CoveragebyCounty

PPO Availability on the ACA Marketplace, by State

30 rows · free to reuse with attribution

Dataset · published 2026-08-14 · Daniel Griffin, NPN #22052447 · free to reuse with attribution (CC BY 4.0)

Eleven states sell no PPO anywhere on the marketplace

Across 30 states in the CMS Plan Year 2026 landscape file, eleven have zero PPO plans in any county: Arizona, Indiana, Kansas, Missouri, Mississippi, New Hampshire, Ohio, Oregon, Tennessee, Texas and Utah. In those states every marketplace plan is an HMO, EPO or POS — closed networks with referrals, and effectively no out-of-area coverage beyond emergencies.

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30 rows. Free to use, cite “Coverage by County (Health Advisory, NPN #22052447)”.

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JSON · CC BY 4.0 · updated 2026-08-14

What is in it

Texas is the largest: no PPO in any of its 254 rating counties. Iowa has one in 7% of counties, Wisconsin 21%, Nebraska 37%. This matters most for people whose work crosses state lines — long-haul drivers, travelling trades, anyone with a specialist out of area.

Sample of the data

First 15 of 30 rows
statecountiescounties with ppoppo pctplan typesmedian silver40 monthmedian family4 monthmedian family4 year
AZ1500.0HMO705.552255.7827069.36
IN9200.0EPO,HMO,POS466.921492.8217913.84
KS10500.0EPO698.02231.6426779.68
MO11500.0EPO715.042286.127433.2
MS8200.0EPO,HMO683.972047.6424571.68
NH1000.0EPO,HMO401.311283.0415396.48
OH8800.0HMO525.611680.4820165.76
OR3600.0EPO591.01770.021240.0
TN9500.0EPO700.742240.426884.8
TX25400.0EPO,HMO,POS710.992273.1727278.04
UT2900.0EPO,HMO798.022451.7829421.36
IA9977.1EPO,HMO,PPO518.281657.0419884.48
WI721520.8EPO,HMO,POS,PPO623.291992.7823913.36
NE933436.6EPO,PPO777.642486.2629835.12
NC1009090.0EPO,HMO,POS,PPO685.62191.9826303.76

Method and sources

Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. Poverty guidelines are HHS 2025, which govern 2026 coverage. Premiums are filed rates before any premium tax credit and are not a quote or an offer of coverage. Compiled by Daniel Griffin, licensed independent insurance agent (NPN #22052447). Reuse freely under CC BY 4.0 with attribution to Coverage by County.

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