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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 4 plan types — Essential (off-exchange only), Value, Advantage and Copay Focus. 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.
Quick facts
Non-gated EPO state, referrals not required
Cross-border coverage in counties in Florida (Escambia, Santa Rosa), Georgia (Coweta, Muscogee, Troup), Mississippi (Harrison, Jackson, Lauderdale, Lee) and Tennessee (Bedford, Giles, Hamilton, Lawrence, Lewis, Lincoln, Marshall, Maury, Moore, Wayne)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Alabama is a state that caps insulin; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Baldwin, Barbour, Bibb, Blount, Bullock, Calhoun, Chambers, Cherokee, Chilton, Choctaw, Clarke, Clay, Cleburne, Coffee, Colbert, Conecuh, Coosa, Cullman, Dale, DeKalb, Escambia, Etowah, Fayette, Franklin, Geneva, Greene, Hale, Henry, Houston, Jackson, Jefferson, Lauderdale, Lawrence, Lee, Limestone, Macon, Madison, Marengo, Marion, Marshall, Mobile, Morgan, Perry, Pickens, Pike, Randolph, Russell, Shelby, St. Clair Talladega, Sumter, Tallapoosa, Tuscaloosa, Walker, Washington, Winston
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 offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Arizona is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
Offers 4 off-exchange only plans (Bronze Essential, Bronze Value HSA, Silver Value HSA, Gold Value HSA)
Available counties
Gila, La Paz, Maricopa, Mohave, Pima, Pinal
Contact us
1-877-482-9045, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Non-gated HMO state, referrals not required
Multiple networks are available depending on which county you live in
Colorado is a state that caps insulin; $0 insulin is included on all plans except required Colorado Options plans
Offers 28 off-exchange only plans; availability varies by market/network
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision not offered in Colorado
Available counties
Adams, Alamosa, Arapahoe, Archuleta, Boulder, Broomfield, Chaffee, Conejos, Costilla, Custer, Delta, Denver, Dolores, Douglas, Eagle, El Paso, Elbert, Garfield, Grand, Gunnison, Hinsdale, Huerfano, Jefferson, La Plata, Lake, Larimer, Logan, Mesa, Mineral, Moffat, Montezuma, Montrose, Morgan, Ouray, Phillips, Pitkin, Rio Blanco, Rio Grande, Routt, Saguache, San Juan, San Miguel, Sedgwick, Summit, Weld
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 in counties in Alabama (Baldwin, Mobile)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Florida is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
Offers 3 off-exchange only plans (Bronze Value HSA, Silver Copay Focus, Silver Value HSA)
No HSA plan is offered on-exchange in this market
Available counties
Brevard, Broward, Calhoun, Collier, DeSoto, Escambia, Flagler, Gadsden, Glades, Hardee, Hendry, Highlands, Hillsborough, Jefferson, Lake, Lee, Leon, Liberty, Madison, Manatee, Marion, Miami-Dade, Orange, Osceola, Palm Beach, Pasco, Polk, Santa Rosa, Seminole, Taylor, Volusia, Wakulla
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 in counties in South Carolina (Beaufort, Jasper)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Georgia is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
Offers 2 off-exchange only plans (Bronze Value HSA, Silver Value HSA)
No HSA plan is offered on-exchange in this market
Available counties
Appling, Barrow, Bryan, Bulloch, Burke, Candler, Chatham, Chattahoochee, Cherokee, Clarke, Clayton, Cobb, Columbia, Coweta, Dekalb, Effingham, Emanuel, Evans, Fayette, Forsyth, Fulton, Glascock, Gwinnett, Harris, Henry, Jefferson, Jenkins, Liberty, Lincoln, Long, Macon, Marion, Meriwether, Muscogee, McDuffie, Newton, Oconee, Pickens, Quintman, Richmond, Rockdale, Screven, Stewart, Talbot, Taliaferro, Tattnall, Taylor, Troop, Upson, Walton, Warren, Webster, Wilkes
Contact us
1-800-609-9754, 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 in counties in Wisconsin (Kenosha, Milwaukee, Racine) and Missouri (Jefferson, St. Genevieve, St. Charles, St. Louis, St. Louis City)
- Pediatric dental and vision offered on all plans on all metal levels
- Adult dental and vision options available on all metal levels
- Illinois is a state that caps insulin; $0 insulin is included on all plans
- No HSA plan is offered in this market
Available counties
Bond, Calhoun, Christian, Clinton, Cook, DuPage, Greene, Jersey, Kane, Kankakee, Kendall, Lake, Macon, Macoupin, Madison, McHenry, Monroe, Montgomery, Randolph, Saint Clair, Sangamon, Shelby, Washington, Will
Contact us
1-888-200-0325, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- New market entry in 2025
Non-gated EPO state, referrals not required
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Indiana is a state that caps insulin; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Boone, Hamilton, Hancock, Hendricks, Henry, Howard, Johnson, Madison, Marion
Contact us
1-866-593-3299, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
New market entry in 2025
Non-gated HMO state, referrals not required
Cross-border coverage in counties in Missouri (Boone) and Nebraska (Burt, Dodge, Douglas, Sarpy, Saunders, Thurston, Washington)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Iowa is a state that caps insulin; $0 insulin is included on all plans
No HSA plan is offered in this market
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
Cross-border coverage in counties in Nebraska (Buffalo, Dundy, Franklin, Furnas, Gage, Harlan, Hitchcock, Jefferson, Lancaster, Nuckolls, Red Willow, Thayer, Webster) and Oklahoma (Creek, Okmulgee, Osage, Pawnee, Rogers, Wagoner)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Kansas is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Allen, Anderson, Atchison, Barber, Barton, Bourbon, Brown, Butler, Chase, Chautauqua, Cherokee, Cheyenne, Clay, Cloud, Coffey, Comanche, Cowley, Crawford, Decatur, Dickinson, Doniphan, Douglass, Elk, Ellis, Ellsworth, Franklin, Geary, Gove, Graham, Greeley, Greenwood, Harper, Harvey, Hodgeman, Jackson, Jefferson, Jewell, Johnson, Kingman, Kiowa, Labette, Lane, Leavenworth, Lincoln, Linn, Logan, Lyon, Marion, Marshall, McPherson, Miami, Mitchell, Montgomery, Morris, Nemaha, Neosho, Ness, Norton, Osage, Osborne, Ottawa, Pawnee, Phillips, Pottawatomie, Pratt, Rawlins, Reno, Republic, Rice, Riley, Rooks, Rush, Russell, Saline, Scott, Sedgwick, Shawnee, Sheridan, Sherman, Smith, Stafford, Sumner, Thomas, Trego, Wabaunsee, Wallace, Washington, Wichita, Wilson, Woodson,Wyandotte
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
Cross-border coverage in counties in Mississippi (Claiborne, Hancock, Harrison, Jefferson, Lamar, Marion, Pike, Pearl River, Warren and Walthall (parishes))
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Louisiana is a state that caps insulin; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Acadia, Ascension, Bienville, Bossier, Caddo, Caldwell, Catahoula, Claiborne, Concordia, De Soto, East Baton Rouge, East Carroll, East Feliciana, Evangeline, Franklin, Iberia, Iberville, Jackson, Jefferson, Lafayette, LaSalle, Lincoln, Livingston, Madison, Morehouse, Natchitoches, Orleans, Ouachita, Plaquemines, Point Coupee, Red River, Richland, Sabine, Saint Bernard, Saint Helena, Saint James, Saint John the Baptist, Saint Landry, Saint Martin, Saint Mary, Saint Tammany, Tangipahoa, Tensas, Union, Vermilion, Washington, Webster, West Baton Rouge, West Carroll, West Feliciana
Contact us
1-866-268-6438, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
Mixed-gated HMO state, some offerings do not require referrals
Cross-border coverage in counties in Virginia (Arlington, Fairfax, Fairfax City, Loudoun)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Maryland is a state that caps insulin; $0 insulin is included on all plans, including the state standardized plans since it is required
Offers 4 off-exchange only plans (Bronze Essential, Bronze Value HSA, Silver Value HSA, Gold Value HSA)
No HSA plan is offered on-exchange in this market
Available counties
Allegany, Anne Arundel, Baltimore, Baltimore City, Bethesda, Calvert, Carroll, Cecil, Charles, Cheverly, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Montgomery, Prince Georges, Saint Mary’s, Somerset, Talbot, Queen Anne’s, Washington, Wicomico, 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
Cross-border coverage in counties in Ohio (Lucas)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Michigan is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Calhoun, Genesee, Kalamazoo, Kent, Macomb, Monroe, Oakland, Shiawassee, 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 in counties in Alabama (Jefferson, Mobile, Baldwin), Louisiana (Concordia, East Baton Rouge, Franklin, Jefferson, Madison, Orleans, St. Tammany, Tangipahoa, Tensas) and Tennessee (Fayette, Hardeman, McNairy, Tipton, Shelby)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Mississippi is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Attala, Benton, Bolivar, Carroll, Chickasaw, Choctaw, Claiborne, Clarke, Clay, Coahoma, Copiah, Covington, DeSoto, Forrest, Franklin, George, Greene, Hancock, Harrison, Hinds, Holmes, Humphreys, Issaquena, Itawamba, Jackson, Jasper, Jefferson, Jefferson Davis, Jones, Kemper, Lamar, Lauderdale, Lawrence, Leake, Lee, Leflore, Lincoln, Madison, Marion, Marshall, Monroe, Montgomery, Neshoba, Newton, Panola, Pearl River, Perry, Pike, Pontotoc, Quitman, Rankin, Scott, Sharkey, Simpson, Smith, Stone, Sunflower, Tallahatchie, Tate, Tippah, Tunica, Union, Walthall, Warren, Washington, Wayne, Webster, 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
Cross-border coverage in counties in Illinois (Madison, Monroe, St. Clair), Kansas (Atchison, Bourbon, Cherokee, Crawford, Doniphan, Jackson, Johnson, Leavenworth, Linn, Miami, Wyandotte) and Tennessee (Dyer, Shelby)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Missouri is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Adair, Andrew, Atchison, Audrain, Barry, Barton, Bates, Benton, Bollinger, Boone, Buchanan, Butler, Caldwell, Callaway, Camden, Cape Girardeau, Carroll, Carter, Cass, Cedar, Chariton, Christian, Clark, Clay, Clinton, Cole, Cooper, Crawford, Dade, Dallas, Daviess, DeKalb, Dent, Douglas, Dunklin, Franklin, Gasconade, Gentry, Greene, Grundy, Harrison, Henry, Hickory, Holt, Howard, Howell, Iron, Jackson, Jasper, Jefferson, Johnson, Knox, Laclede, Lafayette, Lawrence, Lewis, Lincoln, Linn, Livingston, Macon, Madison, Maries, Marion, McDonald, Mercer, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Nodaway, Oregon, Osage, Ozark, Pemiscot, Perry, Pettis, Phelps, Pike, Platte, Polk, Pulaski, Putnam, Ralls, Randolph, Ray, Reynolds, Ripley, Saline, Schuyler, Scotland, Scott, Shannon, Shelby, St. Charles, St. Clair, St. Francois, St. Genevieve, St. Louis, St. Louis City, Stoddard, Stone, Sullivan, Taney, Texas, Vernon, Warnes, Washington, Wayne, Webster, Worth, Wright
Contact us
1-877-940-4172, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
New market entry in 2025
Non-gated EPO state, referrals not required
Cross-border coverage in counties in 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 dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Nebraska is a state that caps insulin; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Adams, Antelope, Arthur, Banner, Blaine, Boone, Box Butte, Boyd, Buffalo, Brown, Burt, Butler, Cass, Cedar, Chase, Cherry, Cheyenne, Clay, Colfax, Cuming, Custer, Dakota, Dawes, Dawson, Deuel, Dixon, Dodge, Douglas, Dundy, Fillmore, Franklin, Frontier, Furnas, Gage, Garden, Garfield, Gosper, Grant, Greeley, Hall, Hamilton, Harlan, Hayes, Hitchcock, Holt, Hooker, Howard, Jefferson, Johnson, Kearney, Keith, Keya Paha, Kimball, Knox, Lancaster, Lincoln, Logan, Loup, Madison, McPherson, Merrick, Morrill, Nance, Nemaha, Nuckolls, Otoe, Pawnee, Perkins, Phelps, Pierce, Platte, Polk, Red Willow, Richardson, Rock, Saline, Sarpy, Saunders, Scotts Bluff, Seward, Sheridan, Sherman, Sioux, Stanton, Thayer, Thomas, Thurston, Valley, Washington, Wayne, Webster, Wheeler, York
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
Pediatric dental and vision offered on all plans on all metal levels
No adult dental or vision plans offered
New Jersey is a state that caps insulin; $0 insulin is included on all plans
Available counties
Atlantic, Bergen, 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
Cross-border coverage in counties in Arizona (Maricopa), Colorado (La Plata) and Texas (El Paso, Lubbock, Potter)
Pediatric dental and vision offered on all plans on all metal levels
No adult dental or vision plans offered
New Mexico is a state that caps insulin; $0 insulin is included on all plans
New Mexico does not offer Bronze plans
No HSA plan is offered in this market
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, Sandoval, Santa Fe, 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
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
North Carolina is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Alexander, Bladen, Brunswick, Burke, Caldwell, Catawba, Columbus, Cumberland, Davidson, Davie, Forsyth, Franklin, 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
Non-gated HMO state, referrals not required
Cross-border coverage in counties in Michigan (Monroe)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Ohio is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
Offers 4 off-exchange only plans (Bronze Essential, Bronze Value HSA, Silver Value HSA, Gold Value HSA)
No HSA plan is offered on-exchange in this market
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, Ottowa, 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
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Oklahoma is a state that caps insulin; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Canadian, Cleveland, Creek, Grady, Lincoln, Logan, McClain, Oklahoma, Okmulgee, Osage, Pawnee, Rogers, Tulsa, Wagoner
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 in counties in Georgia (Richmond)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
South Carolina is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Allendale, Bamberg, Barnwell, Beaufort, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Dillon, Fairfield, Florence, Georgetown, Greenville, Hampton, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, Newberry, Orangeburg, Richland, Saluda, Spartanburg, Union, Williamsburg, York
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
Cross-border coverage in counties in Alabama (Colbert, Jefferson, Lauderdale, Lawrence, Limestone, Madison, Morgan) and Mississippi (Benton, DeSoto, Lee, Marshall, Tate, Tippah, Tunica, Union)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Tennessee is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Anderson, Bedford, Benton, Bledsoe, Blount, Bradley, Clairborne, Campbell, Cannon, Carroll, Cheatham, Chester, Clay, Cocke, Coffee, Crockett, Cumberland, Davidson, Decatur, DeKalb, Dickson, Dyer, Fayette, Fentress, Franklin, Gibson, Giles, Grainger, Grundy, Hamble, Hamilton, Hardeman, Hardin, Haywood, Henderson, Henry, Hickman, Houston, Humphreys, Jackson, Jefferson, 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, Sequatachie, Sevier, Shelby, Smith, Stewart, Sumner, Tipton, Trousdale, Union, Van Buren, Warren, 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
Cross-border coverage in counties in Oklahoma (Beaver, Beckham, Bryan, Canadian, Choctaw, Cimarron, Cleveland, Colton, Ellis, Grady, Greer, Harmon, Harper, Jackson, Jefferson, Lincoln, Logan, Love, Marshall, McClain, McCurtain, Oklahoma, Roger Mills, Texas, Tillman)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Texas is a state that caps insulin; $0 insulin is included on all plans
Offers 4 off-exchange only plans (Bronze Essential, Bronze Value HSA, Silver Value HSA, Gold Value HSA)
Available counties
Anderson, Andrews, Angelina, Armstrong, Atascosa, Austin, Bailey, Bandera Bexar, Bell, Blanco, Borden, Bowie, Brazoria, Brazos, Brewster, Briscoe, Brooks, Burleson, Burnet, Caldwell, Calhoun, Cameron, Camp, Carson, Cass, Castro, Chambers, Cherokee, Childress, Cochran, Coke, Collin, Collingsworth, Colorado, Comal, Concho, Cooke, Coryell, Crane, Crockett, Crosby, Culberson, Dallam, Dallas, Dawson, Deaf Smith, Delta, Denton, DeWitt, Dickens, Dimmit, Donley, Duvall, Ector, Edwards, El Paso, Ellis, Erath, Fannin, Fayette, Floyd, Fort Bend, Franklin, Frio, Gaines, Galveston, Garza, Glasscock, Goliad, Gonzales, Gray, Grayson, Gregg, Grimes, Guadalupe, Hale, Hall, Hamilton, Hansford, Hardin, Harris, Hartley, Hays, Hemphill, Henderson, Hidalgo, Hockley, Hood, Hopkins, Houston, Howard, Hudspeth, Hunt, Hutchinson, Irion, Jack, Jackson, Jasper, Jeff Davis, Jefferson, Jim Hogg, Johnson, Karnes, Kaufman, Kendall, Kenedy, Kimble, King, Kinney, La Salle, Lamar, Lamb, Lampasas, Lavaca, Lee, Leon, Liberty, Lipscomb, Llano, Loving, Lubbock, Lynn, Madison, Marion, Martin, Mason, Matagorda, Maverick, McCulloch, McMullen, Medina, Menard, Midland, Milam, Mills, Montague, Montgomery, Moore, Morris, Motley, Nacogdoches, Navarro, Newton, Ochiltree, Oldham, Orange, Palo Pinto, Parker, Parmer, Pecos, Polk, Potter, Presidio, Rains, Randall, Reagan, Real, Red River, Reeves, Roberts, Robertson, Rockwall, Sabine, San Augustine, San Jacinto, San Saba, Schleicher, Shelby, Sherman, Smith, Somervell, Starr, Sterling, Sutton, Swisher, Tarrant, Terrell, Terry, Titus, Tom Green, Travis, Trinity, Tyler, Upshur, Upton, Uvalde, Val Verde, Van Zandt, Victoria, Walker, Waller, Ward, Web, Wharton, Wheeler, Willacy, Williamson, Wilson, Winkler, Wood, Yoakum, Young, Zapata, Zavala
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
Cross-border coverage in counties in Maryland (Frederick, Prince George, Montgomery)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Virginia is a state that caps insulin; $0 insulin is included on all plans
No HSA plan is offered in this market
Available counties
Alexandria City, Amelia, Arlington, Bath, 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, Spotsylvania, Stafford, Sussex, 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
Pediatric vision available on all plans; pediatric dental not available
No adult dental or vision plans offered
Washington is a state that has $0 insulin available on all plans
Available counties
Adams, Clallam, Jefferson, King, Kittitas, Lincoln, Mason, Pierce, Whitman, Yakima
Contact us
1-888-832-0969, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday
Quick facts
- Gated HMO state, referrals required
Cross-border coverage in counties in Illinois (Lake)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Wisconsin is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
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
New market entry in 2025
Non-gated EPO state, referrals not required
Cross-border coverage in counties in Colorado (Adams, Denver, Larimer, Routt, Weld)
Pediatric dental and vision offered on all plans on all metal levels
Adult dental and vision options available on all metal levels
Wyoming is a state that does not impose an insulin cap on all plans; $0 insulin is included on all plans
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
1-877-816-3605, TTY 711
8 a.m. to 8 p.m. local time, Monday through Friday