2027 marketplace changes in Texas

Which insurance companies are leaving the Texas 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

Two insurance companies are leaving the Texas marketplace for 2027.

Baylor Scott & White Health Plan (confirmed). Baylor Scott & White Health Plan says it will discontinue its individual marketplace plans after December 31, 2026; by its own count, those plans serve 2.6% of Texas marketplace customers. In 2026 it sold marketplace plans in 104 of Texas's 254 counties. source
Cigna (confirmed). Cigna is leaving the individual market in Texas on January 1, 2027, on and off the marketplace, as part of the nationwide exit it announced in April 2026. In 2026 it sold marketplace plans in 11 of Texas's 254 counties. source

Altogether, 109 of Texas's 254 counties lose at least one marketplace insurer. In 13 of them, only one marketplace insurer is left.

Where it hits hardest

In the big metros, losing one company is a nuisance more than a crisis. Travis and Williamson counties still have eight marketplace insurers once these two are gone, and Dallas and Collin keep seven. You'll have real choices there, and the work is making sure the plan you pick keeps your doctors.

Smaller counties are a different story. Taylor County, around Abilene, had two marketplace insurers in 2026. Take Baylor Scott & White out and Blue Cross and Blue Shield of Texas is the only company still selling there. The same thing happens in 13 Texas counties, most of them in the Big Country around Abilene, from Callahan and Jones up to Haskell, Knox and Throckmorton, plus Washington County around Brenham. If the marketplace moves you automatically in one of those counties, there is only one company it can move you to, so check that your doctors are in that network before December 15.

Some of you already moved once. Aetna left the Texas marketplace for 2026, and anyone who landed on Cigna or Baylor Scott & White after that has to move again. This time, pick the plan yourself.

One more Texas wrinkle: the marketplace here had no PPO plans at all in 2026, only HMO, POS and EPO plans, so neither exit takes a PPO away. If you're healthy and pay full price, that's the reason a nationwide PPO is worth pricing before you settle.

What's left in your county

These are the 109 Texas 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.

Down to one insurer: Callahan, Cottle, Eastland, Haskell, Jones, Kent, Knox, Nolan, Shackelford, Stephens, Taylor, Throckmorton and Washington counties are left with only Blue Cross and Blue Shield of Texas on the marketplace.

The Texas 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

County	Insurer leaving	Insurers left	Who's left (2026 plans)	Marketplace PPO after
Andrews	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Armstrong	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Bell	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Bexar	Baylor Scott and White Health Plan	7	Ambetter (Centene); Anthem (Elevance); Blue Cross and Blue Shield of Texas; Community First; Imperial Insurance Companies, Inc.; Oscar; UnitedHealthcare	No
Borden	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Bosque	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Brazos	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Brewster	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Briscoe	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Burnet	Baylor Scott and White Health Plan	5	Ambetter (Centene); Blue Cross and Blue Shield of Texas; Oscar; Sendero Health Plans, Local Nonprofit; UnitedHealthcare	No
Callahan	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Carson	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Castro	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Childress	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Coke	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Coleman	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Collin	Baylor Scott and White Health Plan; Cigna	7	Ambetter (Centene); Anthem (Elevance); Blue Cross and Blue Shield of Texas; Imperial Insurance Companies, Inc.; Molina; Oscar; UnitedHealthcare	No
Collingsworth	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Comanche	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Coryell	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Cottle	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Crane	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Crosby	Baylor Scott and White Health Plan; Cigna	3	Anthem (Elevance); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Dallam	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Dallas	Baylor Scott and White Health Plan; Cigna	7	Ambetter (Centene); Anthem (Elevance); Blue Cross and Blue Shield of Texas; Imperial Insurance Companies, Inc.; Molina; Oscar; UnitedHealthcare	No
Dawson	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Deaf Smith	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Dickens	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Donley	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Eastland	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Ector	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
El Paso	Cigna	6	Ambetter (Centene); Anthem (Elevance); Blue Cross and Blue Shield of Texas; Imperial Insurance Companies, Inc.; Oscar; UnitedHealthcare	No
Ellis	Baylor Scott and White Health Plan; Cigna	6	Ambetter (Centene); Anthem (Elevance); Blue Cross and Blue Shield of Texas; Molina; Oscar; UnitedHealthcare	No
Falls	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Fisher	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Floyd	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Freestone	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Gaines	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Garza	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Glasscock	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Gray	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Hale	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Hall	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Hamilton	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Hansford	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Hartley	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Haskell	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Hemphill	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Hill	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Hockley	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Howard	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Hunt	Cigna	4	Ambetter (Centene); Anthem (Elevance); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Hutchinson	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Johnson	Cigna	5	Ambetter (Centene); Anthem (Elevance); Blue Cross and Blue Shield of Texas; Molina; UnitedHealthcare	No
Jones	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Kaufman	Cigna	2	Anthem (Elevance); Blue Cross and Blue Shield of Texas	No
Kent	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
King	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Knox	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Lamb	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Lampasas	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Limestone	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Lipscomb	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Llano	Baylor Scott and White Health Plan	4	Ambetter (Centene); Blue Cross and Blue Shield of Texas; Oscar; UnitedHealthcare	No
Loving	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Lubbock	Baylor Scott and White Health Plan; Cigna	3	Anthem (Elevance); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Lynn	Baylor Scott and White Health Plan	3	Anthem (Elevance); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Martin	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
McCulloch	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
McLennan	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Midland	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Milam	Baylor Scott and White Health Plan	4	Ambetter (Centene); Blue Cross and Blue Shield of Texas; Oscar; UnitedHealthcare	No
Mills	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Mitchell	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Moore	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Motley	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Navarro	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Nolan	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Ochiltree	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Oldham	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Parmer	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Pecos	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Potter	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Randall	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Reagan	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Reeves	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Roberts	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Rockwall	Baylor Scott and White Health Plan; Cigna	6	Ambetter (Centene); Anthem (Elevance); Blue Cross and Blue Shield of Texas; Molina; Oscar; UnitedHealthcare	No
Runnels	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
San Saba	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Scurry	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Shackelford	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Sherman	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Somervell	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Stephens	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Stonewall	Baylor Scott and White Health Plan	2	Ambetter (Centene); Blue Cross and Blue Shield of Texas	No
Swisher	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Tarrant	Cigna	7	Ambetter (Centene); Anthem (Elevance); Blue Cross and Blue Shield of Texas; Imperial Insurance Companies, Inc.; Molina; Oscar; UnitedHealthcare	No
Taylor	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Terry	Baylor Scott and White Health Plan	3	Anthem (Elevance); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Throckmorton	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Travis	Baylor Scott and White Health Plan	8	Ambetter (Centene); Blue Cross and Blue Shield of Texas; Harbor Health; Imperial Insurance Companies, Inc.; Moda Health Plan, Inc.; Oscar; Sendero Health Plans, Local Nonprofit; UnitedHealthcare	No
Upton	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Ward	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Washington	Baylor Scott and White Health Plan	1 (only one)	Blue Cross and Blue Shield of Texas	No
Wheeler	Baylor Scott and White Health Plan	3	Ambetter (Centene); Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Williamson	Baylor Scott and White Health Plan	8	Ambetter (Centene); Blue Cross and Blue Shield of Texas; Harbor Health; Imperial Insurance Companies, Inc.; Moda Health Plan, Inc.; Oscar; Sendero Health Plans, Local Nonprofit; UnitedHealthcare	No
Winkler	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No
Yoakum	Baylor Scott and White Health Plan	2	Blue Cross and Blue Shield of Texas; UnitedHealthcare	No

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.

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.

Next step: Send me your doctors, your prescriptions and your income estimate, and I'll help you pick the right Texas marketplace plan before the deadline.

Talk it through with Sam → Call 813-999-0101

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.

Next step: Call me and I'll price a nationwide PPO for your household next to the Texas marketplace plans in your county.

Talk it through with Sam → Call 813-999-0101

You can still get a nationwide PPO in Texas

Whatever the marketplace looks like in your county, you can still get a nationwide PPO in Texas through me. The Texas 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 Texas is one of them.

Questions about insurers leaving Texas

Straight answers, no sales pitch.

Which insurance companies are leaving the Texas marketplace in 2027?

Baylor Scott & White Health Plan (confirmed) and Cigna (confirmed). Altogether, 109 of Texas's 254 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 Texas 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 Texas?

Yes. You can still get a nationwide PPO in Texas through me. The Texas 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

Baylor Scott & White Health Plan sold individual marketplace plans in 104 of 254 Texas counties in 2026 (CMS 2026 plan data, counted by company) source
Baylor Scott & White Health Plan says it will discontinue its individual marketplace plans after December 31, 2026; by its own count, those plans serve 2.6% of Texas marketplace customers. source
Cigna sold individual marketplace plans in 11 of 254 Texas counties in 2026 (CMS 2026 plan data, counted by company) source
Cigna is leaving the individual market in Texas on January 1, 2027, on and off the marketplace, as part of the nationwide exit it announced in April 2026. source
After the confirmed and reported exits, 109 of 254 Texas counties lose at least one marketplace insurer and 13 are left with one, counting the 2026 plans of the companies that stay (CMS 2026 plan data) source
Texas marketplace PPO plans in 2026: 0 of 254 counties; after the confirmed exits: 0 (CMS 2026 plan data) source
Access to Care Health Plan, a Sendero affiliate, is withdrawing from the Texas market, but it has had no members since January 1, 2026, so no one has to move. source
Molina is not leaving Texas: its 2027 filing says its plans are offered on the Texas marketplace. source
Aetna left the individual marketplace in Texas 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
Texas marketplace medical plans for 2026 include no PPO; they are HMO, POS and EPO plans 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 Texas 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.

Book a free call → Call 813-999-0101 Send a message