Oregon Health Insurance Plans (2026)

What the ACA marketplace actually offers in Oregon: carriers, real premiums, and where choice runs out.

Daniel Griffin · NPN #22052447 · Licensed in 21 States

Short answer: For plan year 2026, Oregon has 6 marketplace carriers offering 1,544 plan options across its 36 counties and 7 rating areas. The typical county has 5 carriers to choose from (up to 6), which makes it a competitive market. Full-price premiums for a 40-year-old run from about $426 to $979 per month before subsidies, with a median around $631. Most enrollees pay far less after premium tax credits. (Figures from CMS plan year 2026 marketplace data; reviewed July 2026 by Daniel Griffin, NPN #22052447.)

Who Actually Sells Marketplace Plans in Oregon

Carrier availability in Oregon is decided county by county, not statewide. A carrier with a big statewide reputation may not file plans where you live, and that single fact drives more of your real options than any national comparison chart. Here is how the 6 carriers in Oregon actually cover the state's 36 counties for 2026:

CarrierCounties servedShare of state
PacificSource Health Plans36100%
BridgeSpan Health Company36100%
Moda Health Plan, Inc.36100%
Providence Health Plan36100%
Regence BlueCross BlueShield of Oregon36100%
Kaiser Permanente1131%

Every one of Oregon's 36 counties has at least two competing marketplace carriers, which is better than many states and generally means more network and price choice.

Lowest-Cost Oregon Plan in Each Metal Tier (Age 40)

These are the lowest-premium plans available somewhere in Oregon at each metal level, with the deductible and out-of-pocket maximum that come with them. Premiums shown are full price before subsidies for a 40-year-old; your actual cost depends on your rating area, age, household, and income.

TierPlanCarrierTypePremium (age 40)DeductibleOOP max
Expanded BronzeConnect 9800 BronzeProvidence Health PlanEPO$426$9,800$9,800
SilverConnect 6000 SilverProvidence Health PlanEPO$505$6,000$10,000
GoldKP OR Gold 1750Kaiser PermanenteEPO$566$1,750$8,500

Reading this table: notice how the premium and the deductible move in opposite directions. A Bronze plan wins on monthly cost and loses badly if you actually use care. The right tier depends on your expected utilization and, critically, whether your income qualifies you for cost-sharing reductions — which only attach to Silver plans.

What Age Does to a Oregon Premium

The ACA lets insurers charge a 64-year-old up to three times what they charge a 21-year-old for the same plan. That age curve, not your health, is the biggest driver of your sticker price. Using Oregon's lowest-cost Silver plan as the reference point:

AgeFull-price monthly premium
Age 21$395
Age 27$414
Age 30$449
Age 40$505
Age 50$706
Age 60$1,073

This is exactly why subsidies matter more as you get older: the same income at 60 buys a much larger premium tax credit than at 30, because the credit is calculated against the benchmark plan's cost in your area.

Plan Types and Metal Levels Available in Oregon

Plan types: EPO (1,544 plans). Plan type governs out-of-network access — HMO and EPO plans typically cover out-of-network care only in an emergency, while PPO and POS designs cover it at higher cost sharing. If keeping a specific hospital or specialist matters to you, that decision comes before price.

Metal levels: Expanded Bronze (586), Silver (497), Gold (461). Not every tier is offered in every county, so the mix above is statewide availability rather than a guarantee for your ZIP code.

Before enrolling in any Oregon plan, confirm your hospital and physicians participate in that specific plan's network — not just the carrier's. See how to verify a hospital is in-network.

Subsidies Change These Numbers Completely

Every premium on this page is the unsubsidized sticker price. Premium tax credits are based on household income relative to the federal poverty level and on the benchmark Silver plan in your rating area — which is why two people with identical income in different Oregon counties can receive different credits. If your income falls in the subsidy range, your net premium can be a small fraction of the figures above. If you're self-employed, the calculation runs on your net income after business deductions, which is the single most common place people misestimate and overpay. See how ACA subsidies work and the subsidy estimator.

Note: this page is published for informational purposes. I am not licensed in Oregon and cannot sell, solicit, or negotiate insurance there. To find licensed help in Oregon, use the official marketplace at HealthCare.gov or your state exchange, or your state's department of insurance producer lookup.

Frequently Asked Questions

How many health insurance companies offer marketplace plans in Oregon?

For plan year 2026, 6 carriers offer ACA marketplace plans somewhere in Oregon, across 1,544 total plan options in 36 counties. Availability is local, not statewide: the typical county has 5 carrier(s) available and the most competitive has 6. The broadest carrier is PacificSource Health Plans, available in 36 of 36 counties.

How much does health insurance cost per month in Oregon in 2026?

Before subsidies, monthly premiums for a 40-year-old in Oregon range from roughly $426 to $979, with a median near $631, based on CMS plan year 2026 marketplace data. The lowest-cost Silver option starts around $505 at age 40. Premium tax credits are income-based and frequently reduce the net cost dramatically, so the sticker price is rarely what a subsidized enrollee actually pays.

What is the cheapest health insurance plan in Oregon?

The lowest-premium plan in Oregon for a 40-year-old is Connect 9800 Bronze at about $426 per month, but cheapest premium is rarely cheapest overall. Bronze plans carry the highest deductibles, and if your income qualifies you for cost-sharing reductions, a Silver plan usually delivers far better value than Bronze despite the higher premium.

Do Oregon marketplace plans cover pre-existing conditions?

Yes. Every ACA marketplace plan in Oregon must cover pre-existing conditions with no waiting period and no health underwriting, and must include the ten essential health benefits. Carriers cannot deny you or charge more because of health history. Premiums vary only by age, ZIP code rating area, household size, and tobacco use.

What plan types are available in Oregon?

Oregon's 2026 marketplace includes EPO (1,544 plans). Plan type determines out-of-network access: HMO and EPO plans generally cover out-of-network care only in emergencies, while PPO and POS plans cover it at higher cost sharing. If you need a specific hospital or specialist, verify the network before enrolling rather than choosing on premium alone.

When can I enroll in a Oregon marketplace plan?

Open Enrollment runs November 1 through January 15. Outside that window you need a qualifying life event — losing coverage, moving, marriage, a new baby, or certain income changes — which opens a 60-day Special Enrollment Period. Medicaid enrollment is year-round for those who qualify.

See what’s available in Oregon

Enter your ZIP code and Daniel will pull the options you actually qualify for.

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This Oregon guide is informational.

I'm a licensed independent advisor in 21 states, and Oregon is not currently one of them, so I can't quote or enroll Oregon residents. If you're in one of the states I am licensed in, I'm glad to help.

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