Tennessee Health Insurance Rates for 2027: What Is Changing
Average individual-market change
12.7% to 15.6%
Status
Final rates
Small-group average change
14.7%
Insurers filing
6
Insurers leaving for 2027
1
2027 out-of-pocket max
$12,000 / $24,000
Tennessee's 2027 individual-market increase falls between about 13 and 16 percent, depending on the tracker, with small-group plans up about 14.7 percent. Six insurers filed, and one is leaving the market for 2027.
Tennesseans enroll through HealthCare.gov. Enrollees with the exiting insurer will need to choose a new plan; the automatic replacement may have a different network. Nashville, Memphis, Knoxville and Chattanooga each have distinct hospital systems, so the right plan depends heavily on where you live and which system your doctors belong to.
The difference between the two trackers' Tennessee figures reflects how each one weights insurers by enrollment. Either way, buyers above the subsidy line face a double-digit increase and should compare plans before renewing.
Private health insurance in Tennessee
Most people I help in Tennessee 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. Tennessee Marketplace premiums are rising 12.7% to 15.6% 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 Tennessee 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 Tennessee 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 12.7% to 15.6% increase. The subsidy cliff guide explains the line. Healthy and above that line? Compare private health insurance in Tennessee, priced on age, ZIP and health instead of income, if approved.
Where and when to enroll in Tennessee
Tennessee residents enroll through HealthCare.gov. Open enrollment runs November 1, 2026 to January 15, 2027; choose by December 15 for coverage starting January 1. Private, medically underwritten plans are not tied to open enrollment and can start the first of any month if you are approved.
Tennessee 2027 rate questions
How much are Tennessee premiums going up in 2027?
Roughly 13 to 16 percent on average for the individual market, depending on the tracker, and about 14.7 percent for small-group plans.
Is an insurer leaving Tennessee's Marketplace?
Yes, one insurer is exiting for 2027. Its enrollees should actively choose a new plan.
Where do Tennesseans enroll?
Through HealthCare.gov, November 1, 2026 to January 15, 2027.
What is the 2027 out-of-pocket maximum for Tennessee 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 Tennessee, 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 Tennessee. Esta página en español.
Other states
Written by Frank Caballero, licensed health insurance agent, NPN 21032307. Last updated November 11, 2026.