When Is Open Enrollment for Health Insurance for 2027?

By James Shaffer, insurance professional

Quick answer

Open enrollment for 2027 marketplace coverage runs from November 1, 2026 to January 15, 2027 on HealthCare.gov. Sign up by December 15, 2026 for coverage that starts January 1. Some states that run their own marketplaces have different dates: California, New Jersey, New York and DC go through January 31, while Idaho’s window closes December 15.

Key takeaways

  • HealthCare.gov: November 1, 2026 to January 15, 2027.
  • Enroll by December 15 for a January 1 start; enrolling December 16 to January 15 means coverage starts February 1.
  • State marketplaces set their own dates, from as early as October 15 to as late as January 31.
  • Medicare’s open enrollment is different: October 15 to December 7.
  • Outside open enrollment, you need a qualifying life event, unless you’re applying for Medicaid or CHIP.
On this page

2027 open enrollment dates by state

MarketplaceDates for 2027 coverage
HealthCare.gov (most states)November 1, 2026 to January 15, 2027
California, New Jersey, New York, DCNovember 1 to January 31
VirginiaNovember 1 to January 29
MassachusettsOctober 23 to January 23
ConnecticutOctober 23 to January 15
Rhode IslandNovember 1 to December 31
IdahoOctober 15 to December 15
Colorado, Georgia, Illinois, Kentucky, Maine, Maryland, Minnesota, Nevada, New Mexico, Oregon, Pennsylvania, Vermont, WashingtonNovember 1 to January 15
Dates from healthinsurance.org, updated August 2026. Check your state’s marketplace for deadlines to start coverage on January 1.

When your coverage starts

On HealthCare.gov, if you pick a plan by December 15, coverage starts January 1. If you pick a plan between December 16 and January 15, it starts February 1. You also have to pay your first premium for coverage to begin.

Could the dates change?

A 2025 federal rule would have shortened open enrollment starting this fall, ending it on December 15 on HealthCare.gov. A federal court threw out that rule in June 2026, and HHS has appealed. The dates above apply for 2027 coverage; the schedule could change for later years depending on the appeal.

What to do during open enrollment

  • Update your income estimate. Your tax credit is based on it, and from 2026 on there’s no cap on paying back extra credit.
  • Compare plans, even if you like yours. Insurers proposed a median 15% increase for 2027, and some insurers, including Cigna, are leaving the marketplace. See how to lower your Marketplace premium for 2027.
  • Check your doctors and drugs in every plan you’re considering.
  • Don’t count on auto-renewal. If you do nothing, you may be renewed into the same or a similar plan at a new price.

ACA plans can’t turn you away or charge more for pre-existing conditions, so everyone can enroll during this window. For the basics, see what the open enrollment period is.

Other enrollment windows

  • Special enrollment periods. You generally have 60 days after a qualifying life event, like losing coverage, moving, marriage or having a baby. See qualifying events.
  • Medicaid and CHIP. You can apply any time.
  • Job-based coverage. Your employer sets its own open enrollment, usually in the fall.
  • Medicare. October 15 to December 7 for changes that start January 1.

Get ready for open enrollment: compare 2027 plans by ZIP code.

Frequently asked questions

When is the last day to sign up for health insurance for 2027?

January 15, 2027 on HealthCare.gov. Some state marketplaces run later, up to January 31.

What if I miss open enrollment?

You’ll need a qualifying life event to enroll before next fall. Medicaid and CHIP accept applications all year.

How many people signed up during the last open enrollment?

About 23.1 million people picked a marketplace plan for 2026, down from 24.1 million for 2025.

This article is general information, not insurance advice. Dates can change, so confirm with HealthCare.gov or your state’s marketplace. Last reviewed September 2026.

About the author

James Shaffer

James is an insurance professional and writer who has owned many insurance businesses. He oversees everything published on SelfHealthInsurance.com.

Compare plans in your area

Enter your ZIP code to see plans and prices near you.

See what plans cost near you

Free to compare, and you’re never obligated to buy.