Turning 26: A Guide to Buying Your Own Health Insurance

MN Health Staff Writer | February 5, 2026

Turning 26 marks a significant milestone in many people's lives, as it often brings with it the transition from being covered under a parent's health insurance plan to needing to secure your own coverage. Navigating the world of health insurance can be daunting, but with a little guidance, you can make informed decisions that suit your healthcare needs and budget. Here's a comprehensive guide to help you through the process.

 

Why 26? Understanding the Age Limit

 

Under the Affordable Care Act (ACA), young adults can remain on their parent's health insurance plan until they turn 26. This provision has been a safety net for many, allowing individuals to focus on education or starting their career without the immediate pressure of securing their own health coverage. However, once you blow out the candles on your 26th birthday cake, it’s time to start exploring other options.

 

Understanding the Basics of Health Insurance

 

Before diving into the process of selecting a health insurance plan, it's essential to understand some basic terms and concepts:

 

• Premium: The amount you pay for your health insurance every month.

 

• Deductible: The amount you pay out-of-pocket for healthcare services before your insurance starts to pay.

 

• Copayment: A fixed amount you pay for a covered healthcare service before and after you’ve met your deductible.

 

• Coinsurance: The percentage of costs you pay for a covered service after you've met your deductible.

 

• Out-of-pocket Maximum: The most you'll have to pay for covered services in a plan year.

 

When to Start the Process

 

Under the Affordable Care Act (ACA), you are allowed to remain on your parent's health insurance plan until the end of the month in which you turn 26. It's advisable to start researching and comparing health insurance options a few months before your 26th birthday to ensure a smooth transition.

 

Exploring Your Options

 

There are several avenues to explore when searching for health insurance:

 

1. Employer-Sponsored Plans

 

If you’re employed, check if your employer offers a health insurance plan. These plans are often more affordable because employers typically contribute to the premium costs. Additionally, they may offer a variety of plan options, including Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and High-Deductible Health Plans (HDHPs).

 

2. Marketplace Plans

 

The Health Insurance Marketplace provides a platform to compare and purchase health insurance plans. In Minnesota, the health insurance marketplace is called MNSure. You may qualify for subsidies or tax credits based on your income, which can make these plans more affordable. The open enrollment period typically runs from November 1st to December 15th, but you qualify for a Special Enrollment Period when you lose coverage due to turning 26. We are here to help you navigate the health insurance marketplace and find you a plan that fits your needs.

 

3. Medicaid

 

Depending on your income, you might be eligible for Medicaid, a state and federally funded program that provides health coverage for low-income individuals and families. Eligibility requirements vary by state, so it's important to check your state's specific guidelines.

 

Factors to Consider

 

When selecting a health insurance plan, consider the following factors:

 

• Budget: Determine how much you can afford to pay in premiums, deductibles, and out-of-pocket expenses.

 

• Healthcare Needs: Consider your current health conditions, medications, and preferred healthcare providers.

 

• Coverage: Make sure the plan covers essential health benefits such as emergency services, preventive care, and prescription drugs.

 

• Network: Check if your preferred doctors and hospitals are in-network to avoid higher out-of-pocket costs.

 

Tips for Making the Best Choice

 

• Seek Advice: Consult with a healthcare navigator or insurance broker who can provide personalized guidance based on your needs.

 

• Compare Plans: Use online tools and resources to compare different plans based on cost, coverage, and provider networks.

 

Turning 26 and stepping into the world of health insurance on your own might seem overwhelming, but with careful planning and research, you can find a plan that meets your needs and offers peace of mind. Remember, investing time in understanding your options now can save you money and stress in the long run. Reach out to us at, Minnesota Health Insurance Network for help navigating the individual health insurance.