Health Insurance Options in Maryland After Job Loss (2026)
If you recently lost your job or had your hours reduced in Maryland, you have two main paths to keep coverage: continue your employer's plan through COBRA, or switch to a private plan on the ACA Marketplace. The average monthly COBRA premium in Maryland is approximately $715, while a standard Marketplace plan averages around $525 before subsidies — a difference of roughly $190/month at full price.
Maryland runs its own state-based health insurance marketplace called Maryland Health Connection, rather than using the federal HealthCare.gov website. Maryland has also adopted full Medicaid expansion, so adults earning up to 138% of the Federal Poverty Level may qualify for free or low-cost Medicaid instead of a paid plan. The calculator below is pre-loaded with Maryland's 2026 average premiums and out-of-pocket limits — adjust your income, family size, and remaining months to estimate your own total cost for the rest of the year.
🛡️ Avg. Monthly COBRA Premium+8% vs US avg
🌐 Avg. Monthly ACA Marketplace Premium+7% vs US avg
Maryland Health ConnectionState-based Marketplace
ExpandedMedicaid Expansion Status
$9,0002026 ACA Out-of-Pocket Max
💡 Maryland Frequently Asked Questions
What is the ACA health insurance marketplace called in Maryland?+
Maryland runs its own state-based health insurance marketplace called Maryland Health Connection, rather than using the federal HealthCare.gov website.
Has Maryland expanded Medicaid under the ACA?+
Maryland has also adopted full Medicaid expansion, so adults earning up to 138% of the Federal Poverty Level may qualify for free or low-cost Medicaid instead of a paid plan.
Is COBRA or the ACA Marketplace cheaper in Maryland?+
On average, an ACA Marketplace plan in Maryland (about $525/month before subsidies) runs roughly 27% lower than the average COBRA premium (about $715/month). Premium Tax Credits can lower the Marketplace cost even further depending on your household income, while COBRA lets you keep your existing plan and any out-of-pocket progress for the year.
What is the 2026 ACA out-of-pocket maximum in Maryland?+
The estimated 2026 out-of-pocket maximum for an ACA Marketplace plan in Maryland used in this calculator is $9,000. Remember that switching from an employer plan to a Marketplace plan resets your out-of-pocket progress to $0, while COBRA keeps your existing employer-plan progress.
For the complete 2026 COBRA vs Marketplace guide, side-by-side comparison table, and full FAQ, see the main calculator & complete guide.