2027 marketplace changes in Kansas

Which insurance companies are leaving the Kansas marketplace in 2027

Who is leaving, what's left in your county, and what to do before the deadline. Last checked October 5, 2026.

The short answer

One insurance company is leaving the Kansas marketplace for 2027.

  • Medica (confirmed). A Medica spokesperson confirmed that Medica will stop offering marketplace plans in Kansas in 2027. In 2026 it sold marketplace plans in 4 of Kansas's 105 counties. That's about 600 people, mostly in the Kansas City area, according to Medica. source

Altogether, 4 of Kansas's 105 counties lose at least one marketplace insurer.

Sam Jaber, licensed health insurance broker

What this means in Kansas

Hi, I'm Sam Jaber, a broker with licenses in 36 states, Kansas included. Medica is leaving the Kansas marketplace for 2027, and its footprint here was small: four counties on the Kansas City side of the state, Johnson, Wyandotte, Leavenworth and Miami. That's Overland Park, Olathe, Lenexa, Kansas City, Kansas, Leavenworth and Paola. If your plan is from Medica, it ends December 31, 2026, and you need a new one.

The rest of Kansas doesn't move. The other 101 counties keep every marketplace company they had in 2026, so in Wichita, Topeka, Salina or Garden City, this fall is about your own plan's changes, not a company pulling out.

What's left on the Kansas City side

Johnson, Wyandotte and Miami counties drop from five marketplace companies to four, and Leavenworth drops from four to three. That's still real choice, so the job is matching networks, not settling for whatever is left. The Kansas City metro also straddles the state line. If you see a doctor or use a hospital on the Missouri side, check that one by name in the 2027 network, not just the clinic down the street.

Some of you have already moved once. Aetna stopped selling Kansas marketplace plans for 2026, and anyone who went to Medica after that is moving again.

No marketplace PPO in Kansas

The Kansas marketplace had no PPO plans in 2026, so Medica's exit doesn't take one away. You can still get a PPO, though: a private nationwide PPO through me. For a healthy household on the Kansas City side that pays full price, that's worth pricing, because a nationwide network isn't built around one side of State Line Road. If you qualify for the premium tax credit, stay on the marketplace and choose carefully.

What's left in your county

These are the 4 Kansas counties where at least one marketplace insurer is leaving. For each one you can see who's leaving, how many marketplace insurers are left, and which ones.

The Kansas marketplace had no PPO plans in 2026, so none of the exits takes a PPO away; you just have fewer HMO, EPO and similar plans to pick from.

See every county that loses an insurer
CountyInsurer leavingInsurers leftWho's left (2026 plans)Marketplace PPO after
JohnsonMedica4Ambetter (Centene); Blue Cross and Blue Shield of Kansas City; Oscar; UnitedHealthcareNo
LeavenworthMedica3Ambetter (Centene); Blue Cross and Blue Shield of Kansas, Inc.; UnitedHealthcareNo
MiamiMedica4Ambetter (Centene); Blue Cross and Blue Shield of Kansas, Inc.; Oscar; UnitedHealthcareNo
WyandotteMedica4Ambetter (Centene); Blue Cross and Blue Shield of Kansas City; Oscar; UnitedHealthcareNo

County data: CMS 2026 marketplace plan data source. Insurers are counted by company, and the table uses each company's 2026 service area, so a company that enters or expands for 2027 isn't counted yet. I'll update it when the 2027 plan list publishes in late October.

Other changes you may have read about

A few other names come up in the news about this. Here's where each one actually stands.

  • Aetna left the individual marketplace in Kansas for 2026, when CVS Health exited the individual exchange business where Aetna ran its own ACA plans. source

What happens to your plan

When an insurance company leaves, your plan doesn't stop overnight. It runs through December 31, 2026, and the company has to tell you in writing first. Federal rules require at least 90 calendar days notice when a company drops a plan, and at least 180 calendar days when it leaves a state's individual market entirely. If your company is leaving and you haven't seen that letter, call the company and ask for it.

What happens next is the part people get wrong. If no plan from your company is left on the marketplace, the federal rule (45 CFR 155.335) says the marketplace may move you to a plan from a different company. It doesn't say it will. The move has to fit state law, it follows the state regulator's direction, and without that direction the marketplace picks a "similar" plan. Nothing in that rule checks your doctors or your prescriptions.

If you bought your plan straight from the company, off the marketplace, the marketplace's re-enrollment rule doesn't reach you at all. You need to pick a new plan yourself.

Open enrollment on HealthCare.gov starts November 1. By then you should get 2 letters: one from your current company and one from the marketplace. The marketplace letter tells you which plan, if any, you'll be moved into if you do nothing by December 15. HealthCare.gov is plain that in some cases you won't be automatically re-enrolled.

Pick by December 15 and your new plan starts January 1. Pick between December 16 and January 15 and it starts February 1, which leaves January uncovered if your old plan ended December 31.

Miss open enrollment and you may still have a way in. Losing a plan because it's discontinued is on HealthCare.gov's list of qualifying events, and the federal rule gives you 60 days before and 60 days after the day your old coverage ends to pick a new plan. Don't build your plan around that window. Confirm you qualify before you count on it.

What to do now

Here's how I'd think about it, depending on where you are. Each path ends the same way: a call with me before the deadline.

Scenario 1 of 2

Your income qualifies you for help with the premium

If your household income qualifies you for the premium tax credit, the marketplace is usually where your most affordable coverage is, because that's the only place the credit can be used. So don't let the marketplace pick for you. Re-shop before December 15, look at every company still selling in your county, and check your doctors and prescriptions against the network of the plan you choose, not the one you had.

Scenario 2 of 2

You pay full price and you're healthy

If you earn too much for the credit, you're paying the full marketplace price, and now you're paying it for whatever is left in your county. You have another option. Private plans with medical underwriting run on nationwide PPO networks and are priced on your health, which is how the price for a healthy person can come in under the marketplace's full rate. They ask health questions up front, and the company can decline you or leave out a past condition, so we go through the details together before you choose.

You can still get a nationwide PPO in Kansas

Whatever the marketplace looks like in your county, you can still get a nationwide PPO in Kansas through me. The Kansas marketplace had no PPO plans in 2026, so none of the exits takes a PPO away; you just have fewer HMO, EPO and similar plans to pick from.

Private PPO plans with medical underwriting use networks that work across the country, and for a healthy person who pays full price on the marketplace, they're often worth pricing. I'm licensed in 36 states, and Kansas is one of them.

Questions about insurers leaving Kansas

Straight answers, no sales pitch.

Which insurance companies are leaving the Kansas marketplace in 2027?

Medica (confirmed). Altogether, 4 of Kansas's 105 counties lose at least one marketplace insurer.

If my insurance company leaves, will I be moved to a new plan automatically?

Maybe, but don't count on it. The federal rule says the marketplace may move you to a similar plan from a different company, as state law and your state regulator allow. HealthCare.gov says that in some cases you won't be automatically re-enrolled, and if you bought off the marketplace, nobody moves you. Pick your own plan.

What's the deadline to pick a new Kansas plan for 2027?

On HealthCare.gov, pick by December 15 for coverage that starts January 1. Open enrollment runs to January 15, but a plan picked after December 15 starts February 1.

Can I still get a PPO in Kansas?

Yes. You can still get a nationwide PPO in Kansas through me. The Kansas marketplace had no PPO plans in 2026, so none of the exits takes a PPO away; you just have fewer HMO, EPO and similar plans to pick from.

Sources

  • Medica sold individual marketplace plans in 4 of 105 Kansas counties in 2026 (CMS 2026 plan data, counted by company) source
  • A Medica spokesperson confirmed that Medica will stop offering marketplace plans in Kansas in 2027. source
  • Medica in Kansas: about 600 people, mostly in the Kansas City area, according to Medica source
  • After the confirmed and reported exits, 4 of 105 Kansas counties lose at least one marketplace insurer and 0 are left with one, counting the 2026 plans of the companies that stay (CMS 2026 plan data) source
  • Kansas marketplace PPO plans in 2026: 0 of 105 counties; after the confirmed exits: 0 (CMS 2026 plan data) source
  • Aetna left the individual marketplace in Kansas for 2026, when CVS Health exited the individual exchange business where Aetna ran its own ACA plans. source
  • HealthCare.gov says that by November 1 you should get 2 letters, one from your current insurance company and one from the Marketplace, and that in some cases you won't be automatically re-enrolled source
  • 45 CFR 155.335(j)(3): when no plans from the same insurer are available, the Exchange "may enroll the enrollee in a QHP issued by a different issuer, to the extent permitted by applicable State law", as the state regulator directs or, if it does not, "in a similar QHP from a different issuer, as determined by the Exchange" source
  • HealthCare.gov open enrollment starts November 1; enroll by December 15 for coverage that starts January 1, or December 16 to January 15 for coverage that starts February 1 source
  • 45 CFR 155.420: losing coverage is a triggering event, the loss date is the last day of the old plan's coverage, and the person has 60 days before and 60 days after it to pick a new plan source
  • HealthCare.gov lists "Your individual plan or your Marketplace plan is discontinued (no longer exists)" as a qualifying event for a special enrollment period source
  • 45 CFR 147.106: an insurer that drops a product must give written notice at least 90 calendar days before coverage ends; one that leaves a state's individual market entirely must give at least 180 calendar days notice and cannot return to that market for 5 years source
  • After Medica's exit, Johnson, Miami and Wyandotte counties go from 5 marketplace insurers to 4, and Leavenworth goes from 4 to 3 (CMS 2026 plan data, counted by company) source
  • The other 101 of Kansas's 105 counties keep every marketplace insurer they had in 2026 (CMS 2026 plan data, counted by company) source

Last checked October 5, 2026. I update this page when the 2027 plan list publishes in late October.

Got a letter? Bring it to the call.

Tell me your county, who's on your plan and what your letter says. I'll show you what's left on the Kansas marketplace, price a nationwide PPO next to it, and help you pick before the deadline. I'm licensed in 36 states and work by phone.

Keep reading

Every state on the list, and guides for Kansas