Montana · Plan year 2027 · Updated October 24, 2026

Montana health insurance for 2027

Montana residents buy marketplace coverage through HealthCare.gov (the federal marketplace). Open enrollment for 2027 runs November 1, 2026 to January 15, 2027, and a plan picked by December 15, 2026 starts January 1. Montana expanded Medicaid, so adults qualify up to $22,025 a year for one person.

Montana marketplace facts for 2027
Where to enrollHealthCare.gov
2027 open enrollmentNovember 1, 2026 to January 15, 2027
Last day for Jan 1 coverageDecember 15, 2026
Medicaid expansionYes
State coverage mandateNo
Average 2027 rate change+23.3% (approved), per the state's filings
Short-term plansAllowed. A 2024 federal rule limits them to 4 months in total, but federal agencies said in August 2025 they would not enforce it while they rewrite it, so state law sets the limits

What a plan costs in Montana

In Park County, the median-priced county in Montana, the benchmark silver plan cost a 40-year-old $716 a month in 2026. Across 56 counties it ran from $561 (Carbon, Musselshell and 3 other counties) to $757 (Broadwater, Chouteau and 5 other counties). 2027 prices will be different; insurers' average change for 2027 is +23.3%.

A single 40-year-old in Park earning $39,900 (250% of the poverty line) would get about $428 a month in 2027 credit against that price. At 60 the same plan is priced near $1,521, and the credit grows to about $1,233, because the amount you're expected to pay depends on income, not age.

Medicaid and CHIP limits in Montana

Yearly income limits in 2026 dollars. Medicaid checks current monthly income, so divide by 12 for the monthly figure.

Group% of poverty line1 person234
Adults without children138%$22,025$29,863$37,702$45,540
Parents138%$22,025$29,863$37,702$45,540
Pregnancy162%$25,855$35,057$44,258$53,460
Children under 1148%$23,621$32,027$40,434$48,840
Children 1 to 5148%$23,621$32,027$40,434$48,840
Children 6 to 18148%$23,621$32,027$40,434$48,840
CHIP266%$42,454$57,562$72,671$87,780

Extra help from Montana

  • Montana Reinsurance Program (Section 1332 waiver, SB 125). Not a consumer subsidy; it lowers individual-market premiums for everyone. (source)

Benchmark and lowest prices by county

Monthly premiums for one 40-year-old non-smoker, before any credit, plan year 2026. Your credit is figured from the benchmark (second-lowest-cost silver) column. Multiply by 2.12 for a 60-year-old and 0.78 for a 21-year-old.

CountyBenchmark silverLowest bronzeLowest silverLowest goldInsurers
Beaverhead$716$505$708$7453
Big Horn$716$505$708$7453
Blaine$716$505$708$7453
Broadwater$757$505$748$7453
Carbon$561$354$551$5663
Carter$716$505$708$7453
Cascade$748$479$739$7453
Chouteau$757$505$748$7453
Custer$716$505$708$7453
Daniels$716$505$708$7453
Dawson$716$505$708$7453
Deer Lodge$757$505$748$7453
Fallon$716$505$708$7453
Fergus$716$505$708$7453
Flathead$671$424$656$6813
Gallatin$748$479$739$7453
Garfield$716$505$708$7453
Glacier$716$505$708$7453
Golden Valley$716$505$708$7453
Granite$716$505$708$7453
Hill$716$505$708$7453
Jefferson$757$505$748$7453
Judith Basin$757$505$748$7453
Lake$671$424$656$6813
Lewis and Clark$748$479$739$7453
Liberty$716$505$708$7453
Lincoln$716$505$708$7453
Madison$716$505$708$7453
McCone$716$505$708$7453
Meagher$716$505$708$7453
Mineral$716$505$708$7453
Missoula$671$424$656$6813
Musselshell$561$354$551$5663
Park$716$505$708$7453
Petroleum$716$505$708$7453
Phillips$716$505$708$7453
Pondera$716$505$708$7453
Powder River$716$505$708$7453
Powell$716$505$708$7453
Prairie$716$505$708$7453
Ravalli$716$505$708$7453
Richland$716$505$708$7453
Roosevelt$716$505$708$7453
Rosebud$716$505$708$7453
Sanders$716$505$708$7453
Sheridan$716$505$708$7453
Silver Bow$757$505$748$7453
Stillwater$561$354$551$5663
Sweet Grass$561$354$551$5663
Teton$757$505$748$7453
Toole$716$505$708$7453
Treasure$716$505$708$7453
Valley$716$505$708$7453
Wheatland$716$505$708$7453
Wibaux$716$505$708$7453
Yellowstone$561$354$551$5663

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Sources: HealthCare.gov and CMS state marketplace list (exchange and dates); MACPAC MACStats, February 2026, and state Medicaid agencies (limits); HHS 2026 poverty guidelines; CMS individual market plan file on data.healthcare.gov, plan year 2026; IRS Rev. Proc. 2026-26. All checked October 24, 2026. Methods.

Questions people ask

When is open enrollment in Montana for 2027?

HealthCare.gov opens November 1, 2026 and closes January 15, 2027. Pick a plan by December 15, 2026 for coverage that starts January 1.

What is the Medicaid income limit in Montana?

Montana 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.