Cigna Leaving Texas Marketplace: What to Do | Thrive
Notice: Cigna Healthcare ends medical Individual & Family Plans on and off the Marketplace effective Jan 1, 2027. Coverage continues through Dec 31, 2026. Dental IFPs are not affected.

Texas · Insurer update

Cigna Is Leaving Texas's Marketplace: What Members Should Do

Cigna is leaving the individual market after 2026 in all 11 states where it sold ACA plans, including Texas. About 12,100 Texas members in 11 counties need a new plan for 2027.

Dec 31Your coverage ends
Dec 15Enroll by for January 1 coverage
About 14Texas Marketplace insurers for 2027
About 12,100Texans with Cigna plans

Compare 2027 plans for my ZIP codeFree. See your price after tax credits.

What to do for 2027

  1. Open enrollment for 2027 coverage runs Nov 1, 2026 through Jan 15, 2027 on HealthCare.gov.

  2. Pick a new plan by Dec 15 so coverage starts Jan 1. Later enrollments start Feb 1 and leave a January gap.

  3. Cigna Connect networks won't carry over. Confirm your doctors and prescriptions on each new plan.

  4. There is no Cigna medical Marketplace plan to renew into for 2027. HealthCare.gov may place you elsewhere if you don't choose.

  5. Deductibles and out-of-pocket totals restart with a new insurer. myDiabetesCare members should compare insulin and supply costs carefully on replacement plans.

Compare insurers you can switch to

In 2026 Cigna sold 22 Connect HMO plans in 11 counties (Dallas–Fort Worth plus Crosby, El Paso and Lubbock), including myDiabetesCare designs with $0 or $3 generics.

CMS rating is the Marketplace Quality Rating System overall score. 2027 change is each insurer's average as proposed. Cigna and Baylor Scott & White Health Plan leave after 2026. Antidote Health Plan is reported as new; confirm on HealthCare.gov in November.
InsurerCounties (2026)CMS rating (2026)2027 change
Blue CrossCounties (2026)254 of 254CMS rating (2026)3 of 52027 change+8.9% proposed
OscarCounties (2026)47 of 254CMS rating (2026)2 of 52027 change+9.6% proposed
UnitedHealthcareCounties (2026)218 of 254CMS rating (2026)2 of 52027 change+27.4% proposed
AmbetterCounties (2026)150 of 254CMS rating (2026)3 of 52027 change+7.6% proposed
WellpointCounties (2026)30 of 254CMS rating (2026)Not yet rated2027 change+15.3% proposed
CHRISTUSCounties (2026)38 of 254CMS rating (2026)3 of 52027 change+12.5% proposed
Community Health ChoiceCounties (2026)20 of 254CMS rating (2026)3 of 52027 change+27.2% proposed
MolinaCounties (2026)13 of 254CMS rating (2026)3 of 52027 change+13% proposed

Find your 2027 plan

See plans for your county, check your doctors and prescriptions, and see your price after tax credits.

Compare 2027 plans for my ZIP code

All 2026 Cigna plans in Texas

Premium is the lowest monthly premium before tax credits across Texas rating areas. OOP max is the out-of-pocket maximum. Costs are in network, for the standard version of each plan.
PlanMetalTypePremium (age 40)DeductibleOOP maxPrimary careSpecialistGeneric RxHSACounties
Connect Bronze 8500 Indiv Med DeductibleMetalBronzeTypeHMOPremium (age 40)$624Deductible$8,500OOP max$10,600Primary care$0Specialist50% after deductibleGeneric Rx$0HSANoCounties3
Connect Bronze 5750 Indiv Med DeductibleMetalBronzeTypeHMOPremium (age 40)$629Deductible$5,750OOP max$10,600Primary care$25Specialist50% after deductibleGeneric Rx$3HSANoCounties3
Connect myDiabetesCare BronzeMetalBronzeTypeHMOPremium (age 40)$632Deductible$6,500OOP max$10,600Primary care$20Specialist$90Generic Rx$0HSANoCounties3
Connect Bronze DFW 8500 Indiv Med DeductibleMetalBronzeTypeHMOPremium (age 40)$635Deductible$8,500OOP max$10,600Primary care$0Specialist50% after deductibleGeneric Rx$0HSANoCounties8
Connect Bronze CMS StandardMetalBronzeTypeHMOPremium (age 40)$636Deductible$7,500OOP max$10,000Primary care$50Specialist$100Generic Rx$25HSANoCounties3
Connect Bronze DFW 6000 Indiv Med DeductibleMetalBronzeTypeHMOPremium (age 40)$639Deductible$6,000OOP max$10,600Primary care$25Specialist50% after deductibleGeneric Rx$3HSANoCounties8
Connect myDiabetesCare Bronze DFWMetalBronzeTypeHMOPremium (age 40)$644Deductible$6,500OOP max$10,600Primary care$20Specialist$90Generic Rx$0HSANoCounties8
Connect Bronze DFW CMS StandardMetalBronzeTypeHMOPremium (age 40)$648Deductible$7,500OOP max$10,000Primary care$50Specialist$100Generic Rx$25HSANoCounties8
Connect Silver 4000 Indiv Med DeductibleMetalSilverTypeHMOPremium (age 40)$948Deductible$4,000OOP max$9,900Primary care$15Specialist$60Generic Rx$3HSANoCounties3
Connect Silver 3000 Indiv Med DeductibleMetalSilverTypeHMOPremium (age 40)$958Deductible$3,000OOP max$9,900Primary care$20Specialist$90Generic Rx$3HSANoCounties3
Connect Silver CMS StandardMetalSilverTypeHMOPremium (age 40)$963Deductible$6,000OOP max$8,900Primary care$40Specialist$80Generic Rx$20HSANoCounties3
Connect Silver DFW 4000 Indiv Med DeductibleMetalSilverTypeHMOPremium (age 40)$965Deductible$4,000OOP max$9,900Primary care$15Specialist$60Generic Rx$3HSANoCounties8
Connect Silver DFW 3000 Indiv Med DeductibleMetalSilverTypeHMOPremium (age 40)$975Deductible$3,000OOP max$9,900Primary care$20Specialist$90Generic Rx$3HSANoCounties8
Connect Silver DFW CMS StandardMetalSilverTypeHMOPremium (age 40)$980Deductible$6,000OOP max$8,900Primary care$40Specialist$80Generic Rx$20HSANoCounties8
Connect Gold 3000 Indiv Med DeductibleMetalGoldTypeHMOPremium (age 40)$766Deductible$3,000OOP max$7,000Primary care$15Specialist$40Generic Rx$3HSANoCounties3
Connect Gold CMS StandardMetalGoldTypeHMOPremium (age 40)$769Deductible$2,000OOP max$8,200Primary care$30Specialist$60Generic Rx$15HSANoCounties3
Connect Gold DFW 2800 Indiv Med DeductibleMetalGoldTypeHMOPremium (age 40)$780Deductible$2,800OOP max$7,375Primary care$15Specialist$40Generic Rx$3HSANoCounties8
Connect myDiabetesCare GoldMetalGoldTypeHMOPremium (age 40)$780Deductible$2,250OOP max$8,250Primary care$10Specialist$40Generic Rx$0HSANoCounties3
Connect Gold 1400 Indiv Med DeductibleMetalGoldTypeHMOPremium (age 40)$781Deductible$1,400OOP max$9,125Primary care$10Specialist$45Generic Rx$0HSANoCounties3
Connect Gold DFW CMS StandardMetalGoldTypeHMOPremium (age 40)$782Deductible$2,000OOP max$8,200Primary care$30Specialist$60Generic Rx$15HSANoCounties8
Connect myDiabetesCare Gold DFWMetalGoldTypeHMOPremium (age 40)$787Deductible$2,500OOP max$8,250Primary care$10Specialist$40Generic Rx$0HSANoCounties8
Connect Gold DFW 1400 Indiv Med DeductibleMetalGoldTypeHMOPremium (age 40)$794Deductible$1,400OOP max$9,100Primary care$10Specialist$45Generic Rx$0HSANoCounties8

Sources

← Texas Marketplace guide and all insurers

Reviewed by Jacob Guidi, licensed health insurance agent (NPN 19902041), Thrive Benefits Group.

Thrive Benefits Group is not HealthCare.gov or a government agency. Premiums shown are before tax credits, for one person age 40, and most people who qualify for tax credits pay less. Your price depends on your county, age, household and income. Plan details can change; the insurer's plan documents are final.