Health Insurance Options in New Hampshire After Job Loss (2026)
If you recently lost your job or had your hours reduced in New Hampshire, 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 New Hampshire is approximately $755, while a standard Marketplace plan averages around $575 before subsidies — a difference of roughly $180/month at full price.
New Hampshire uses the federal HealthCare.gov marketplace for ACA plan shopping and enrollment. New Hampshire 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 New Hampshire'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+14% vs US avg
🌐 Avg. Monthly ACA Marketplace Premium+17% vs US avg
HealthCare.govFederal Marketplace
ExpandedMedicaid Expansion Status
$9,1002026 ACA Out-of-Pocket Max
💡 New Hampshire Frequently Asked Questions
What is the ACA health insurance marketplace called in New Hampshire?+
New Hampshire uses the federal HealthCare.gov marketplace for ACA plan shopping and enrollment.
Has New Hampshire expanded Medicaid under the ACA?+
New Hampshire 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 New Hampshire?+
On average, an ACA Marketplace plan in New Hampshire (about $575/month before subsidies) runs roughly 24% lower than the average COBRA premium (about $755/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 New Hampshire?+
The estimated 2026 out-of-pocket maximum for an ACA Marketplace plan in New Hampshire used in this calculator is $9,100. 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.