2027 Coverage Changes

Is your health insurance leaving New Jersey? For 2027, no carrier is. Here is what is changing.

You may have heard that insurance companies are leaving the marketplace for 2027. Roughly 650,000 people in about a third of states do have to pick a new plan. New Jersey is not one of the states losing a carrier. What is changing in New Jersey is price.

Want to see your 2027 options now? Tell me a little about your household and I will show you what is actually available to you, side by side. No cost, no pressure. Get a free quote →

One honest note. I am licensed in New Jersey, but I am not a certified broker with Get Covered New Jersey, the state's own exchange. If you qualify for financial help or want a plan sold there, Get Covered New Jersey and its certified helpers can enroll you, and I will point you to one. Where I can help directly is comparing your options, including private plans sold outside the exchange.

What is happening in New Jersey

No carrier is leaving New Jersey for 2027. Five carriers sell individual plans, and their prices moved very differently. Unsubsidized plans rise by a weighted average of 19.8 percent, with the carriers' averages ranging from 15.3 percent to 35.7 percent.

With that much spread, your renewal may not be your best option anymore. Two federal changes also start on January 1, 2027: most lawfully present immigrants other than green card holders, Cuban and Haitian entrants, and certain Pacific Island migrants lose premium help, and some adults must meet work requirements to keep NJ FamilyCare.

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 Jersey

New Jersey runs its own exchange, Get Covered New Jersey, so it sets its own calendar. These are the dates Get Covered New Jersey has published for 2027 coverage.

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 31

    That is the last day to pick a plan that starts January 1 in New Jersey. 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 Jersey in 2027?

No. Five carriers sell individual plans in New Jersey for 2027. Their average increases range from 15.3 percent to 35.7 percent.

Why is my premium changing for 2027?

Unsubsidized individual plans in New Jersey rise by a weighted average of 19.8 percent for 2027, ranging from 15.3 to 35.7 percent by carrier. 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 Get Covered New Jersey 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 Jersey. 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.

Get a free quote Or book a call

Sources

More from Carson

All states overviewNew Jersey brokers2027 enrollment datesObamacare 2027 changesSubsidy cliff 2027Subsidy calculatorAbout CarsonSelf-employed coverageBetween jobs?Missed open enrollment?