District of Columbia · Plan year 2027 · Updated October 24, 2026
District of Columbia health insurance for 2027
District of Columbia residents buy marketplace coverage through DC Health Link, its own state-run exchange. Open enrollment for 2027 runs November 1, 2026 to January 31, 2027. District of Columbia expanded Medicaid, so adults qualify up to $22,025 a year for one person.
| Where to enroll | DC Health Link |
|---|---|
| 2027 open enrollment | November 1, 2026 to January 31, 2027 |
| Last day for Jan 1 coverage | not stated by the exchange |
| Medicaid expansion | Yes |
| State coverage mandate | Yes, with a tax penalty |
| Short-term plans | State rules leave essentially none on sale |
What a plan costs in District of Columbia
DC Health Link publishes its own plans and prices, which aren't in CMS's federal plan files, so we don't list county prices here. Get your benchmark silver price from DC Health Link's shopping tool and enter it in the subsidy calculator to see your credit.
Medicaid and CHIP limits in District of Columbia
Yearly income limits in 2026 dollars. Medicaid checks current monthly income, so divide by 12 for the monthly figure.
| Group | % of poverty line | 1 person | 2 | 3 | 4 |
|---|---|---|---|---|---|
| Adults without children | 138% | $22,025 | $29,863 | $37,702 | $45,540 |
| Parents | 138% | $22,025 | $29,863 | $37,702 | $45,540 |
| Pregnancy | 324% | $51,710 | $70,114 | $88,517 | $106,920 |
| Children under 1 | 324% | $51,710 | $70,114 | $88,517 | $106,920 |
| Children 1 to 5 | 324% | $51,710 | $70,114 | $88,517 | $106,920 |
| Children 6 to 18 | 324% | $51,710 | $70,114 | $88,517 | $106,920 |
| CHIP | - | - | - | - | - |
| Healthy DC Plan | 200% | $31,920 | $43,280 | $54,640 | $66,000 |
Healthy DC Plan covers adults from 138% to 200% of the poverty line who would otherwise buy a marketplace plan, usually at little or no premium.
Extra help from District of Columbia
- Healthy DC Plan (Basic Health-style coverage). Adults 21-64 with income from 138% up to 200% FPL (secondary description) (source)
Get a reminder before District of Columbia's deadline
Email onlySources: DC Health Link and CMS state marketplace list (exchange and dates); MACPAC MACStats, February 2026, and state Medicaid agencies (limits); HHS 2026 poverty guidelines; IRS Rev. Proc. 2026-26. All checked October 24, 2026. Methods.
Questions people ask
When is open enrollment in District of Columbia for 2027?
DC Health Link opens November 1, 2026 and closes January 31, 2027.
What is the Medicaid income limit in District of Columbia?
District of Columbia expanded Medicaid, so adults 19 to 64 qualify up to 138% of the poverty line: $22,025 a year for one person in 2026, checked against monthly income.