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Find support for UnitedHealthcare Individual & Family ACA Marketplace plans
Get the information and resources you need to help people looking to enroll in an ACA Marketplace plan. Learn about our ACA Marketplace plan options, view coverage by state, find training and more.
Explore our plan options
UnitedHealthcare ACA Marketplace plans include 5 plan types — Essential (off-exchange only), Value, Advantage, Copay Focus and Standard. Each plan type offers varying coverage levels to meet all kinds of needs and budgets.
View training, education resources and more
Find information and tools to help you guide and support the people you serve.
Help consumers choose and manage their ACA Marketplace plan
Offer guidance on choosing an ACA Marketplace plan, and help members understand the resources available with their plan.
See ACA Marketplace plan coverage by state
Get quick facts, find contact information and see which counties plans are available in within each state. Note that some plans may not be available in all areas and plan availability is subject to change. Confirm plan availability during the enrollment process.
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Begin the enrollment process in 3 simple steps.
Enter your ZIP code, then answer a few questions about your family and income.
See if you qualify for a subsidy and view recommended plan options.
Choose the best plan option for you and we’ll help you enroll.
Quick facts
- Non-gated EPO state, referrals not required
- Cross-border coverage with Florida (Escambia, Santa Rosa), Georgia (Coweta, Muscogee, Troup), Mississippi (Clarke, George, Harrison, Jackson, Kemper, Lauderdale, Lee, Newton, Stone) and Tennessee (Bedford, Giles, Hamilton, Lawrence, Lewis, Lincoln, Marshall, Maury, Moore, Wayne)
- Pediatric dental and vision embedded in all plans
- Adult dental and vision available on select plans
- Alabama is a state that caps insulin; $0 insulin is included on all plans
- Alabama has 3 total plans that are offered off-exchange only
Available counties
Chambers, Lee, Russell, Colbert, Lauderdale, Lawrence, Limestone, Madison, Morgan, Bibb, Blount, Calhoun, Chilton, Coosa, Etowah, Jefferson, Shelby, St. Clair Talladega, Tallapoosa, Walker, Barbour, Bullock, Cherokee, Choctaw, Clarke, Clay, Cleburne, Coffee, Conecuh, Cullman, Dale, DeKalb, Escambia, Fayette, Franklin, Greene, Hale, Jackson, Macon, Marengo, Marion, Marshall, Perry, Pickens, Pike, Randolph, Sumter, Tuscaloosa, Washington, Winston, Baldwin, Geneva, Henry, Houston, Mobile
Contact us
1-888-200-0327, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Gated HMO state, referrals required
- Pediatric dental and vision embedded in all plans
- Adult dental and vision available on select plans
- Arizona is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
- Expansion into Santa Cruz County in Tucson area for 2026 plan year
- Arizona has 9 total plans that are offered off-exchange only
Available counties
Gila, La Paz, Maricopa, Mohave, Pima, Pinal, Santa Cruz
Contact us
1-877-482-9045, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Colorado offers multiple networks depending on which county you live in
- Added Fremont and Pueblo counties to Valley network and Clear Creek, Park and Gilpin counties to CDP network
- Non-gated HMO state, referrals not required
- Colorado is a state that caps insulin; $0 insulin is included on all plans
- Pediatric dental and vision embedded in all plans
- Adult dental and vision not offered in Colorado
- Colorado has 28 total plans that are offered off-exchange only
Available counties
Adams, Arapahoe, Broomfield, Clear Creek, Denver, Douglas, Elbert, Gilpin, Jefferson, Park, Delta, Mesa, Moffat, Rio Blanco, Boulder, El Paso, Larimer, Logan, Morgan, Phillips, Sedgwick, Weld, Alamosa, Archuleta, Chaffee, Conejos, Costilla, Custer, Dolores, Eagle, Fremont, Garfield, Grand, Gunnison, Hinsdale, Huerfano, La Plata, Lake, Mineral, Montezuma, Montrose, Ouray, Pitkin, Pueblo, Rio Grande, Routt, Saguache, San Juan, San Miguel, Summit
Contact us
1-888-809-6539, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Gated HMO state, referrals required
Cross-border coverage with Alabama (Baldwin and Mobile counties)
Pediatric vision embedded in all plans. Pediatric dental not available on Mirrored Bronze Essential, Standard Silver or Value plans; available on all other plans.
Adult dental and vision available on select plans
Florida is a state that does not impose an insulin cap on all plans; $0 insulin is included on 1 plan on the Silver metal level
Florida has 6 total plans that are offered off-exchange only
Available counties
Collier, Glades, Lee, Hendry, Flagler, Volusia, Broward, Miami-Dade, DeSoto, Manatee, Marion, Hardee, Highlands, Lake, Orange, Osceola, Polk, Seminole, Brevard, Palm Beach, Escambia, Santa Rosa, Calhoun, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, Hillsborough, Pasco, Pinellas
Contact us
1-888-200-0405, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Gated HMO state, referrals required
- Cross-border coverage with South Carolina (Beaufort and Jasper counties)
- Pediatric dental and vision embedded in all plans
- Adult dental and vision available on select plans
- Georgia is a state that does not impose an insulin cap on all plans; $0 insulin is included on 2 plans on the Silver metal level
- Georgia offering GA Choice, off-exchange only plans
Available counties
Barrow, Cherokee, Clarke, Clayton, Cobb, Coweta, Dekalb, Fayette, Forsyth, Fulton, Gwinnett, Henry, Newton, Oconee, Pickens, Rockdale, Walton, Burke, Columbia, Emanuel, Glascock, Jefferson, Jenkins, Lincoln, McDuffie, Richmond, Taliaferro, Warren, Wilkes, Chattahoochee, Harris, Macon, Marion, Meriwether, Muscogee, Quitman, Stewart, Talbot, Taylor, Troop, Upson, Webster, Appling, Bryan, Bulloch, Candler, Chatham, Effingham, Evans, Liberty, Long, Screven, Tattnall
Contact us
1-800-609-9754, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Non-gated EPO state, referrals not required
- Expansion into 7 new counties for 2026 plan year
- Cross-border coverage in Wisconsin (Kenosha, Milwaukee, Racine) with Aurora Health and cross-border coverage in Missouri (Jefferson, Ste. Genevieve, St. Charles, St. Louis, St. Louis City) with Mercy East Health System
- Pediatric dental and vision embedded in all plans
- Adult dental and vision available on select plans
- Illinois is a state that caps insulin; $0 insulin is included on all plans outside of HSA and Required plans
- Illinois has 3 total plans that are offered off-exchange only
Available counties
Cook, DuPage, Kane, Kankakee, Kendall, Lake, McHenry, Will, Cass, Christian, Effingham, Logan, Macon, Mason, Menard, Morgan, Sangamon, Scott, Shelby, Bond, Calhoun, Clinton, Greene, Jersey, Macoupin, Madison, Monroe, Montgomery, Randolph, Saint Clair, Washington
Contact us
1-888-200-0325, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Non-gated EPO state, referrals not required
- Expansion into Indiana University
- Pediatric dental and vision embedded in all plans
- Adult dental and vision available on select plans
- Indiana is a state that caps insulin; $0 insulin is included on all plans outside of HSA and Required plans
- Indiana has 3 total plans that are offered off-exchange only
Available counties
Boone, Hancock, Henry, Johnson, Madison
Contact us
1-866-593-3299, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Non-gated HMO state, referrals not required
- Cross-border coverage with Missouri (Boone) and Nebraska (Burt, Cass, Dodge, Douglas, Lancaster, Otoe, Sarpy, Saunders, Thurston, Washington)
- Pediatric dental and vision embedded in all plans
- Adult dental and vision plans will be available at all metal levels and indicated with a “+” in the plan name
- Iowa is a state that does not impose an insulin cap on all plans; $0 insulin is included on 1 plan on the Silver metal level
- Iowa has 3 total plans that are offered off-exchange only
Available counties
Adair, Adams, Audubon, Cass, Clarke, Decatur, Fremont, Guthrie, Harrison, Mills, Montgomery, Page, Pottawattamie, Ringgold, Shelby, Taylor, Union
Contact us
1-800-396-8535, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Non-gated EPO state, referrals not required
- Exiting 57 counties for 2026 plan year
- Cross-border coverage with Missouri (Buchanan, Cass, Clay, Jackson, Newton, Platte) including Liberty and St. Luke's hospitals. Cross-border coverage with Oklahoma (Alfalfa, Beaver, Cimarron, Creek, Delaware, Garfield, Grant, Harper, Kay, Oklahoma, Okmulgee, Osage, Ottawa, Pawnee, Rogers, Texas, Tulsa and Wagoner, Woods, Woodward) and Nebraska (Buffalo, Dundy, Franklin, Furnas, Gage, Harlan, Hitchcock, Jefferson, Lancaster, Nuckolls, Red Willow, Thayer, Webster).
- Pediatric dental and vision embedded in all plans
- Adult dental and vision available on select plans
- Kansas is a state that does not impose an insulin cap on all plans; $0 insulin is included on 1 plan on the Silver metal level
- Kansas has 3 total plans that are offered off-exchange only
Available counties
Johnson, Leavenworth, Miami, Wyandotte, Clay, Cloud, Dickinson, Ellsworth, Geary, Jewell, Lincoln, Mitchell, Morris, Ottawa, Republic, Riley, Saline, Washington, Anderson, Atchison, Brown, Coffey, Doniphan, Douglas, Franklin, Jackson, Jefferson, Linn, Lyon, Marshall, Nemaha, Osage, Pottawatomie, Shawnee, Wabaunsee
Contact us
1-866-761-7748, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Non-gated EPO state, referrals not required
- Expansion into Assumption County
- Cross-border coverage with Mississippi (Claiborne, Hancock, Harrison, Jefferson, Lamar, Marion, Pike, Pearl River, Warren, Walthall)
- Pediatric dental and vision embedded in all plans
- Adult dental and vision available on select plans
- Louisiana is a state that caps insulin; $0 insulin is included on all plans
Available counties
Catahoula, Concordia, LaSalle, Ascension, East Baton Rouge, East Feliciana, Iberville, Livingston, Point Coupee, Saint Helena, Tangipahoa, Washington, West Baton Rouge, West Feliciana, Assumption, Acadia, Evangeline, Iberia, Lafayette, Saint Landry, Saint Martin, Saint Mary, Vermilion
Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, Ouachita, Richland, Tensas, Union, West Carroll, Jefferson, Orleans, Plaquemines, Saint Bernard, Saint James, Saint John the Baptist, Saint Tammany, Bienville, Bossier, Caddo, Claiborne, De Soto, Natchitoches, Red River, Sabine, Webster
Contact us
1-866-268-6438, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Gated HMO state, referrals required
Statewide service area
Cross-border coverage with Virginia (Arlington, Fairfax, Fairfax City, Loudoun)
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Maryland is a state that caps insulin; $0 insulin is included on all plans, including the state standardized plans since it is required
Maryland has 7 total plans that are offered off-exchange only
Available counties
Anne Arundel, Baltimore, Baltimore City, Bethesda, Calvert, Carroll, Charles, Cheverly, Dorchester, Harford, Howard, Kent, Talbot, Wicomico, Cecil, Queen Anne’s, Somerset, Worcester, Montgomery, Prince George’s, Saint Mary’s, Allegany, Frederick, Garrett, Washington
Contact us
1-800-691-0021, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
New state entry for 2026 plan year
Gated state, specialist referral required
Pediatric dental and vision embedded in all plans
Adult dental and vision options not available on any plans and metal levels
Massachusetts is a state that caps insulin; $0 insulin is included on all plans outside of HSA and Required plans
Available counties
Barnstable, Berkshire, Bristol, Dukes, Essex, Franklin, Hampden, Hampshire, Middlesex, Nantucket, Norfolk, Plymouth, Suffolk, Worcester
Contact us
1-800-691-0021, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated HMO state, referrals not required
Added 3 counties for 2026 plan year
Cross-border coverage in Ohio (Lucas) with Bon Secours Mercy Health System
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Michigan is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
Michigan has 3 total plans that are offered off-exchange only
Available counties
Branch, Calhoun, Genesee, Hillsdale, Kalamazoo, Kent, Macomb, Monroe, Oakland, Shiawassee, Van Buren, Wayne
Contact us
1-888-200-0324, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated HMO state, referrals not required
Cross-border coverage with Alabama (Jefferson, Mobile, Baldwin), Louisiana (Concordia, E. Baton Rouge, Franklin, Jefferson, Madison, Orleans, St. Tammany, Tangipahoa, Tensas) and Tennessee (Fayette, Hardeman, McNairy, Tipton, Shelby)
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Mississippi is a state that does not impose an insulin cap on all plans; $0 insulin is included
Mississippi has 3 total plans that are offered off-exchange only
Available counties
DeSoto, Marshall, Tate, Tunica, George, Hancock, Harrison, Jackson, Pearl River, Stone, Forrest, Greene, Jones, Lamar, Perry, Hinds, Copiah, Madison, Rankin, Simpson, Warren, Copiah, Benton, Itawamba, Lee, Pontotoc, Tippah, Union, Attala, Bolivar, Carroll, Chickasaw, Choctaw, Claiborne, Clarke, Clay, Coahoma, Covington, Franklin, Holmes, Humphreys, Issaquena, Jasper, Jefferson, Jefferson Davis, Kemper, Lauderdale, Lawrence, Leake, Leflore, Lincoln, Marion, Monroe, Montgomery, Neshoba, Newton, Panola, Pike, Quitman, Scott, Sharkey, Smith, Sunflower, Tallahatchie, Walthall, Washington, Wayne, Webster, Winston, Yalobusha
Contact us
1-888-239-1451, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated EPO state, referrals not required
Statewide coverage
Cross-border coverage with Illinois (Madison, Monroe, St. Clair) and Kansas (Atchison, Bourbon, Cherokee, Crawford, Doniphan, Jackson, Johnson, Leavenworth, Linn, Miami, Wyandotte)
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Missouri is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
Missouri has 3 total plans that are offered off-exchange only
Available counties
Bollinger, Butler, Cape Girardeau, Dunklin, Madison, Mississippi, New Madrid, Pemiscot, Perry, Scott, Stoddard, Wayne, Audrain, Boone, Callaway, Camden, Chariton, Cole, Cooper, Gasconade, Howard, Maries, Miller, Moniteau, Monroe, Montgomery, Morgan, Osage, Randolph, Barry, Barton, Cedar, Christian, Dade, Dallas, Douglas, Greene, Hickory, Laclede, Lawrence, Jasper, McDonald, Newton, Ozark, Polk, Stone, Taney, Webster, Wright, Cass, Clay, Jackson, Platte, Adair, Clark, Knox, Lewis, Linn, Macon, Marion, Pike, Putnam, Ralls, Schuyler, Scotland, Shelby, Sullivan, Andrew, Atchison, Buchanan, Caldwell, Carroll, Clinton, Daviess, DeKalb, Gentry, Grundy, Harrison, Holt, Livingston, Mercer, Nodaway, Ray, Worth, Franklin, Jefferson, Lincoln, St. Charles, St. Francois, St. Louis, St. Louis City, St. Genevieve, Warnes, Washington, Carter, Crawford, Dent, Howell, Iron, Oregon, Phelps, Pulaski, Reynolds, Ripley, Shannon, Texas, Bates, Benton, Henry, Johnson, Lafayette, Pettis, Saline, St. Clair, Vernon
Contact us
1-877-940-4172, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated EPO state, referrals not required
Statewide coverage
Cross-border coverage with Iowa (Pottawattamie), Kansas (Atchison, Brown, Cheyenne, Decatur, Doniphan, Ellis, Jewell, Johnson, Leavenworth, Marshall, Miami, Nemaha, Norton, Phillips, Rawlins, Republic, Saline, Smith, Washington, Wyandotte), Missouri (Andrew, Atchison, Buchanan, Cass, Clay, Holt, Jackson, Platte) and Wyoming (Albany, Goshen, Laramie)
Pediatric vision and dental available on all plans
Adult dental and vision available on select plans across each metal level
Nebraska is a state that caps insulin at $35 for a 30-day supply; $0 insulin is included on all plans
Nebraska has 3 total plans that are offered off-exchange only
Available counties
Adams, Antelope, Arthur, Banner, Blaine, Boone, Boyd, Box Butte, Buffalo, Butler, Burt, Cass, Cedar, Clay, Colfax, Cuming, Custer, Dakota, Dawson, Dodge, Douglas, Dixon, Franklin, Furnas, Gage, Garden, Garfield, Gosper, Greeley, Hall, Hamilton, Harlan, Holt, Howard, Kearney, Keya Paha, Knox, Loup, Madison, Merrick, Nance, Nuckolls, Otoe, Pawnee, Phelps, Pierce, Platte, Polk, Rock, Sherman, Stanton, Valley, Wayne, Webster, Wheeler, Fillmore, Jefferson, Johnson, Lancaster, Nemaha, Richardson, Saline, Seward, Thayer, Sarpy, Saunders, Thurston, Washington, Brown, Chase, Cherry, Cheyenne, Dawes, Deuel, Dundy, Frontier, Grant, Hayes, Hitchcock, Hooker, Keith, Kimball, Lincoln, Logan, McPherson, Morrill, Perkins, Red Willow, Scotts Bluff, Sheridan, Sioux, Thomas
Contact us
1-866-288-2776, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated EPO state, referrals not required
Statewide service area
Pediatric dental and vision available on all plans
Adult dental and vision not offered in New Jersey
New Jersey is a state that caps insulin; $0 insulin is included on all plans outside of HSA and Required plans
New Jersey has 2 total plans that are offered off-exchange only
Available counties
Bergen, Atlantic, Burlington, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union, Warren
Contact us
1-866-569-0328, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated HMO state, referrals not required
Statewide service area
Cross-border coverage with Arizona (Maricopa), Colorado (La Plata) and Texas (El Paso, Lubbock, Potter)
Pediatric dental and vision available on all plans
New Mexico is a state that caps insulin; $0 insulin is included on all plans
New Mexico has 3 total plans that are offered off-exchange only
Available counties
Bernalillo, Catron, Chaves, Cibola, Colfax, Curry, De Baca, Dona Ana, Eddy, Grant, Guadalupe, Harding, Hidalgo, Lea, Lincoln, Los Alamos, Luna, McKinley, Mora, Otero, Quay, Rio Arriba, Roosevelt, San Juan, San Miguel, Santa Fe, Sandoval, Sierra, Socorro, Taos, Torrance, Union, Valencia
Contact us
1-866-569-3491, TTY 711
24 hours a day, 7 days a week
Quick facts
Non-gated HMO state, referrals not required
Cross-border coverage with South Carolina (Mecklenburg)
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
North Carolina is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
North Carolina has 3 total plans that are offered off-exchange only
Available counties
Alamance, Alexander, Bladen, Brunswick, Burke, Caldwell, Catawba, Columbus, Cumberland, Davidson, Davie, Duplin, Franklin, Forsyth, Guilford, Harnett, Haywood, Henderson, Hoke, Iredell, Jackson, Johnston, Mecklenburg, New Hanover, Orange, Pender, Randolph, Richmond, Robeson, Rockingham, Rutherford, Sampson, Scotland, Stokes, Surry, Wake, Yadkin
Contact us
1-800-980-5357, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
New state entry for 2026 plan year
Gated state, specialist referral required
Pediatric dental and vision embedded in all plans
Adult dental and vision options not available on any plans and metal levels
New York is a state that caps insulin; $0 insulin is included on all plans outside of HSA and Required plans
Available counties
Bronx, Dutchess, Kings, Nassau, New York, Orange, Putnam, Queens, Richmond, Rockland, Suffolk, Sullivan, Ulster, Westchester
Contact us
1-800-980-5357, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated EPO state, referrals not required
Cross-border coverage with Michigan (Monroe)
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Ohio is a state that does not impose an insulin cap on all plans; $0 insulin is included on 2 plans on the Silver metal level
Ohio has 10 total plans that are offered off-exchange only
Available counties
Adams, Allen, Brown, Butler, Champaign, Clark, Clermont, Clinton, Columbiana, Cuyahoga, Darke, Defiance, Erie, Franklin, Fulton, Greene, Hamilton, Hardin, Henry, Highland, Huron, Logan, Lorain, Lucas, Madison, Mahoning, Medina, Miami, Montgomery, Ottawa, Portage, Preble, Sandusky, Seneca, Shelby, Summit, Trumbull, Union, Warren, Williams, Wood, Wyandot
Contact us
1-800-331-4680, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated HMO state, referrals not required
Cross-border coverage with Kansas (Barber, Chautauqua, Cherokee, Clark, Comanche, Cowley, Crawford, Finney, Ford, Meade, Montgomery, Morton, Sedwick, Seward, Stevens), Missouri (Barton, Greene, Jasper, McDonald, Newton) and Texas (Childress, Clay, Collingsworth, Cooke, Dallam, Denton, Fannin, Grayson, Hansford, Hardeman, Hartley, Hemphill, Hutchinson, Lamar, Lipscomb, Montague, Moore, Ochiltree, Red River, Roberts, Sherman, Wichita, Wheeler, Wilbarger)
Expand into RA5
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Oklahoma is a state that caps insulin; $0 insulin is included on all plans
Oklahoma has 3 total plans that are offered off-exchange only
Available counties
Alfalfa, Atoka, Beaver, Blaine, Bryan, Caddo, Canadian, Cleveland, Cotton, Creek, Delaware, Dewey, Ellis, Garfield, Garvin, Grady, Grant, Greer, Harmon, Harper, Haskell, Hughes, Jackson, Jefferson, Kay, Kingfisher, Kiowa, Latimer, Lincoln, Logan, Love, McClain, McCurtain, McIntosh, Major, Marshall, Mayes, Murray, Noble, Nowata, Oklahoma, Okfuskee, Okmulgee, Osage, Ottawa, Pawnee, Payne, Pottawatomie, Pushmataha, Roger Mills, Rogers, Seminole, Tillman, Tulsa, Wagoner, Woods, Woodward
Contact us
1-800-980-5319, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated HMO state, referrals not required
Cross-border coverage with Georgia (Richmond) and South Carolina (Chester, Lancaster)
Exiting 16 counties in 2026 plan year
Pediatric vision is embedded in all plans. Pediatric dental is available on all plans, except for Mirrored Bronze Essential and Mirrored Standard Silver
Adult dental and vision available on select plans
South Carolina is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
South Carolina has 3 total plans that are offered off-exchange only
Available counties
Allendale, Calhoun, Cherokee, Chester, Clarendon, Colleton, Fairfield, Hampton, Kershaw, Lancaster, Laurens, Lee, Marlboro, Newberry, Saluda, Union, Williamsburg
Contact us
1-866-569-2094, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated EPO state, referrals not required
Statewide service area
Expanding into 8 new counties for 2026 plan year
Cross-border coverage with Alabama (Colbert, Jefferson, Lauderdale, Lawrence, Limestone, Madison, Morgan) and Mississippi (Benton, DeSoto, Lee, Marshall, Tate, Tippah, Tunica, Union)
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Tennessee is a state that caps insulin; $0 insulin is included on all plans
Tennessee has 3 total plans that are offered off-exchange only
Available counties
Anderson, Bedford, Benton, Bledsoe, Blount, Bradley, Campbell, Cannon, Carroll, Carter, Cheatham, Chester, Claiborne, Clay, Cocke, Coffee, Crockett, Cumberland, Davidson, DeKalb, Decatur, Dickson, Dyer, Fayette, Fentress, Franklin, Gibson, Giles, Grainger, Greene, Grundy, Hamble, Hamilton, Hancock, Hardeman, Hardin, Hawkins, Haywood, Henderson, Henderson, Henry, Hickman, Houston, Humphreys, Jackson, Jefferson, Johnson, Knox, Lake, Lauderdale, Lawrence, Lewis, Lincoln, Loudon, Macon, Madison, Marion, Marshall, Maury, McMinn, McNairy, Meigs, Monroe, Montgomery, Moore, Morgan, Obion, Overton, Perry, Pickett, Polk, Putnam, Rhea, Roane, Robertson, Rutherford, Scott, Sequatchie, Sevier, Shelby, Smith, Stewart, Sullivan, Sumner, Tipton, Trousdale, Unicoi, Union, Van Buren, Warren, Washington, Wayne, Weakley, White, Williamson, Wilson
Contact us
1-877-250-8188, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Gated HMO state, referrals required
Planned re-entry into Corpus Christi in 2026 plan year and one additional county in Dallas-Fort Worth area
Cross-border access to providers in Beaver, Beckham, Bryan, Canadian, Choctaw, Cimarron, Cleveland, Cotton, Ellis, Grady, Greer, Harmon, Harper, Jackson, Jefferson, Lincoln, Logan, Love, Marshall, McClain, McCurtain, Oklahoma, Roger Mills, Texas and Tillman counties in Oklahoma
Pediatric and adult vision and pediatric and adult dental are available
Texas is a state that caps insulin; $0 insulin is included on all plans outside of HSA and Required plans
Texas has 10 total plans that are offered off-exchange only
Available counties
Armstrong, Briscoe, Carson, Castro, Childress, Collingsworth, Dallam, Deaf Smith, Donley, Gray, Hall, Hansford, Hartley, Hemphill, Hutchinson, Lipscomb, Moore, Ochiltree, Oldham, Parmer, Potter, Randall, Roberts, Sherman, Swisher, Wheeler, Blanco, Burnet, Caldwell, Fayette, Hays, Lee, Llano, Travis, Williamson, Angelina, Hardin, Houston, Jasper, Jefferson, Nacogdoches, Newton, Orange, Polk, Sabine, San Augustine, San Jacinto, Shelby, Trinity, Tyler, Cameron, Kenedy, Willacy, Brazos, Burleson, Grimes, Leon, Madison, Milam, Robertson, Aransas, Bee, Jim Wells, Kleberg, Live Oak, Nueces, Refugio, San Patricio, Collin, Dallas, Denton, Ellis, Erath, Hood, Hunt, Johnson, Navarro, Palo Pinto, Parker, Rockwall, Somervell, Tarrant, Wise, Brewster, Culberson, El Paso, Hudspeth, Jeff Davis, Presidio, Austin, Brazoria, Chambers, Colorado, Fort Bend, Galveston, Harris, Liberty, Matagorda, Montgomery, Waller, Walker, Wharton, Bell, Coryell, Hamilton, Lampasas, Mills, San Saba, Brooks, Duvall, Hidalgo, Jim Hogg, McMullen, Starr, Web, Zapata, Gregg, Harrison, Marion, Panola, Rusk, Upshur, Bailey, Cochran, Crosby, Dickens, Floyd, Garza, Hale, Hockley, Lamb, Lubbock, Lynn, Motley, Terry, Yoakum, Andrews, Borden, Crane, Dawson, Ector, Gaines, Glasscock, Howard, Loving, Martin, Midland, Pecos, Reeves, Terrell, Upton, Ward, Winkler, Coke, Concho, Crockett, Irion, Kimble, Mason, McCulloch, Menard, Reagan, Schleicher, Sterling, Sutton, Tom Green, Atascosa, Bandera Bexar, Comal, Dimmit, Edwards, Frio, Gillespie, Gonzales, Guadalupe, Kendall, Kerr, Kinney, La Salle, Maverick, Medina, Real, Uvalde, Val Verde, Wilson, Zavala, Cooke, Fannin, Grayson, Bowie, Camp, Cass, Delta, Franklin, Hopkins, Lamar, Morris, Red River, Titus, Anderson, Cherokee, Henderson, Rains, Smith, Van Zandt, Wood, Calhoun, DeWitt, Goliad, Jackson, Karnes, Lavaca, Victoria, Jack, King, Montague, Young
Contact us
1-866-811-2704, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
For the 2026 plan year, we will be offering additional gated HMO plans with a primary care physician (PCP)-capitated network in the San Antonio area featuring Sanitas Medical Group-employed PCPs in Bexar County only
Members enrolled in these plans are automatically assigned to one of several Sanitas clinics and must stay within the Sanitas narrowed network to receive coverage
Referrals may be required to see a participating specialist outside of the Sanitas clinics
Pediatric dental and vision and adult dental and vision are available on Sanitas plans
Texas is a state that caps insulin; $0 insulin is included on all plans outside of HSA and Required plans
Available counties
Bexar
Contact us
1-866-811-2704, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
For the 2026 plan year, we are again offering gated HMO plans with a capitated network in the Houston area featuring Kelsey-Seybold clinic-employed and contracted providers
Members enrolled in these plans are automatically assigned to the clinic and must stay within the Kelsey-Seybold network to receive coverage
Referrals may be required to see a participating specialist outside of Kelsey-Seybold clinic
Pediatric and adult vision and pediatric and adult dental are available on Kelsey Seybold plans
Texas is a state that caps insulin; $0 insulin is included on all plans outside of HSA and Required plans
Available counties
Brazoria, Fort Bend, Galveston, Harris, Montgomery
Contact us
1-866-811-2704, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated HMO state, referrals not required
Expansion into 3 new counties for 2026 plan year (Bristol City, Scott, Washington)
Cross-border coverage with Maryland (Frederick, Prince George, Montgomery) and Tennessee (Carter, Greene, Hancock, Hawkins, Johnson, Sullivan, Unicoi)
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Virginia is a state that caps insulin at $50 for a 30-day supply; $0 insulin is included on all plans
Virginia has 3 total plans that are offered off-exchange only
Available counties
Alexandria City, Amelia, Arlington, Bath, Bristol City, Caroline, Charles City, Chesterfield, Clarke, Colonial Heights City, Cumberland, Dinwiddie, Fairfax, Fairfax City, Falls Church City, Fauquier, Frederick, Fredericksburg City, Goochland, Hanover, Henrico, Highland, Hopewell City, King and Queen, King George, King William, Loudoun, Louisa, Manassas City, Manassas Park City, New Kent, Petersburg City, Powhatan, Prince George, Prince William, Rappahannock, Richmond City, Scott, Spotsylvania, Stafford, Sussex, Washington, Westmoreland, Winchester City
Contact us
1-877-265-9199, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated EPO state, referrals not required
Expansion into 3 new counties for 2026 plan year
Pediatric vision available on all plans; pediatric dental not available
Adult dental and vision not available
Washington is a state that has $0 insulin available on all plan offerings, including HSA and Cascade (Required) plans
Available counties
Adams, Clallam, Grays Harbor, Jefferson, King, Kittitas, Lincoln, Mason, Pierce, Spokane, Thurston, Whitman, Yakima
Contact us
1-888-832-0969, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated HMO state, referrals not required
Cross-border coverage with Illinois (Lake)
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Wisconsin is a state that does not impose an insulin cap; $0 insulin is included on all plans
Wisconsin has 7 total plans that are offered off-exchange only
Available counties
Brown, Door, Kenosha, Kewaunee, Manitowoc, Marinette, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha
Contact us
1-866-569-3468, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Non-gated EPO state, referrals not required
Cross-border coverage with Colorado (Adams, Denver, Larimer, Routt, Weld)
Pediatric dental and vision embedded in all plans
Adult dental and vision available on select plans
Wyoming is a state that does not impose an insulin cap on all plans; $0 insulin is included on 1 plan on the Silver metal level
Wyoming has 3 total plans that are offered off-exchange only
Available counties
Albany, Big Horn, Campbell, Carbon, Converse, Crook, Fremont, Goshen, Hot Springs, Johnson, Laramie, Natrona, Niobrara, Park, Platte, Sheridan, Sublette, Sweetwater, Washakie, Weston
Contact us
1-888-200-0325, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
For the 2026 plan year, we will be offering additional gated HMO plans with a primary care physician (PCP)-capitated network in the San Antonio area featuring Sanitas Medical Group-employed PCPs in Bexar County only
Members enrolled in these plans are automatically assigned to one of several Sanitas clinics and must stay within the Sanitas narrowed network to receive coverage
Referrals may be required to see a participating specialist outside of the Sanitas clinics
Pediatric dental and vision and adult dental and vision are available on Sanitas plans
Texas is a state that caps insulin; $0 insulin is included on all plans outside of HSA and Required plans