Maryland Health Insurance Rates for 2027: What Is Changing
Average individual-market change
14.6%
Status
Final rates
Small-group average change
10.2%
2027 out-of-pocket max
$12,000 / $24,000
Maryland's finalized 2027 individual-market increase averages about 14.6 percent, roughly in line with the national figure, and small-group plans rise about 10.2 percent. Maryland has used a state reinsurance program for years, which keeps its premiums lower than they would otherwise be, but it could not fully absorb 2027's cost pressures.
Marylanders enroll through Maryland Health Connection, the state's own exchange. Maryland has also offered state-funded premium help for some young adults and other groups in past years, so check the exchange for current programs. Buyers in the Baltimore and Washington suburbs face different networks than those on the Eastern Shore or in western Maryland.
Private health insurance in Maryland
Most people I help in Maryland end up on a private plan, not a Marketplace plan. Private, medically underwritten health insurance is priced on your age, zip code and health instead of your income, so a strong year never raises your premium and there is no tax credit to pay back in April.
Why people leave the Marketplace
- Premiums keep climbing. Maryland Marketplace premiums are rising 14.6% on average for 2027.
- The subsidy cliff. Above 400 percent of the poverty level ($63,840 for one person, $132,000 for a family of four) you pay full price.
- Surprise tax bills. Underestimate your income and you repay the tax credit in April.
- Narrow networks. Many plans are local HMOs or EPOs that need referrals and cover little outside the area.
- High out-of-pocket costs. 2027 out-of-pocket maximums reach $12,000 per person and $24,000 per family.
- One window a year. Outside open enrollment you need a qualifying life event to enroll or switch.
What a private plan does differently
- Start any month. If approved, coverage can begin the first of next month, with no wait for open enrollment.
- Networks that travel. Many private plans use national PPO networks, which can give you in-network doctors outside Maryland too. Networks vary by plan.
- Can cost less than full-price Marketplace plans for some healthy applicants above the subsidy line.
- Accident coverage the Marketplace does not offer. A private plan can be paired with accident coverage, a separate policy. What it includes varies by plan.
- Approval is based on health. You answer health questions, and acceptance is not guaranteed.
With a significant health condition, or income low enough for a large tax credit, a Marketplace plan can be the better fit, and I will tell you if it is. Either way you see both side by side.
Private plans are not ACA Marketplace plans. Benefits, exclusions and pre-existing condition rules differ by plan and by state, so review the plan details before you enroll.
Get a private plan quoteLearn more: coverage not based on income · how underwriting works · private vs Obamacare · PPO plans for individuals · switching from the Marketplace
Who feels the Maryland increase
If your household gets a premium tax credit, your payment for the benchmark silver plan is capped as a share of income, so most of a rate increase is absorbed by a larger credit. If your household earns more than 400 percent of the poverty level for 2027, $63,840 for one person or $132,000 for a family of four, there is no credit and you pay the full 14.6% increase. The subsidy cliff guide explains the line. Healthy and above that line? Compare private health insurance in Maryland, priced on age, ZIP and health instead of income, if approved.
Where and when to enroll in Maryland
Maryland residents enroll through Maryland Health Connection, the state's own exchange, which publishes its own 2027 open enrollment dates. Private, medically underwritten plans are not tied to open enrollment and can start the first of any month if you are approved.
Maryland 2027 rate questions
How much are Maryland premiums increasing for 2027?
About 14.6 percent on average for the individual market and about 10.2 percent for small-group plans, based on final rates.
Where do Marylanders enroll?
Through Maryland Health Connection, the state's own exchange, using its enrollment calendar.
Does Maryland offer its own premium help?
Maryland has offered state programs for some groups, such as young adults, in past years. Check Maryland Health Connection for 2027 options.
What is the 2027 out-of-pocket maximum for Maryland Marketplace plans?
The federal limit for 2027 is $12,000 for one person and $24,000 for a family, up from $10,600 and $21,200 in 2026. It applies to every ACA-compliant plan in Maryland, and individual plans can set a lower limit.
Sources: rate-filing trackers at healthinsurance.org (rechecked November 11, 2026) and ACASignups.net. Averages are across insurers; your own renewal depends on your plan, county and age. More on health insurance in Maryland. Esta página en español.
Other states
Written by Frank Caballero, licensed health insurance agent, NPN 21032307. Last updated November 11, 2026.