2027 Carrier Exit

Your health insurance company is leaving New Hampshire. Here is what actually happens next.

Ambetter is leaving the New Hampshire marketplace for 2027, part of roughly 650,000 people nationally who have to choose a new health plan because their insurance company is pulling out. Here is what the letter means, what happens if you do nothing, and the dates that matter in New Hampshire.

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What is happening in New Hampshire

Ambetter from NH Healthy Families is discontinuing its marketplace plans in New Hampshire effective December 31, 2026. As of June, more than 11,600 people were enrolled, roughly 20 percent of the state's marketplace, which made it the second largest carrier here.

If that is you, your plan does not renew. To have a new plan in place on January 1 you need to choose by December 15. Premiums are also rising for 2027 across the remaining carriers, so even if you are not with Ambetter, the plan that renews automatically may not be the one you would choose today.

Where carriers are leaving

Carrier exits for 2027 are real, and they are spread across the country. Cigna is leaving the individual market in all 11 states where it sells. Baylor Scott & White is leaving Texas, CareSource is leaving Indiana, Ohio and West Virginia, Medica is leaving Iowa, Kansas and Oklahoma, and several smaller carriers are leaving other states. If you moved recently or have family elsewhere, the all states overview lists them.

What this means for you

If you get a subsidy, the headline increase is not what you pay. Your subsidy is recalculated on your estimated 2027 income, and it usually absorbs much of a price increase. Updating your income estimate matters more than the rate filing.

If you do not get a subsidy, you feel the full increase. This is where it pays to compare more than one kind of coverage. Private major medical plans are priced differently from ACA plans, and for some people who pay full price they can cost less for similar coverage. I compare both, side by side, so you can see the real numbers for your household.

The practical point: if your carrier stays, most plans renew automatically at the new 2027 price. If your carrier leaves, you may be moved automatically into a plan someone else picked. Neither checks whether a different plan now costs less or fits your doctors better. That check takes a few minutes.

The dates that matter in New Hampshire

New Hampshire uses the federal marketplace at HealthCare.gov, so it follows the federal calendar.

What to do, in order

  1. Read your renewal or non renewal notice

    It shows your 2027 premium and any plan changes. Compare it with what you pay today.

  2. Write down your doctors and your prescriptions

    The physicians you want to keep and the exact drugs with dosages. Networks and drug lists change from year to year even when the carrier stays.

  3. Update your income estimate for 2027

    Your subsidy is based on your estimated income for the year ahead. If it changed, your real cost changes with it.

  4. Compare before December 15

    That is the last day to pick a plan that starts January 1 in New Hampshire. Compare on total cost, meaning premium plus deductible plus what you expect to use, and include private options if you pay full price.

Common questions

Is my health insurance company leaving New Hampshire in 2027?

Yes. Ambetter from NH Healthy Families is discontinuing its marketplace plans in New Hampshire effective December 31, 2026. More than 11,600 people were enrolled as of June 2026, roughly 20 percent of the state's marketplace.

Why is my premium changing for 2027?

Premiums are rising for 2027 across the carriers that remain in New Hampshire, although New Hampshire still has the lowest benchmark premium in the country. If you get a subsidy, your net cost depends on your 2027 income.

Do I have to use a broker?

No. You can enroll yourself at HealthCare.gov at no cost. A licensed broker also costs you nothing, because brokers are paid by the carriers and the premium is identical either way. A broker can also show you private plans that are not sold on the marketplace.

Bring your renewal notice to the call.

I am a licensed independent broker in New Hampshire. I compare what is actually available to you across every carrier in your area, check your doctors and prescriptions against each plan, and it costs you nothing.

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Sources

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