ACA health insurance in California
ACA health insurance in San Francisco, CA: open enrollment for 2027
Open enrollment for 2027 begins November 1. Where San Francisco 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 San Francisco
Call 855-367-1095. A licensed agent will go through your household, your income and your doctors with you.
Health insurance in San Francisco
California runs its own marketplace, Covered California, so San Francisco residents shop there.
Many San Francisco workers are self-employed or between jobs at some point, and the marketplace is where many of them compare plans.
San Francisco is in San Francisco County, California. Where you live decides which plans and prices you can get, because plan availability is set by county and ZIP code.
County and state lines near San Francisco
San Francisco is its own county, and the surrounding San Mateo, Alameda and Marin counties each have their own plan availability. Many people live in one and work in another.
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.
- UCSF Health
- Zuckerberg San Francisco General Hospital
- California Pacific Medical Center
- Kaiser Permanente
- Dignity Health
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 San Francisco
Where do I shop for an ACA plan in San Francisco?
California runs its own marketplace, Covered California, so San Francisco residents shop there rather than on HealthCare.gov.
Do county or state lines near San Francisco change my options?
San Francisco is its own county, and the surrounding San Mateo, Alameda and Marin counties each have their own plan availability. Many people live in one and work in another.
I'm self-employed in the city. How do I pick the right metal level?
Think about how much care you expect to need and how much you could pay in a bad year. Lower monthly premiums usually mean higher costs when you use care, so compare total yearly cost.
More for San Francisco
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.