- July 12026, when Montana began Medicaid work requirements, six months before the federal deadline
- 73,255Montanans enrolled in a marketplace plan for 2026, down from 77,221
- $0what it costs you to talk to a Montana broker, even if the answer is Medicaid
Montana kept Medicaid expansion, with conditions
Montana first approved Medicaid expansion in 2015, and it has covered more than 75,000 low income adults. In March 2025 Governor Gianforte signed House Bill 245, which removed the sunset date that had hung over the program since the start, so expansion now continues indefinitely. The same law kept the work requirements legislators wrote in 2019, which had never taken effect.
Federal law changed that. The 2025 reconciliation law requires every expansion state to condition coverage on work or other qualifying activities by January 1, 2027. Montana did not wait. It began on July 1, 2026, and most expansion adults aged 19 to 64 now need to document 80 hours a month of work, school, training or volunteering. The state gave people a hold harmless period through the end of September, during which people out of compliance are told but not yet removed.
There are exemptions, including pregnant women, parents or caregivers of young children, American Indians, and people with health conditions that affect their ability to work. If you might qualify for one, claim it. That is the single cheapest way to keep your coverage.
The rule that catches people out
If you lose Medicaid because of the work requirement, you are not simply moved over to a subsidized marketplace plan. Under the 2025 federal law, people who lose or are denied Medicaid for not meeting the work requirement are barred from marketplace premium tax credits. That is very different from losing Medicaid because your income went up, which is the normal route onto a subsidized plan.
So the reason you leave Medicaid matters enormously. If your hours are close to the line, the best move is usually to fix the paperwork or the exemption with the state before you lose coverage, not to shop for a plan afterward. If your income has genuinely risen above the Medicaid limit, that is a different conversation, and one where I can actually help you find a plan. I will tell you honestly which situation you are in.
A small market that just got smaller
73,255 Montanans enrolled in a marketplace plan for 2026, down from 77,221 the year before, the first decline after rising every year since 2020. For 2027, PacificSource is leaving the Montana marketplace, which leaves just two carriers statewide. In a state this big and this rural, fewer carriers usually means fewer networks, so if you are with PacificSource, check that your doctors and your nearest hospital come with you before you pick a replacement.
Open enrollment dates for 2027 coverage in Montana
Montana does not run its own exchange. It uses the federal marketplace at HealthCare.gov, so Montana follows the federal calendar.
- November 1, 2026Open enrollment begins for 2027 coverage
- December 15, 2026Last day to choose a plan that starts January 1, 2027
- January 15, 2027Open enrollment closes
Outside that window you need a qualifying life event. Losing job based coverage, moving, marriage, a new baby, or aging off a parent's plan at 26 all qualify, usually with a 60 day window. Losing Medicaid can also open a window, but in Montana check first whether it was because of income or because of the work requirement, since only one of those comes with help paying the premium.
Every 2027 change in Montana, carrier by carrier →
How to choose a health insurance broker in Montana
Anyone can put "broker" on a website. These are the questions that separate the real ones, and you can ask every one of them in a five minute phone call.
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Verify the license before anything else
Ask for the license number and the NPN, then look them up yourself. Montana agents can be checked through the Montana Commissioner of Securities and Insurance licensing and licensee lookup, and every agent in the country is searchable through the NAIC lookup. An agent who hesitates to give you those numbers has told you everything you need to know. Mine are on this page and on my license page.
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Ask whether they are independent or captive
A captive agent works for one insurance company and can only sell you that company's plans. An independent broker is appointed with many carriers and compares across them. Neither is dishonest, but only one of them can tell you when a competitor has the better plan for you.
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Ask what it costs, and be suspicious of any answer other than nothing
Brokers are paid by the insurance carriers. The premium is identical whether you enroll through a broker, on your own, or directly with the carrier. Nobody should charge you a fee to enroll you in an individual marketplace plan.
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Ask how many carriers they can actually quote
"We shop the whole market" is a slogan until someone puts a number on it. Ask which carriers they are appointed with in Montana, and ask them to show you the comparison rather than describe it.
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Ask whether they will still be there in March
Plenty of agents are enthusiastic in December and unreachable in the spring, which is exactly when a claim gets denied or a doctor turns out to be out of network. Ask who you call when something goes wrong. The answer should be a person, not a call center.
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Read the reviews, and look at the dates
A handful of genuine reviews spread over time tells you more than a wall of them that all landed in the same week. Mine are on my Google profile and they arrived one at a time, from clients who agreed to write one.
What working with me looks like
You tell me your ZIP code, who needs coverage, and roughly what you expect to earn this year. I check your subsidy eligibility properly, then compare the plans you qualify for side by side, with the real monthly cost after any subsidy is applied. You pick. I handle the enrollment paperwork, and I stay your point of contact afterward for claims questions, renewals, and life changes.
Most first conversations take about ten minutes. There is no cost and no obligation, and I am not going to pressure you into a plan, because a client who was pushed into the wrong coverage is a client who leaves.
Where I work in Montana
Statewide. Most of my work happens over the phone or a video call, so where you are in Montana changes nothing about the process.
- Billings
- Missoula
- Great Falls
- Bozeman
- Butte
- Helena
- Kalispell
- Belgrade
- Havre
- Anaconda
- Miles City
- Whitefish
- Livingston
- Lewistown
- Sidney
- Laurel
- Glendive
- Polson
- Hamilton
- Dillon
I am also licensed in 30 other states, so if you are moving or splitting time between two states, that usually is not a problem either.
Who I help most in Montana
According to the U.S. Census Bureau, 8.8 percent of people in Montana had no health insurance in 2024, above the national rate of 8.2 percent.
Individuals and families buying their own coverage, ranchers, farmers and other self employed Montanans, 1099 contractors, small business owners, people who just lost employer coverage, and early retirees bridging the gap to Medicare. In Montana I also spend real time with households moving between Medicaid and the marketplace, because this year the reason you move matters as much as the move.
Get your Montana quote
Tell me your ZIP and who needs coverage, and I will compare every plan you qualify for with your subsidy applied. Free, no pressure, usually same day.
Get my free quote → Or book a callSources
- KTVH, Montana begins implementing work requirements for Medicaid expansion
- KFF, A closer look at the work requirement provisions in the 2025 reconciliation law
- Montana Free Press, Montana governor signs Medicaid expansion bill, lifting 2025 sunset
- healthinsurance.org, Montana health insurance marketplace guide
- healthinsurance.org, ACA open enrollment deadlines
- U.S. Census Bureau, Health Insurance Coverage by State: 2023 and 2024 (ACSBR-024), Appendix Table 2: Percentage of Uninsured People by State