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Maryland Health Insurance

Private PPO Health Insurance
in Maryland

Broad nationwide networks, priced on your own health — a real alternative to Maryland Health Connection.

Maryland runs its own state-based marketplace and expanded Medicaid over a decade ago — two decisions that shape who private PPO coverage is really built for here. Here's how it fits into Maryland's health insurance landscape today.

What We Actually Sell

Castro Coverage specializes in private PPO health insurance: broad nationwide networks, not a narrow local HMO panel, with rates based on your own health profile rather than a flat community rate. For healthy Marylanders above the Medicaid threshold, that's often a more competitively priced, more flexible option than a plan sourced through the state exchange.

Maryland's Marketplace Landscape in 2026

Maryland Health Connection is the state's own marketplace platform — Maryland manages enrollment, plan options, and financial assistance directly rather than routing through HealthCare.gov. Maryland expanded Medicaid back in 2014, so there's no coverage gap for low-income adults the way there is in non-expansion states.

For 2026, Maryland actually led the nation in health plan enrollment, helped in part by a state premium assistance program that's softening the blow of expiring federal subsidies. That's good news for marketplace shoppers relying on subsidies — but for healthy applicants who don't qualify for much assistance, a private PPO plan is still frequently the better-priced, broader-network option.

General market information as of 2026, not a quote or guarantee for any specific plan. Marketplace rules and subsidy programs change year to year — always confirm current details for your situation.

Maryland's own state subsidy program is real support for marketplace shoppers — but it doesn't change the math for a healthy applicant who's better served by a broader, medically-underwritten private PPO plan.

Why Private PPO Often Fits Better Here

If you're healthy, self-employed, or running a business in Maryland, a medically-underwritten private PPO plan is frequently priced better than an equivalent Maryland Health Connection plan — because community rating there charges everyone in your area and age band the same rate regardless of health, while a private plan prices to your actual risk. We compare both, starting with private, before ever recommending the state exchange.

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