CareSource and Molina Will Exit Ohio ACA Marketplace
The two insurers plan to stop offering marketplace coverage in Ohio starting in 2027.
Updated on Sept. 29, 2026 in Healthcare
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CareSource and Molina Healthcare will cease offering ACA Marketplace plans in Ohio by 2027. This decision impacts approximately 54,000 Ohioans currently enrolled through the state exchange.
Why it matters
Rising healthcare costs and lower premiums have driven these insurers to exit the market. Their departure reflects broader financial challenges in managing exchange-based health plans.
Molina Healthcare reported a $60 million net income for the second quarter of 2026, marking a 76% decrease compared to the prior year. The firm also recorded a consolidated medical care ratio of 92.2% during this period.
The players
CareSource
This non-profit managed care organization provides health insurance plans to millions of members across multiple states.
Molina Healthcare
This managed healthcare company focuses on government-sponsored programs, including Medicaid and the ACA Marketplace.
The details
Current plan members will retain their insurance coverage through December 31, 2026. After that date, these individuals must select new providers during the upcoming open enrollment period.
Timeline
May 2026: CareSource served 28,300 marketplace members.
June 30, 2026: Molina Healthcare closed its second fiscal quarter.
November 1, 2026: Open enrollment for 2027 coverage begins.
December 31, 2026: Existing coverage for impacted members concludes.
2027: CareSource and Molina officially exit the Ohio ACA Marketplace.
Market Landscape
The exit of these insurers follows a pattern of consolidation where carriers adjust portfolios to manage exchange volatility under the Patient Protection and Affordable Care Act. Remaining companies must now absorb the market share left behind by these two major providers.
Approximately 54,000 Ohioans will need to switch insurance providers before the end of the year to avoid a lapse in coverage. Shoppers should use the upcoming open enrollment window to compare plans from the nine remaining approved insurers.
The takeaway
Affected policyholders should prepare to review their healthcare options carefully during the upcoming open enrollment period. Monitoring plan networks and premium changes will be essential for maintaining affordable and consistent medical coverage.
What happens next
Open enrollment for 2027 coverage runs from November 1, 2026, through January 15, 2027, when impacted members will need to select new plans.
Further reading
Learn more about local plan availability and coverage options on the Ohio Healthcare page.
More information
For more details on available plans, visit the Ohio Department of Insurance marketplace resources.
Source note: This article includes information reported by SpringfieldNewsSun.
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