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Marketplace health plans in Lewis and Clark County, MT — 2027

What agents look up before working a county's individual market: plans by metal level, insurers, the benchmark silver premium, the lowest bronze premium, deductible and out-of-pocket floors, the population under 65, and what changed since last year.

In 2027, Lewis and Clark County, Montana has 24 Marketplace health plans from 2 insurers: 7 bronze, 6 silver, 8 gold, 3 catastrophic. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $976.37 per month; the lowest bronze premium is $642.12.

What changed vs 2026

  • Benchmark silver premium up $228.37 a month (+30.5%) from 2026
  • 15 fewer plans than 2026
  • Insurers exited: PacificSource Health Plans
  • Lowest bronze premium up $162.82 a month

Market snapshot

Residents under 65
58,621
Insurers
2
Plans by metal level
7 bronze, 6 silver, 8 gold, 3 catastrophic
Benchmark silver premium, age 40, before subsidies
$976.37/mo
Lowest bronze premium, age 40, before subsidies
$642.12/mo
Lowest gold premium, age 40, before subsidies
$856.59/mo
Lowest silver deductible
$3,100
Lowest out-of-pocket maximum
$7,000

Insurers in the county

  • Blue Cross and Blue Shield of Montana — 17 plans (Catastrophic, Bronze, Silver, Gold)
  • Mountain Health CO-OP — 7 plans (Catastrophic, Bronze, Silver, Gold)

Lowest age-40 premium per metal level, before subsidies

Metal levelPlanInsurerPlan typeMonthly premium, age 40DeductibleOut-of-pocket maximumPlans at this level
CatastrophicPeak PPO Catastrophic (32225MT0090006)Mountain Health CO-OPPPO$547.68$12,000$12,0003
BronzeBlue Focus Bronze POS℠ - Balance HSA (30751MT0670016)Blue Cross and Blue Shield of MontanaPOS$642.12$11,750$11,7507
SilverBlue Focus Silver POS℠ - Standard (30751MT0670028)Blue Cross and Blue Shield of MontanaPOS$905.88$6,400$10,3006
GoldBlue Focus Gold POS℠ - Standard (30751MT0670022)Blue Cross and Blue Shield of MontanaPOS$856.59$2,500$8,6008

One plan per metal level shown, of 24 plans in the county.

Benchmark silver premium by age

The benchmark plan (Blue Cross and Blue Shield of Montana) at each age, individual, non-tobacco, before any premium tax credit.

Age 21Age 27Age 30Age 40Age 50Age 60
$763.98$800.65$867.12$976.37$1,364.47$2,073.44

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About this data

Premiums are individual, non-tobacco, age 40, before any premium tax credit, from the CMS QHP Landscape Individual Market Medical file for plan year 2027; population: U.S. Census Bureau ACS 5-year 2024.

This page summarizes publicly available CMS data. It does not recommend plans and is not an application. To check subsidy eligibility and enroll, use HealthCare.gov or talk to a licensed agent. HealthCare.gov plan preview.