ACA health insurance in Tennessee
ACA health insurance in Nashville, TN: open enrollment for 2027
Open enrollment for 2027 begins November 1. Where Nashville residents shop for a plan, what the county and state lines mean for you, and how to get help choosing.
Get help choosing a plan in Nashville
Call 855-367-1095. A licensed agent will go through your household, your income and your doctors with you.
Health insurance in Nashville
Tennessee uses the federal HealthCare.gov marketplace, so Nashville residents shop there.
Nashville has many musicians, freelancers and small-business owners, and they often compare marketplace plans every year because income changes.
Nashville is in Davidson County, Tennessee. Where you live decides which plans and prices you can get, because plan availability is set by county and ZIP code.
Tennessee has not adopted the standard Medicaid expansion, and some adults with low incomes can fall into a coverage gap.
County and state lines near Nashville
Davidson County is next to Williamson, Rutherford, Wilson and Sumner counties, and Nashville-area households routinely cross those lines for work and care.
Check the networks
Marketplace plans have their own networks, and they differ from one plan to the next. These are among the largest systems serving the area. Naming them here is not a statement that any plan includes them.
- Vanderbilt University Medical Center
- TriStar Health
- Ascension Saint Thomas
- Meharry Medical College
The dates
Open enrollment for 2027 coverage begins November 1, 2026. Plans and prices for 2027 can differ from this year, and after open enrollment you can usually enroll only with a qualifying life event.
ACA questions in Nashville
Where do I shop for an ACA plan in Nashville?
Tennessee uses the federal HealthCare.gov marketplace, so Nashville residents shop there.
Do county or state lines near Nashville change my options?
Davidson County is next to Williamson, Rutherford, Wilson and Sumner counties, and Nashville-area households routinely cross those lines for work and care.
I'm a musician with uneven income. How does that affect a marketplace plan?
Savings are based on the income you expect for the year, and uneven income makes an estimate hard. Use your best guess, update it during the year, and know that the difference is settled at tax time.
More for Nashville
Ready to look at your options?
Call 855-367-1095 before open enrollment gets busy. There is no charge to review your options.
- 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.