Massachusetts Obamacare 2027: Deadlines, Medicaid and Help

In Massachusetts, you sign up for 2027 coverage at Massachusetts Health Connector from October 23, 2026 to January 23, 2027. Pick a plan by December 23 for coverage that starts January 1. Massachusetts expanded Medicaid, so adults 19 to 64 qualify with income up to 138% of the poverty line.

When is open enrollment in Massachusetts for 2027?

In Massachusetts, you sign up for 2027 coverage at Massachusetts Health Connector, the state’s own Marketplace, not HealthCare.gov.

Date What happens
Oct. 23, 2026 2027 open enrollment starts
Dec. 23, 2026 Last day to pick a plan that starts Jan. 1, 2027 (pick and pay)
Jan. 23, 2027 Open enrollment ends

Plans picked and paid for by Jan. 23 start Feb. 1, 2027. Coverage Decider checked these dates against Massachusetts Health Connector and CMS on Oct. 15, 2026. 2027 open enrollment dates lists every state’s deadlines.

Who qualifies for Medicaid in Massachusetts?

Massachusetts expanded Medicaid. Adults 19 to 64 qualify with income up to 138% of the federal poverty level: $22,025 a year for one person or $45,540 for a family of four, using the 2026 guidelines.

Group Income limit, share of the poverty line (KFF, January 2026)
Adults 19 to 64 138%
Children, through Medicaid or CHIP 305%
Pregnancy 205%

Does Massachusetts have Medicaid work requirements in 2027?

Yes. Starting Jan. 1, 2027, adults 19 to 64 covered through Massachusetts’ Medicaid expansion must show 80 hours a month of work, school, job training or volunteering, or show they’re exempt, under the 2025 federal budget law (P.L. 119-21).

Medicaid work requirements in 2027 covers who’s exempt and how reporting works.

Does Massachusetts help pay for coverage beyond the federal tax credit?

Yes. ConnectorCare plans have low set premiums, no deductibles and reduced copays for incomes up to 400% of the poverty line, through the Massachusetts Health Connector. The state budget signed July 9, 2026 funds the program for 2027. ConnectorCare premiums were $0 up to 150% of the poverty line in 2026, and 2027 amounts weren’t published as of Oct. 15, 2026.

Is there a penalty for going without health insurance in Massachusetts?

Yes, for adults 18 and older who could afford coverage under the Massachusetts Health Connector’s affordability schedule. There’s no penalty at or below 150% of the poverty line and none for children, according to the Massachusetts Department of Revenue’s 2026 rules.

What will 2027 plans cost in Massachusetts?

Compare 2027 plans and prices for Massachusetts at Massachusetts Health Connector. Above 400% of the poverty line there’s no federal tax credit in 2027: the 2027 subsidy cliff shows where it ends for your household size.

Where can you get free help enrolling in Massachusetts?

Massachusetts Health Connector, like every ACA Marketplace, funds free Navigators who help Massachusetts residents apply. Find one through Massachusetts Health Connector.

Frequently asked questions

When is the deadline to sign up for Obamacare in Massachusetts for 2027?

Open enrollment in Massachusetts runs from October 23, 2026 to January 23, 2027 at Massachusetts Health Connector. Pick a plan by December 23, 2026 for coverage that starts January 1, 2027.

Can a single adult get Medicaid in Massachusetts in 2027?

Yes, with income up to 138% of the federal poverty level, which is $22,025 a year for one person in 2026. Starting January 1, 2027, most adults in the expansion group must also meet the federal work requirement, or show they're exempt.

Does Massachusetts help pay for health insurance beyond the federal tax credit?

Yes. ConnectorCare plans have low set premiums, no deductibles and reduced copays for incomes up to 400% of the poverty line, through the Massachusetts Health Connector. The state budget signed July 9, 2026 funds the program for 2027.

Is there a penalty for not having health insurance in Massachusetts?

Yes, for adults 18 and older who could afford coverage under the Massachusetts Health Connector's affordability schedule. There's no penalty at or below 150% of the poverty line and none for children, according to the Massachusetts Department of Revenue's 2026 rules.

References

ACA glossary · All resources