 2025. The Trump administration has set it at 1.9% for 2027.
What marketplace enrollees pay in premiums after tax credits rose 58% on average from 2025 to 2026, to $178 a month, according to KFF, a health policy research group. Enrollment fell 13% in the year through February, federal data show.
“These checks pale in comparison with the enhanced tax credits these people would have received if President Donald Trump and Congress had not failed to extend them,” CAP analysts wrote. “Millions of lower- and middle-income [Affordable Care Act] enrollees whose costs also increased will get nothing.”
While not all the details are clear, the plan to refund those who lost tax credits makes sense, Chris Jacobs, a former policy adviser to the House Republican Conference, wrote in The Federalist, a conservative publication. The White House has lowered the fees in question, and may want to keep cutting, Jacobs wrote.
“As a practical matter, it might prove more effective and efficient to further reduce user fees going forward than to go through the process of issuing separate rebates,” Jacobs said. “But the president seems enamored with issuing checks of various sorts.”