Health Insurance Guides by State
Guides and Insights for Your Coverage Search
Health insurance rules change at the state line, and the fine print changes every year. Everything I've written to help you make sense of it lives right here.
Open the state guides to see how coverage works where you live, or head to the blog for plain-English answers on costs, enrollment windows, and your options beyond the Marketplace.
Self-Employed & 1099Private Plan GuidesWorking for yourself changes the math. What private and off-Marketplace coverage actually looks like in your state — and when the Marketplace still wins.Open the self-employed guides →Articles & UpdatesThe BlogStraight answers on why premiums keep climbing, how to enroll outside Open Enrollment, and when private coverage beats the Marketplace.Read the latest posts →
Health Insurance, State by State
Whether your state runs its own exchange or uses HealthCare.gov, and whether it expanded Medicaid, shapes what coverage really costs you. Pick your state below.AlabamaHealthCare.gov
No Medicaid expansionArkansasHealthCare.gov
Expanded via ARHOMEColoradoConnect for Health CO
Medicaid expandedDelawareHealthCare.gov
Medicaid expandedFloridaHealthCare.gov
No Medicaid expansionGeorgiaGeorgia Access
Partial expansionIllinoisGet Covered Illinois
Medicaid expandedIndianaHealthCare.gov
Expanded via HIPIowaHealthCare.gov
Medicaid expandedKansasHealthCare.gov
No Medicaid expansionKentuckykynect
Medicaid expandedLouisianaHealthCare.gov
Medicaid expandedMarylandMD Health Connection
Medicaid expandedMichiganHealthCare.gov
Healthy Michigan PlanMississippiHealthCare.gov
No Medicaid expansionMissouriHealthCare.gov
Medicaid expandedMontanaHealthCare.gov
Medicaid expandedNebraskaHealthCare.gov
Medicaid expandedNevadaNevada Health Link
Medicaid expandedNorth CarolinaHealthCare.gov
Expanded in 2023OhioHealthCare.gov
Medicaid expandedOklahomaHealthCare.gov
Expanded via SoonerCareSouth CarolinaHealthCare.gov
No Medicaid expansionSouth DakotaHealthCare.gov
Expanded in 2023TennesseeHealthCare.gov
No Medicaid expansionTexasHealthCare.gov
No Medicaid expansionUtahHealthCare.gov
Medicaid expandedVirginiaVA Insurance Marketplace
Medicaid expandedWest VirginiaHealthCare.gov
Medicaid expandedWisconsinHealthCare.gov
BadgerCare, no gapWyomingHealthCare.gov
No Medicaid expansion
No Medicaid expansion
Expanded via ARHOME
Medicaid expanded
Medicaid expanded
No Medicaid expansion
Partial expansion
Medicaid expanded
Expanded via HIP
Medicaid expanded
No Medicaid expansion
Medicaid expanded
Medicaid expanded
Medicaid expanded
Healthy Michigan Plan
No Medicaid expansion
Medicaid expanded
Medicaid expanded
Medicaid expanded
Medicaid expanded
Expanded in 2023
Medicaid expanded
Expanded via SoonerCare
No Medicaid expansion
Expanded in 2023
No Medicaid expansion
No Medicaid expansion
Medicaid expanded
Medicaid expanded
Medicaid expanded
BadgerCare, no gap
No Medicaid expansion
Don't see your state?
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