New Hampshire residents shop for ACA health coverage through HealthCare.gov, the federal marketplace, since the state has not built its own exchange.
New Hampshire expanded Medicaid under the ACA, so adults earning up to 138% of the federal poverty level generally qualify for the state's Medicaid program, called Granite Advantage, rather than needing a subsidized marketplace plan.
New Hampshire's individual market includes several competing insurers, and premiums have been relatively moderate compared to some neighboring states in recent years. Shoppers should still compare plan networks closely, since coverage of specific hospital systems in the state's northern counties can differ from what's available near the state's southern border.