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ACA Health Insurance Coverage Options in Louisiana
Louisiana uses the federal HealthCare.gov Marketplace for ACA health insurance. Review coverage options and enrollment information for Louisiana residents.
The new 2027 plans become available November 1, 2026. Call 855-367-1095 now to get a sneak peek at the new plans before then, and we will have your options ready the day they open.
Medicaid is a government program that gives free or low-cost health coverage to people with limited income, such as some adults, children, pregnant women, seniors and people with disabilities. Each state runs its own Medicaid program and decides who qualifies. We are an independent insurance agency, and we cannot enroll you in Medicaid or check your Medicaid.
Louisiana Medicaid: Healthy Louisiana (Louisiana Department of Health) · 1-888-342-6207 (Louisiana Medicaid Customer Service) · ldh.la.gov/healthy-louisiana
If your income is too high for Medicaid, or you want to compare health plans, call us. We can help with that.
Eligibility considerations
- No coverage available through an employer, Medicare, or Medicaid
- Interest in comparing Louisiana Marketplace plans by metal tier
- Uncertainty about premium tax credit eligibility based on household income
Plan tiers
Lower monthly premium; higher cost-sharing when care is used.
The benchmark tier for subsidy calculations; the only tier eligible for additional cost-sharing reductions.
Higher monthly premium; lower cost-sharing at the point of care.
Louisiana Medicaid and Marketplace information
- Medicaid expansion status
- Expanded (July 2016)
- Louisiana Medicaid agency
- Healthy Louisiana (Louisiana Department of Health)
- ACA Marketplace
- HealthCare.gov (federal Marketplace)
If an ACA plan doesn't fit
Some Louisiana residents earn too much for premium help, or missed the enrollment window, and feel they have no options. You may still have some.
Louisiana parishes: ACA open enrollment
Choose your parish for the dates, Medicaid status and how to get help.
- East Baton Rouge Parish
- Jefferson Parish
- Orleans Parish
- St. Tammany Parish
- Lafayette Parish
- Caddo Parish
- Calcasieu Parish
- Ouachita Parish
- Livingston Parish
- Tangipahoa Parish
- Ascension Parish
- Bossier Parish
- Rapides Parish
- Terrebonne Parish
- Lafourche Parish
- St. Landry Parish
- Iberia Parish
- Vermilion Parish
- Acadia Parish
- St. Martin Parish
- St. Charles Parish
- Lincoln Parish
- St. Mary Parish
- Vernon Parish
- Washington Parish
- St. Bernard Parish
- St. John the Baptist Parish
- Avoyelles Parish
- Beauregard Parish
- Natchitoches Parish
- Webster Parish
- Evangeline Parish
- Jefferson Davis Parish
- Iberville Parish
- West Baton Rouge Parish
- De Soto Parish
- Morehouse Parish
- Plaquemines Parish
- Allen Parish
- Grant Parish
- Sabine Parish
- Union Parish
- Assumption Parish
- Pointe Coupee Parish
- Richland Parish
- Franklin Parish
- East Feliciana Parish
- St. James Parish
- Concordia Parish
- West Feliciana Parish
Common questions
How is ACA Marketplace coverage administered in Louisiana?
Louisiana uses HealthCare.gov (federal Marketplace) rather than a state-run exchange. Enrollment, plan comparison, and subsidy determinations run through the federal system.
Has Louisiana expanded Medicaid under the ACA?
Yes. Louisiana adopted Medicaid expansion, effective July 2016, extending eligibility to more low-income adults than the traditional Medicaid program covered.
Is there a cost to speak with a licensed agent?
No. Reviewing ACA Marketplace options by phone with a licensed agent has no cost. Any plan ultimately selected carries its own separate premium, determined by the plan and carrier, not by GetFastRates.com.
Questions are easier by phone.
Call 855-367-1095 to talk through your situation with licensed insurance help.
- Licensed insurance help
- No guaranteed eligibility, pricing, or availability
- Educational starting point
Information on this site is educational and does not guarantee eligibility, enrollment, pricing, or availability. It is not a recommendation to buy any specific plan or policy.