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PPO Health Insurance in Maryland for 2027: Plans, Networks and Costs

By Martin Elefant · Licensed insurance agent · Updated November 2026 · 5 min read

Quick answer: Most marketplace plans in Maryland are HMOs or EPOs. A PPO with a national network is most often found in the private shared-network market.

Why marketplace PPOs are scarce

Guaranteed-issue plans attract the highest-cost members, and broad PPO networks are expensive to run for that group. Carriers like CareFirst BlueCross BlueShield, Kaiser Permanente, and UnitedHealthcare often narrow networks and limit out-of-network benefits.

Where PPOs still exist

Private plans lease national PPO networks such as Cigna, Aetna and PHCS PPO. They typically let you see any in-network specialist without a referral and work across states.

What they cost

In recent quotes for healthy individuals, roughly $290 to $600 a month depending on age and deductible. Family quotes have ranged from roughly $800 to $1,300. Prices change, so use the quoter for live numbers.

Who qualifies

These plans are underwritten, so approval depends on your health. If you have a major pre-existing condition, a marketplace plan is usually the right answer. Maryland runs its own state-based marketplace, Maryland Health Connection, and limits short-term plans to three months with no renewals. Private options here are narrower than in most states, so the honest answer is usually a careful comparison, not a promise of savings.

See live private-plan pricing or check your options and we will run both markets for you. Prices, carriers and rules change, so treat anything here as a starting point, not a quote.

ME
Martin Elefant
Licensed insurance agent · NPN 20765405 · Lyons Life LLC · Maryland Private Health

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