Enrolling in 2027 ACA Health Insurance

Whether you're preparing for Open Enrollment or considering your Special Enrollment options, we'll help you learn more about the Affordable Care Act (ACA) Marketplace health insurance — so you can choose the best health plan for you and your family.

What is Open Enrollment for ACA health insurance?

 

The annual open enrollment period is the window when you can sign up for health insurance or make changes to your health coverage through the Health Insurance Marketplace® (also called the exchange) for the upcoming plan year.

 

The Health Insurance Marketplace, established by the Affordable Care Act (ACA), lets you compare plans by price, benefits, and doctors in the plan’s networks so you can choose the coverage that’s right for you and your family. You can also find out whether you qualify for financial help to lower your monthly premium or other out-of-pocket costs.

 

You may also hear ACA Marketplace plans referred to as Individual and Family plans. These terms refer to the same type of health coverage.

When Is ACA health insurance Open Enrollment for 2027?

 

Open Enrollment typically runs from November 1 to January 15 each year, although the exact dates may vary by state. Knowing your state’s open enrollment timeline can help you be better prepared when enrollment begins.

 

The table below displays the 2027 open enrollment dates for the 14 states where Anthem offers Individual and Family Marketplace coverage.

State

Start Date

End Date

California

Nov. 1, 2026

Jan. 31, 2027

Colorado

Nov. 1, 2026

Jan. 15, 2027

Connecticut

Oct. 23, 2026

Dec. 23 , 2026

Georgia

Nov. 1, 2026

Jan. 15, 2027

Indiana

Nov. 1, 2026

Jan. 15, 2027

Kentucky

Nov. 1, 2026

Jan. 15, 2027

Maine

Nov. 1, 2026

Jan. 15, 2027

Missouri

Nov. 1, 2026

Jan. 15, 2027

Nevada

Nov. 1, 2026

Jan. 15, 2027

New Hampshire

Nov. 1, 2026

Jan. 15, 2027

New York

Nov. 1, 2026

Jan. 31 , 2027

Ohio

Nov. 1, 2026

Jan. 15, 2027

Virginia

Nov. 1, 2026

Dec. 31 , 2026

Wisconsin

Nov. 1, 2026

Jan. 15, 2027

Start Date

State

California

Nov. 1, 2026

Colorado

Nov. 1, 2026

Connecticut

Oct. 23, 2026

Georgia

Nov. 1, 2026

Indiana

Nov. 1, 2026

Kentucky

Nov. 1, 2026

Maine

Nov. 1, 2026

Missouri

Nov. 1, 2026

Nevada

Nov. 1, 2026

New Hampshire

Nov. 1, 2026

New York

Nov. 1, 2026

Ohio

Nov. 1, 2026

Virginia

Nov. 1, 2026

Wisconsin

Nov. 1, 2026

End Date

State

California

Jan. 31, 2027

Colorado

Jan. 15, 2027

Connecticut

Dec. 23 , 2026

Georgia

Jan. 15, 2027

Indiana

Jan. 15, 2027

Kentucky

Jan. 15, 2027

Maine

Jan. 15, 2027

Missouri

Jan. 15, 2027

Nevada

Jan. 15, 2027

New Hampshire

Jan. 15, 2027

New York

Jan. 31 , 2027

Ohio

Jan. 15, 2027

Virginia

Dec. 31 , 2026

Wisconsin

Jan. 15, 2027

What should I know about Marketplace plan types and costs?

 

Marketplace plans are categorized into four metal tiers — Bronze, Silver, Gold, and Platinum. While all metal levels cover the same essential health benefits, they differ in how you and your health plan share the cost of care. Understanding these differences can help you choose the plan that's right for you and your family.

 

Bronze plans: Lowest monthly premium and highest deductible. Bronze plans are a good choice if you expect to use healthcare occasionally and want protection from unexpected medical expenses.

 

Silver plans: Moderate monthly premium and deductible. Silver plans are a good fit for many individuals and families with typical healthcare needs. Silver plans are also the only plans that offer cost-sharing reductions for those who qualify, helping to lower out-of-pocket costs for care.

 

Gold plans: Higher monthly premium but lower deductible and out-of-pocket costs. Gold plans may be a good option if you expect to use healthcare regularly and want to pay less when you receive care.

 

Platinum plans: Highest monthly premium and lowest deductible. Platinum plans are designed for people who expect frequent medical care and prefer more predictable out-of-pocket costs.

Metal Level

What Your Plan Pays

Your Cost

Bronze

60%

40%

Silver

70%

30%

Gold

80%

20%

Platinum

90%

10%

What Your Plan Pays

Metal Level

Bronze

60%

Silver

70%

Gold

80%

Platinum

90%

Your Cost

Metal Level

Bronze

40%

Silver

30%

Gold

20%

Platinum

10%

When comparing plans, look beyond the monthly premium. Consider the deductible, copays, coinsurance, and annual out-of-pocket maximum to understand the total cost of coverage.

How can I save money on Marketplace health plans?

 

You may be able to lower the cost of Marketplace health coverage by choosing a plan that fits your healthcare needs and budget and, if you qualify, taking advantage of available financial help.

 

Marketplace plans are available in different metal levels, each offering a different balance of monthly premiums and out-of-pocket costs so you can choose the option that's right for you.

 

If you qualify, you may be eligible for financial help through the Marketplace to help make coverage more affordable. Eligibility is based on factors such as your household income and size, and the cost of available plans where you live.

 

There are two main types of financial help:

 

  • Advanced premium tax credits (APTCs): Help lower your monthly premium by applying the tax credit directly to the cost of your health plan
  • Cost-sharing reductions (CSRs): Help lower your deductible, copays, coinsurance, and out-of-pocket maximum if you qualify and enroll in a Silver-level Marketplace plan

 

If you're eligible for both APTCs and CSRs, you could significantly reduce both your monthly premium and the amount you pay when you receive healthcare.

Why get health insurance through the Marketplace?

 

Enrolling in health coverage through the Health Insurance Marketplace offers several benefits, including:

  • Coverage options for different budgets: Marketplace plans are available at a variety of price points, making it easier to find coverage that fits your healthcare needs and budget.
  • Financial Help: Depending on your household income and size, you may qualify for financial help to lower your monthly premium and out-of-pocket costs.
  • Coverage for Essential Health Benefits: All Marketplace plans cover the same essential health benefits, including preventive care, doctor visits, hospital care, emergency services, prescription drugs, maternity care, and mental health services.
  • Easy plan comparisons: The Marketplace lets you compare plans side by side based on monthly premium, benefits, doctors in the plan’s network, and estimated out-of-pocket costs, helping you choose the coverage that’s right for you and your family.

 

Marketplace coverage vs. coverage purchased outside the Marketplace

 

You can purchase Individual and Family health insurance through the Health Insurance Marketplace or directly from a health insurer, but there are important differences to consider.

 

One difference is access to financial help when enrolling through the Marketplace. Plans purchased outside the Marketplace are not eligible for financial help, even if they offer ACA-compliant coverage.

What happens if I miss Open Enrollment?

 

If you miss your state’s Open Enrollment Period, you won’t be able to enroll in a Marketplace health plan until the next Open Enrollment period unless you qualify for a Special Enrollment Period (SEP).

 

A Special Enrollment Period allows you to enroll in or change your health coverage outside of Open Enrollment if you experience certain qualifying life events. If you meet eligibility requirements, you may also qualify for financial help to lower the cost of your Marketplace coverage.

 

Some of the most common qualifying life events include:

  • Getting married
  • Having or adopting a child
  • Losing your existing health coverage, such as through job loss
  • Losing eligibility for Medicaid or the Children's Health Insurance Program (CHIP)
  • Getting divorced or legally separated if it affects your health coverage
  • The death of a spouse or other household member that results in the loss of health coverage

In most cases, you have 60 days before or after your qualifying life event to enroll in a Marketplace health plan. Enrolling within that time can help you avoid a gap in health coverage.

How do I prepare to enroll in an ACA health plan?

 

Whether you’re enrolling during Open Enrollment or a Special Enrollment Period, taking a few steps ahead of time can make choosing and enrolling in a health plan easier.

 

Familiarize yourself with key insurance terms

 

Understanding common health insurance terminology can make navigating enrollment much easier. Here are a few important terms to know:

  • Premium: The monthly amount you pay for your health insurance plan.
  • Deductible: The amount you pay out-of-pocket each year before your plan begins to cover care costs.
  • Copay: A fixed amount you pay for certain covered healthcare services, such as a doctor’s office visit. Copays typically do not count toward your deductible.
  • Coinsurance: The percentage of care costs you’re responsible for after meeting your plan deductible.
  • Out-of-pocket maximum: The maximum amount you’ll pay for covered, in-network services in a year. After reaching this limit, your plan covers 100% of eligible costs

 

Check your eligibility for financial help

 

Depending on your household income, household size, and where you live, you may qualify for financial help to lower your monthly premium and, if you're eligible and enroll in a Silver-level Marketplace plan, reduce your out-of-pocket health care costs.

 

Evaluate your current plan

 

If you're already enrolled in a Marketplace plan, review your current coverage to decide whether to renew or select a different plan that better meets your needs. If you're new to the Marketplace, compare available plans to find the coverage that's right for you and your family.

 

When comparing plans, think about the care you expect to need in the coming year, including doctor visits, ongoing treatments, prescriptions, and preferred providers. Then consider the total cost of coverage — including monthly premium, deductible, copays, coinsurance, prescription costs, and annual out-of-pocket maximum — to choose a plan that fits your budget.

 

Review and prepare your information early

 

Gather the information you'll need to complete your application, including income documentation (W-2s, 1099s, prior-year tax returns), Social Security numbers, and information about everyone who will be covered. If you've had changes to your household, income, or address, update your Marketplace account before you enroll.

 

Know your state’s enrollment deadline

 

Open Enrollment deadlines vary by state. If you miss your state's deadline, you won't be able to sign up for a Marketplace plan until the next Open Enrollment period. However, you may qualify for a Special Enrollment Period if you experience a qualifying life event, such as getting married, having a baby, or losing other health coverage.

 

Explore additional coverage options

 

In addition to health insurance, consider whether dental or vision coverage would benefit you or your family. Depending on the plans available in your area, you may be able to add dental or vision coverage to your health plan or purchase a separate dental or vision policy.

 

Anthem dental plans are available year-round and can be purchased separately from your medical coverage. If you want dental coverage as part of an ACA Marketplace health plan, you'll need to enroll during your state's Open Enrollment Period or qualify for a Special Enrollment Period following a qualifying life event.

Anthem can help you understand your health coverage options

 

Whether you're enrolling in coverage during Open Enrollment, changing your current plan, or exploring your options after a qualifying life event, Anthem can help you navigate the process with confidence. We'll help you compare health plans, determine whether you may qualify for financial help to lower your costs, and choose coverage that fits your health care needs and budget.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. and AMGP Georgia Managed Care Company, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Community Care Health Plan of Nevada, Inc. and Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by either Matthew Thornton Health Plan, Inc. or Anthem Health Plans of New Hampshire, Inc. In 17 southeastern counties of New York: Anthem HealthChoice Assurance, Inc. and Anthem HealthChoice HMO, Inc. In these same counties Anthem Blue Cross and Blue Shield HP is the trade name of Anthem HP, LLC. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. trades as Anthem HealthKeepers providing HMO coverage, and their service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI) underwrites or administers PPO and indemnity policies and underwrites the out-of-network benefits in POS policies offered by Compcare Health Services Insurance Corporation. Compcare underwrites or administers HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

1091535MUCENMUB