ACA carriers — top 30 by 2026 plan count
The 30 largest ACA carriers across all 51 jurisdictions for plan year 2026, ranked by total plan-row count. Each carrier page shows the cheapest plan, on-vs-off-exchange split, and the states they sell in. For pricing in your specific ZIP, use the search form.
- #1Ambetter
28,686 plans across 21 states.
- #2UnitedHealthcare
18,454 plans across 19 states.
- #3Bankers Reserve Life Insurance Company of Wisconsin
9,620 plans across 4 states (KS, NE, OK, TN).
- #4Oscar
9,599 plans across 16 states.
- #5Blue Cross and Blue Shield of Texas
6,250 plans across 1 state (TX).
- #6Florida Blue
6,195 plans across 1 state (FL).
- #7Bankers Reserve Life Insurance Co.
5,980 plans across 1 state (MO).
- #8Medica
5,371 plans across 7 states.
- #9CareSource
4,835 plans across 2 states (IN, OH).
- #10Peach State Health Plan, Inc.
4,770 plans across 1 state (GA).
- #11MVP Health Plan, Inc.
4,385 plans across 2 states (NY, VT).
- #12Cigna
4,189 plans across 9 states.
- #13Ambetter of Peach State Inc.
4,123 plans across 1 state (GA).
- #14CareSource Georgia Co.
3,900 plans across 1 state (GA).
- #15BlueCross BlueShield of North Carolina
3,875 plans across 1 state (NC).
- #16Anthem
3,832 plans across 5 states (IN, MO, NH, OH, WI).
- #17Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.
3,636 plans across 1 state (GA).
- #18HealthKeepers, Inc.
3,292 plans across 1 state (VA).
- #19Alliant Health Plans
3,046 plans across 2 states (GA, TN).
- #20Sanford Health Plan
2,806 plans across 2 states (ND, SD).
- #21Oscar Health Plan of Georgia
2,729 plans across 1 state (GA).
- #22UnitedHealthcare of Georgia, Inc.
2,640 plans across 1 state (GA).
- #23Buckeye Health Plan Community Solutions, Inc.
2,580 plans across 1 state (OH).
- #24BlueCross BlueShield of Tennessee, Inc.
2,427 plans across 1 state (TN).
- #25Sentara Health Plans
2,394 plans across 1 state (VA).
- #26Molina
2,297 plans across 3 states (FL, OH, TX).
- #27WellCare Health Plans of Kentucky
2,231 plans across 1 state (KY).
- #28HMO Colorado, Inc.
2,158 plans across 1 state (CO).
- #29Wellpoint
1,824 plans across 2 states (FL, TX).
- #30Medical Mutual
1,760 plans across 1 state (OH).
Plan year 2026, last refreshed 2026-04-19T08:08:55.462Z. Full pricing pipeline + regulatory references at methodology; ACA terminology in the glossary.