Open enrollment for 2027 starts November 1
ACA Marketplace Health Insurance by State
Plain-language guides to each state's 2027 Marketplace: which insurers sell there, what's changing, and what to check before you enroll.
Find my planFree. See your price after tax credits.
Which states have a 2027 Marketplace directory?
Georgia
Georgia Access, 9 insurers in 2026, Cigna leaving for 2027, and proposed 2027 increases of about 11% to 29%.
Texas
HealthCare.gov, about 14 insurers for 2027, Cigna and Baylor Scott & White leaving, and proposed increases of about 5% to 34%.
Florida
HealthCare.gov, about 11 continuing brands for 2027 after Cigna, Molina and Sunshine VALUE leave, proposed increases of about 4% to 39%, and no Medicaid expansion.
Alabama
HealthCare.gov, the same 4 insurers in 2026 and 2027, approved 2027 increases of about 11% to 34%, and no Medicaid expansion.
Tennessee
HealthCare.gov, five insurers for 2027 after Cigna leaves, proposed increases of about 10% to 29%, and no Medicaid expansion.
Michigan
HealthCare.gov, seven insurers back for 2027, proposed increases of about 11% to 26%, and Healthy Michigan Plan work rules starting January 1.
North Carolina
HealthCare.gov, five insurers for 2027 after Cigna leaves, proposed increases of about 8.5% to 27%, and Medicaid expansion work rules starting January 1.
Mississippi
HealthCare.gov, three insurers in 2027 after Cigna and Molina leave, increases of about 18% to 33% on file, and no Medicaid expansion.
South Carolina
HealthCare.gov, five or six insurers for 2027 with Molina unconfirmed, proposed increases of about 11% to 46%, and no Medicaid expansion.
Louisiana
HealthCare.gov, all six insurers back for 2027, filed increases of about 10% to 25%, and Medicaid work rules starting in January.
Arkansas
HealthCare.gov, four insurers in every county, filed increases of about 3% to 16%, and Medicaid work rules starting in January.
Arizona
HealthCare.gov, six insurers in 2027 after Cigna leaves, proposed increases of about 3% to 34%, and AHCCCS work rules starting January 2027.
How do I use this Marketplace directory?
Each guide covers the insurers that sell there, how 2027 prices are changing, and what is different about that state.
Insurers leave, prices move and rules change every year. Start with your state's changes before you compare plans.
Insurer pages show networks, quality ratings, proposed 2027 changes and who each one may suit, with a source for every number.
Prices on these pages are before tax credits. The plan finder estimates your monthly cost after credits for your ZIP code.
What would you pay after tax credits?
Answer a few questions about your household and your care, and see plans for your ZIP code.
Find my planReviewed by Jacob Guidi, licensed health insurance agent (NPN 19902041), Thrive Benefits Group.
Thrive Benefits Group is not HealthCare.gov, a state exchange or a government agency. Premiums are before tax credits; most people who qualify for tax credits pay less. Plan details can change; the insurer's plan documents are final.