Short answer: Louisiana uses HealthCare.gov. For 2027, 5 insurers sell marketplace plans across its 64 parishes; PPO plans are sold in 64 of 64 parishes. The cheapest Silver plan for a 40-year-old runs from $641 a month (Bossier Parish) to $866 (Winn Parish) before any tax credit, and the cheapest Gold costs less than the cheapest Silver in 6 of 64 parishes. Open Enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027; pick a plan by December 15 for a January 1 start.
- 5insurers selling Louisiana marketplace plans for 2027
- $774a month: the typical parish’s cheapest 2027 Silver plan for a 40-year-old
- 64 of 64parishes with a marketplace PPO plan for 2027
- 6 of 64parishes where the cheapest Gold beats the cheapest Silver
Who Sells Marketplace Plans in Louisiana for 2027
Blue Cross and Blue Shield of Louisiana (all 64 parishes), UnitedHealthcare (48), AmeriHealth Caritas Next (25), Ambetter (24) and CHRISTUS Health Plan (8). The count is by brand; the CMS file lists some of them under more than one legal name.
Lowest 2027 Prices by Metro
| Area | Bronze | Silver | Gold | Silver deductible |
|---|---|---|---|---|
| New Orleans (Orleans Parish) | $459 | $679 | $745 | $3,400 |
| Baton Rouge (East Baton Rouge Parish) | $478 | $706 | $771 | $3,400 |
| Metairie (Jefferson Parish) | $459 | $679 | $745 | $3,400 |
| Shreveport (Caddo Parish) | $476 | $641 | $653 | $6,500 |
| Lafayette (Lafayette Parish) | $548 | $774 | $787 | $5,000 |
Lowest monthly price in each metal tier for a 40-year-old, before any tax credit, from the CMS plan year 2027 landscape file. The deductible is the cheapest Silver plan’s.
Every Louisiana Parish
| Parish | Rating area | Insurers | Plans | Lowest Silver, age 40 | Lowest Bronze, age 40 |
|---|---|---|---|---|---|
| Acadia | 3 | 4 | 42 | $774 | $548 |
| Allen | 4 | 2 | 15 | $831 | $562 |
| Ascension | 5 | 5 | 64 | $706 | $478 |
| Assumption | 2 | 3 | 30 | $794 | $537 |
| Avoyelles | 6 | 2 | 15 | $866 | $586 |
| Beauregard | 4 | 3 | 34 | $745 | $562 |
| Bienville | 8 | 3 | 30 | $814 | $551 |
| Bossier | 8 | 5 | 68 | $641 | $476 |
| Caddo | 8 | 5 | 68 | $641 | $476 |
| Calcasieu | 4 | 4 | 47 | $721 | $516 |
| Caldwell | 7 | 4 | 42 | $780 | $533 |
| Cameron | 4 | 3 | 34 | $745 | $562 |
| Catahoula | 6 | 3 | 30 | $866 | $586 |
| Claiborne | 8 | 3 | 30 | $814 | $551 |
| Concordia | 6 | 3 | 30 | $866 | $586 |
| De Soto | 8 | 4 | 49 | $678 | $551 |
| East Baton Rouge | 5 | 5 | 64 | $706 | $478 |
| East Carroll | 7 | 3 | 30 | $866 | $586 |
| East Feliciana | 5 | 4 | 49 | $710 | $574 |
| Evangeline | 3 | 3 | 34 | $789 | $567 |
| Franklin | 7 | 3 | 30 | $866 | $586 |
| Grant | 6 | 3 | 28 | $795 | $569 |
| Iberia | 3 | 4 | 42 | $774 | $548 |
| Iberville | 5 | 5 | 57 | $710 | $559 |
| Jackson | 7 | 4 | 38 | $780 | $552 |
| Jefferson | 1 | 4 | 49 | $679 | $459 |
| Jefferson Davis | 4 | 3 | 34 | $745 | $562 |
| LaSalle | 6 | 3 | 30 | $866 | $586 |
| Lafayette | 3 | 4 | 42 | $774 | $548 |
| Lafourche | 2 | 2 | 15 | $794 | $537 |
| Lincoln | 7 | 4 | 38 | $780 | $552 |
| Livingston | 5 | 4 | 45 | $706 | $478 |
| Madison | 7 | 3 | 30 | $866 | $586 |
| Morehouse | 7 | 4 | 42 | $780 | $533 |
| Natchitoches | 8 | 4 | 43 | $665 | $476 |
| Orleans | 1 | 4 | 49 | $679 | $459 |
| Ouachita | 7 | 4 | 42 | $780 | $533 |
| Plaquemines | 1 | 3 | 38 | $686 | $537 |
| Pointe Coupee | 5 | 4 | 53 | $710 | $564 |
| Rapides | 6 | 3 | 28 | $795 | $569 |
| Red River | 8 | 5 | 62 | $665 | $476 |
| Richland | 7 | 4 | 42 | $780 | $533 |
| Sabine | 8 | 3 | 30 | $814 | $551 |
| Saint Bernard | 1 | 4 | 56 | $679 | $459 |
| Saint Charles | 1 | 4 | 46 | $686 | $537 |
| Saint Helena | 5 | 4 | 49 | $710 | $574 |
| Saint James | 1 | 4 | 42 | $735 | $537 |
| Saint Landry | 3 | 4 | 42 | $774 | $548 |
| Saint Martin | 3 | 4 | 42 | $774 | $548 |
| Saint Mary | 3 | 3 | 34 | $789 | $567 |
| Saint Tammany | 1 | 5 | 64 | $679 | $459 |
| St John The Baptist | 1 | 5 | 61 | $686 | $537 |
| Tangipahoa | 5 | 4 | 42 | $725 | $491 |
| Tensas | 7 | 3 | 30 | $866 | $586 |
| Terrebonne | 2 | 2 | 17 | $794 | $537 |
| Union | 7 | 4 | 42 | $780 | $533 |
| Vermilion | 3 | 4 | 42 | $774 | $548 |
| Vernon | 6 | 3 | 28 | $795 | $569 |
| Washington | 5 | 4 | 49 | $710 | $574 |
| Webster | 8 | 3 | 30 | $814 | $551 |
| West Baton Rouge | 5 | 5 | 64 | $706 | $478 |
| West Carroll | 7 | 3 | 30 | $866 | $586 |
| West Feliciana | 5 | 4 | 49 | $710 | $574 |
| Winn | 6 | 2 | 15 | $866 | $586 |
Open Enrollment 2027 in Louisiana
Louisiana sells its plans through HealthCare.gov. Open Enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027; a plan picked by December 15 starts January 1. Outside those dates, a qualifying event such as a move into Louisiana, losing other coverage, marriage or a new child opens a 60-day window.
The 2027 Tax-Credit Line in Louisiana
For 2027 coverage the premium tax credit stops at 400% of the poverty line: $63,840 of income for one person, $132,000 for a family of four. Below it the benchmark Silver plan costs no more than 10.22% of income; above it the prices in the tables are the prices. Gold costing less than Silver in 6 of 64 parishes is the marketplace’s silver-loading at work: insurers price Silver for the cost-sharing help it carries, so a full-price buyer should look at Gold first, and a Bronze plan is HSA-qualified since 2026 (IRS Notice 2026-05).
Self-Employed and S Corp Owners in Louisiana
Premiums paid for yourself are deductible: the self-employed health insurance deduction in Louisiana and the S-corp health insurance deduction in Louisiana walk through the federal rules, the Louisiana tax treatment and 2027 prices, with a calculator.
Moving to Louisiana
A plan from another state does not move with you; a new Louisiana address opens a 60-day window. Moving to Louisiana: health insurance after the move has the dates, the marketplace and where Louisiana’s newcomers come from.
Common Questions
How many insurers sell marketplace health insurance in Louisiana for 2027?
5, by brand: Blue Cross and Blue Shield of Louisiana, UnitedHealthcare, AmeriHealth Caritas Next, Ambetter and CHRISTUS Health Plan.
Are there PPO plans on the Louisiana marketplace for 2027?
In 64 of 64 parishes. The rest have EPO, HMO and POS plans only.
What does the cheapest Silver plan cost in Louisiana?
For a 40-year-old before any tax credit, from $641 a month in Bossier Parish to $866 in Winn Parish for 2027; the typical parish is $774.
When is Open Enrollment for 2027 coverage in Louisiana?
November 1, 2026 to January 15, 2027 on HealthCare.gov. Pick a plan by December 15, 2026 for coverage that starts January 1, 2027.