Wyoming residents shop for ACA health coverage through HealthCare.gov, the federal marketplace, since the state has not built its own exchange.
Wyoming has not adopted Medicaid expansion under the ACA. This leaves a coverage gap for some low-income adults, who may earn too little to qualify for marketplace premium tax credits but don't fit the state's traditional, narrower Medicaid eligibility rules.
Wyoming's individual market has very few insurers given its small population, so residents often have fewer plan choices than shoppers in more populous states. Because of the coverage gap and limited plan selection, it's worth checking every subsidy option carefully during enrollment and considering community health centers as a supplement if marketplace coverage still isn't affordable.