Health insurance in Maryland

Where Maryland residents buy coverage

Maryland runs its own marketplace — Maryland Health Connection — rather than HealthCare.gov.

Beyond the marketplace, Maryland residents can also buy private, off-exchange plans directly through carriers or a licensed broker. Off-exchange plans don't use premium tax credits, but they sometimes offer wider PPO networks and can be issued outside Open Enrollment.

Coverage we help MD residents with

• Individual and family plans
• Self-employed and 1099 coverage
• Small business and group plans
• Coverage between jobs and COBRA alternatives
• Early retiree coverage before Medicare
• Dental and vision

Areas we serve across Maryland

We work with residents statewide, including Baltimore, Columbia and Silver Spring. Plan availability, pricing, and networks vary by county and rating area, so the plans quoted for one metro may look different from another.

What affects your Maryland premium

Age, county, tobacco use, household size, and the metal tier you pick drive the price. Household income drives the subsidy. If you want the detail, start with how health insurance costs work and ACA subsidies in 2026.

When you can enroll

Open Enrollment is the main window. Outside it, a qualifying life event — losing job coverage, moving, marriage, a new baby, turning 26 — opens a Special Enrollment Period. See getting covered outside Open Enrollment.