2026 Arizona ACA Plans — Open Enrollment Guide

Affordable Health Insurance for Arizona Individuals & Families

Most Arizonans qualify for financial help they don't know about. The ACA marketplace offers real coverage at prices that may surprise you — especially if you're self-employed, between jobs, or buying coverage on your own for the first time. A licensed Arizona broker helps you find every dollar of savings you're entitled to.

ACA Marketplace Plans
Premium Tax Credits
Cost-Sharing Reductions
Free Broker Help

Get Your Arizona ACA Quotes

Free, no obligation — a licensed Arizona broker will contact you within one business day.

A licensed Arizona broker will contact you within one business day. Your information is never sold. No cost, no obligation.

⚠️

Important Change for 2026: The enhanced premium tax credits introduced in 2021 expired at the end of 2025 and were not renewed. Many Arizonans will see higher monthly premiums in 2026 than they paid last year. If your plan auto-renewed, your rate may have increased significantly. A licensed broker can compare all available options and help you find the best coverage for your current budget.

Understand the changes →

You Need an Individual Health Plan If...

ACA marketplace plans serve a broad range of Arizonans. Here are the most common situations where an individual or family plan is the right solution.

💼

You're Self-Employed or a Freelancer

Arizona has a large and growing self-employed population — trades, creatives, consultants, gig workers. Without employer coverage, the ACA marketplace is your primary path to affordable health insurance, and self-employed Arizonans often qualify for significant subsidies.

🔄

You Recently Lost or Left a Job

Losing employer-sponsored coverage triggers a Special Enrollment Period, giving you 60 days to enroll in an ACA marketplace plan. Acting quickly matters — gaps in coverage can lead to unexpected medical bills and tax implications.

🏢

Your Employer Doesn't Offer Coverage

Many small Arizona businesses don't offer health benefits. If your employer doesn't provide coverage — or if the coverage offered is unaffordable — you can shop for an individual plan on the marketplace and may qualify for tax credits.

Your COBRA Coverage Is Ending

COBRA is expensive and temporary. When it ends — or becomes unaffordable — the ACA marketplace is the natural next step, and COBRA expiration qualifies you for a Special Enrollment Period outside of open enrollment.

🌵

You're New to Arizona

Moving to Arizona from another state triggers a Special Enrollment Period, allowing you to enroll in an Arizona marketplace plan even outside of open enrollment. Arizona uses the federal healthcare.gov marketplace.

👨‍👩‍👧

You Need to Cover Your Family

Family health plans on the ACA marketplace cover spouses and dependent children. Household income, size, and ages all affect your premium tax credits — a broker runs the numbers to find the most cost-effective coverage for your whole family.

The Four Metal Tiers — Explained for Arizona

Arizona ACA plans are organized into four metal tiers — Bronze, Silver, Gold, and Platinum — each representing a different balance between monthly premium and out-of-pocket costs when you use your insurance. The metal tier does not reflect the quality of care, only the cost-sharing structure.

The right tier depends on how often you use healthcare, your financial situation, and whether you qualify for Cost-Sharing Reductions (CSRs), which are only available on Silver plans. This is one of the most important decisions a broker will help you make — choosing the wrong tier can mean paying thousands more than necessary over the course of a year.

A common mistake Arizonans make is choosing the lowest-premium Bronze plan without considering the deductible. A Bronze plan might save $150/month on premiums, but its deductible can be $7,000 or more — meaning a single hospital visit could cost far more than the premium savings.

Conversely, someone who qualifies for Silver plan Cost-Sharing Reductions can get dramatically better out-of-pocket limits for roughly the same premium as a Bronze plan — making Silver the clear choice for many moderate-income Arizonans. A broker knows these nuances and applies them to your specific numbers.

🥉
Bronze
60% insurer / 40% you
Avg. Monthly PremiumLowest
Deductible$5,000–$9,000
Out-of-Pocket Max$10,600 (2026)
Copays Before DeductibleRare
Best if you're generally healthy, rarely use care, and want the lowest monthly cost. High deductible means you pay most costs until the deductible is met.
Healthy & Low-Use
★ Most Popular in AZ 🥈
Silver
70% insurer / 30% you
Avg. Monthly PremiumModerate
Deductible$2,500–$5,000
Out-of-Pocket Max$10,600 (2026)
CSR EligibilityYes — Only Silver
The only tier eligible for Cost-Sharing Reductions, which can dramatically lower your deductible and out-of-pocket max. Often the best value for moderate-income Arizonans.
Best Value for Most
🥇
Gold
80% insurer / 20% you
Avg. Monthly PremiumHigher
Deductible$500–$2,000
Out-of-Pocket Max$10,600 (2026)
Copays Before DeductibleOften Yes
Higher monthly premium, but lower costs when you use care. Good for people who regularly use healthcare, have ongoing prescriptions, or want predictable costs.
Regular Healthcare Users
💎
Platinum
90% insurer / 10% you
Avg. Monthly PremiumHighest
Deductible$0–$500
Out-of-Pocket Max~$4,000–$6,000
Availability in AZLimited
Highest premium, lowest out-of-pocket costs. Best for people with significant, predictable healthcare needs. Not always available in all Arizona markets.
High Healthcare Needs

ACA Subsidies & Tax Credits — What Arizona Residents Qualify For

The majority of Arizonans who buy marketplace coverage qualify for financial assistance. Here's how the subsidy system works and what you might expect to pay.

Premium Tax Credits (PTCs) are the primary form of ACA financial assistance. They reduce your monthly health insurance premium directly, and most people take them as an "advance credit" applied to your bill each month so you never pay the full premium out of pocket.

Your credit amount is based on your household income relative to the Federal Poverty Level (FPL), your household size, your age, and the cost of plans in your Arizona county. For 2026, the enhanced premium tax credits that were in place since 2021 have expired. This means subsidy amounts have reverted to pre-2021 levels for many income brackets, and some Arizonans who previously paid very little may see meaningfully higher premiums. This makes working with a broker in 2026 more important than ever — the right plan choice can significantly offset the impact of the subsidy reduction.

These are approximate subsidy ranges based on 2026 federal poverty guidelines for Arizona. Your actual credit depends on your exact income, household size, and your county's plan costs. A broker calculates this precisely for your situation.

Household Size Income Range Likely Subsidy
1 person$14,580 – $58,320Significant – Full
1 person$58,320 – $87,000Moderate
2 people$19,720 – $78,880Significant – Full
2 people$78,880 – $118,000Moderate
4 people$30,000 – $120,000Significant – Full
4 people$120,000 – $160,000Moderate
Important for 2026: Premium tax credits still exist but the enhanced ARP provisions that boosted them since 2021 have expired. Subsidy amounts have reverted closer to pre-2021 levels. If you relied on enhanced credits to keep your premium low, your 2026 costs may be higher — a broker can help you find the most affordable plan for your current income.
2026 Change — Important

Enhanced Tax Credits Expired — What It Means for You

The American Rescue Plan (ARP) enhanced premium tax credits, which significantly reduced marketplace premiums for millions of Americans since 2021, were not renewed for 2026. For many Arizonans this means premiums have increased — sometimes substantially. If your plan auto-renewed without a broker review, you may be paying more than necessary for coverage that could be restructured. A broker can compare your current plan against all 2026 options, potentially switching tiers, carriers, or plan types to offset the subsidy reduction as much as possible.

Cost-Sharing Reductions (CSRs)

If your income is between 100% and 250% of the Federal Poverty Level, you qualify for Cost-Sharing Reductions on top of your premium tax credit — but only if you choose a Silver plan. CSRs can cut your deductible from $4,000 to as low as $200 and dramatically reduce your out-of-pocket maximum. This makes Silver the most powerful tier for qualifying Arizonans.

Self-Employed Arizonans

How Business Income Affects Your Subsidy

For self-employed Arizonans, subsidy eligibility is based on net income — after business deductions — not gross revenue. This means a broker or accountant who understands both your business situation and the subsidy calculation can often identify ways to maximize your tax credit legally. Additionally, self-employed individuals can deduct 100% of their health insurance premiums from federal income taxes.

Low Income

AHCCCS — Arizona Medicaid

Arizonans with income below 138% of the Federal Poverty Level (approximately $20,783 for an individual in 2026) likely qualify for AHCCCS — Arizona's Medicaid program — which provides comprehensive coverage at no cost. A broker will determine whether AHCCCS or a marketplace plan with subsidies is the right fit for your income level.

Important

Reconciling Subsidies at Tax Time

If you receive advance premium tax credits and your actual annual income differs from your estimate, you'll reconcile the difference when you file your taxes. Underestimating income can result in paying back some credits; overestimating means a larger tax refund. Accurate income estimates at enrollment — with broker guidance — minimize year-end surprises.

When You Can Enroll in an Arizona ACA Plan

ACA marketplace enrollment isn't open year-round. Understanding your enrollment windows is critical to avoiding gaps in coverage.

The annual Open Enrollment Period is the primary window for all Arizonans to shop for, switch, or renew marketplace coverage. Outside of this window, you can only enroll if you experience a qualifying life event that triggers a Special Enrollment Period.

The most common mistake Arizonans make is missing the enrollment window and then going uninsured because they don't realize a life event qualifies them. A licensed broker tracks these deadlines for you and ensures you don't miss your window.

💼

Lost Job-Based Coverage

Losing employer-sponsored health insurance — voluntarily or involuntarily — qualifies you for a 60-day Special Enrollment Period starting from the date coverage ends.

💍

Marriage or Domestic Partnership

Getting married triggers a 60-day SEP. You can add your spouse to your existing plan or shop for new joint coverage on the marketplace.

👶

Birth, Adoption, or Foster Placement

Adding a new child to your family — by birth, adoption, or foster care — triggers a Special Enrollment Period and allows you to add the child to your plan immediately.

🌵

Moved to Arizona

Relocating to Arizona from another state or moving to a new county within Arizona qualifies you for a 60-day SEP to enroll in an Arizona marketplace plan.

📋

Lost AHCCCS / Medicaid Eligibility

If your income rises above the AHCCCS threshold and you lose Medicaid coverage, you immediately qualify for a Special Enrollment Period for marketplace plans.

💔

Divorce or Legal Separation

Losing coverage through a spouse's plan due to divorce qualifies you for a 60-day SEP to enroll in your own marketplace plan.

Arizona ACA Enrollment Calendar

Nov 1, 2025

Open Enrollment Opens

The annual window for all Arizonans to shop for 2026 coverage began November 1, 2025.

Key Date
Dec 15, 2025

Enrolled by This Date for Jan 1 Coverage

Plans selected by December 15 took effect January 1, 2026 — no gap in coverage.

Passed
Jan 1, 2026

2026 Plans In Effect

Coverage is active for plans enrolled before December 15. Enhanced credits no longer apply — some premiums increased significantly from 2025.

Current Year
Jan 15, 2026

Open Enrollment Closed

The 2026 enrollment window has closed. Outside a qualifying life event, the next opportunity to enroll or switch plans is November 2026.

Passed
Year-Round

Special Enrollment Periods

Qualifying life events — job loss, move, marriage, birth — open a 60-day window to enroll outside open enrollment.

If Qualifying Event
Nov 1, 2026

Next Open Enrollment Opens

2027 plan shopping begins. Annual broker review strongly recommended — especially with ongoing subsidy uncertainty.

Plan Ahead

Health Insurance If You Work for Yourself in Arizona

Arizona has one of the largest self-employed populations in the Southwest — contractors, consultants, creatives, gig workers, and small business owners who need to navigate coverage on their own.

Being self-employed in Arizona means you're responsible for your own health coverage — but it also means you have access to tools that W-2 employees don't. The combination of ACA subsidies and the self-employed health insurance deduction can make marketplace coverage significantly more affordable than most self-employed Arizonans expect.

The key is understanding how your business income interacts with both subsidy eligibility and your tax situation. Net business income — after deductions — is what matters for subsidy calculations, not gross revenue. A broker who understands the self-employed landscape will help you model both the coverage cost and the tax implications together.

The Self-Employed Health Insurance Deduction

Self-employed Arizona residents who are not eligible for employer-sponsored coverage through a spouse can deduct 100% of health insurance premiums paid for themselves, their spouse, and dependents from their federal adjusted gross income. This is an above-the-line deduction — it reduces your taxable income regardless of whether you itemize.

Example: If you're self-employed and pay $600/month ($7,200/year) in health insurance premiums, you can deduct the full $7,200 from your federal taxable income. In the 22% tax bracket, that's approximately $1,584 in annual federal tax savings — on top of any ACA premium tax credit you receive.
1

Estimate Your Net Income Accurately

Subsidy calculations are based on your projected annual net income for the coverage year. Too high an estimate means you leave subsidy money on the table. Too low and you may owe money at tax time. Work with your accountant to get an accurate figure — then share it with your broker.

2

Check Silver Plan CSR Eligibility First

If your net income falls between 100% and 250% of the Federal Poverty Level, Cost-Sharing Reductions on a Silver plan can be dramatically better than a Bronze plan's lower premium. Run the numbers on both before deciding.

3

Factor in the Premium Deduction

The self-employed health insurance deduction reduces your Adjusted Gross Income, which in turn can affect your subsidy eligibility for the following year. A tax-savvy broker understands this interaction and helps you plan accordingly.

4

Report Income Changes During the Year

Self-employed income fluctuates. If your income changes significantly mid-year, update your marketplace application to adjust your advance tax credits. This prevents a large reconciliation bill when you file your taxes.

5

Consider an HSA-Compatible Plan

High-deductible health plans (HDHPs) that are HSA-eligible let you contribute pre-tax dollars to a Health Savings Account — another tax advantage on top of the premium deduction. Bronze plans are often HSA-eligible. Ask your broker to identify HSA-compatible options.

ACA Health Insurance in Arizona — What's Unique About This Market

Arizona's ACA marketplace has specific characteristics that affect plan availability, carrier options, and how coverage works across the state.

Arizona uses the federal healthcare.gov marketplace rather than a state-run exchange. This means Arizonans shop for coverage at healthcare.gov during open enrollment, with plans offered by private carriers that are certified to operate in the Arizona marketplace.

Plan availability varies significantly by county. Maricopa County (Phoenix) and Pima County (Tucson) have the most carrier competition and the widest range of plan options. Rural counties — particularly in northern and eastern Arizona — may have fewer carriers, which affects both pricing and network options. A broker who works across Arizona understands these county-level differences and finds the best available options in your area.

Arizona did expand Medicaid under the ACA through AHCCCS. This means there's a clear income threshold — approximately 138% of the Federal Poverty Level — below which AHCCCS is likely the better fit than a marketplace plan. A broker navigates this boundary carefully to ensure you're in the right program for your income level.

AHCCCS — Arizona's Medicaid Program

The Arizona Health Care Cost Containment System provides free or very low-cost health coverage to eligible Arizona residents. If your household income is below approximately 138% of the Federal Poverty Level, AHCCCS likely covers you comprehensively at minimal cost — often better value than a subsidized marketplace plan.

2.3M+ Arizonans on AHCCCS
$0 Premium for most enrollees
BCBS

Blue Cross Blue Shield of Arizona

Arizona's dominant local carrier — wide network, strong statewide coverage

BH

Banner Health / Banner|Aetna

Tied to Banner Health System — strong network in Phoenix and Tucson metros

UHC

UnitedHealthcare

National carrier with competitive Arizona marketplace offerings

AM

Ambetter from Arizona Complete Health

Competitively priced plans, particularly strong in Maricopa County

MM

Mercy Care

Nonprofit carrier with affordable options — strong in Maricopa County

HUM

Humana

Available in select Arizona markets — worth comparing where available

Try Our Free AI Coverage Advisor

Not sure whether you need an ACA plan, AHCCCS, a short-term plan, or something else entirely? Our AI Coverage Advisor walks you through a short conversation about your situation and tells you exactly what type of coverage makes sense — then connects you with a broker to get it done.

Personalized to your situation — not generic advice
Covers all coverage types — ACA, Medicare, AHCCCS, group, life, and more
Free, takes about 3 minutes
Connects you directly to a licensed Arizona broker when you're ready
🤖 Try the Free AI Coverage Advisor →
🏥

AZ Coverage Advisor

AI-powered · Free · No obligation

Hi there! 👋 I'm the AZ Coverage Advisor. Let's find the right coverage for your situation. What's your current situation when it comes to health insurance?
I'm self-employed
I lost my job
I'm turning 65
I need family coverage

Arizona ACA Health Insurance — Frequently Asked Questions

The questions Arizona individuals and families ask most when shopping for marketplace coverage.

Most Arizonans who buy their own health insurance still qualify for some level of premium tax credit in 2026. However, the enhanced ARP provisions that boosted subsidies significantly since 2021 expired at the end of 2025 and were not renewed. This means subsidy amounts have reverted to pre-2021 levels, and some Arizonans who previously had very low premiums will see meaningfully higher costs. The practical eligibility range for meaningful credits remains roughly $15,000 to $60,000 for a single person, and higher for larger households — but the dollar amounts are lower than they were in recent years. A broker runs the exact calculation for your income, household size, and Arizona county at no cost — and can help you choose the plan tier that makes the most sense given the current subsidy landscape.
Yes, fully. The ACA marketplace continues to operate in Arizona through healthcare.gov for 2026 and beyond. However, 2026 is a notable year for one important reason — the enhanced premium tax credits introduced by the American Rescue Plan in 2021 expired at the end of 2025. For Arizonans accustomed to very low premiums in recent years, 2026 premiums may be higher. The marketplace itself is stable and competitive, with multiple carriers offering plans across most Arizona counties — but if your plan auto-renewed, a broker review is strongly recommended to make sure you're still in the most cost-effective plan given the subsidy changes.
It depends on the specific plan. ACA marketplace plans use provider networks, and not all Arizona doctors and hospitals participate in every plan's network. Before enrolling, your broker will verify that your preferred physicians — your primary care doctor, any specialists you see regularly, your preferred hospital — are in-network on the plan you're considering. This is a critical step that many people skip when enrolling without a broker, leading to unexpected out-of-network bills.
If you miss open enrollment without a qualifying life event, your options are limited. You could explore short-term health plans — which are available in Arizona but are not ACA-compliant. Short-term plans do not cover pre-existing conditions for the first 12 months of coverage, but many Arizona plans offer durations up to 3 years, which means pre-existing condition exclusions lift starting in month 13 if you choose a multi-year term. This makes choosing the longest available duration a strategically smart move — once you're past month 12, you have coverage runway in front of you rather than constantly resetting the pre-ex clock by reapplying. That said, short-term plans still don't cover maternity, mental health, or all ACA essential health benefits. A licensed broker can explain exactly what a given plan covers before you commit. The other option is to wait until the next open enrollment period — which is why working with a broker to identify any qualifying life events that might open a 60-day SEP is always the first step.
Moving to a new county within Arizona, or to Arizona from another state, triggers a Special Enrollment Period — giving you 60 days from your move date to enroll in a new plan. If you move to a new Arizona county, your existing plan's network may no longer be relevant, so a broker will help you find the best plan in your new county. If you leave Arizona entirely, you'll need to enroll in a marketplace plan in your new state during your SEP window.
No. One of the core protections of the ACA is that marketplace plans cannot deny coverage or charge higher premiums based on pre-existing conditions — period. This applies to all ACA marketplace plans in Arizona, regardless of carrier. Carriers can only vary premiums based on age, tobacco use, family size, and geography. Your health history, prior diagnoses, or current conditions cannot be used against you in ACA marketplace coverage.
At the federal level, the individual mandate penalty was reduced to $0 starting in 2019, so there is currently no federal tax penalty for not having health insurance. Arizona does not have its own state individual mandate or penalty. However, the financial risk of being uninsured — a single hospitalization or emergency can cost tens of thousands of dollars — is itself a significant consideration. The availability of subsidized coverage through the ACA marketplace makes being uninsured an increasingly unnecessary risk for most Arizonans.

Your 2026 Arizona Health Coverage Deserves a Fresh Look

Enhanced subsidies expired at the end of 2025. If your plan auto-renewed, you may be paying more than necessary. A licensed Arizona broker will review your options, compare 2026 plans, and make sure you're in the right coverage at the right price.

Get My Free ACA Quotes → Or try the AI Coverage Advisor first →
Get Free ACA Quotes — Licensed AZ Broker →