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ACA Marketplace Plans

Health Insurance Plans in Florida

Compare 332 ACA marketplace plans from 15 issuers in Florida. See real out-of-pocket costs from standardized SBC scenarios.

How we get our data

Our insurance data is sourced directly from the CMS ACA Marketplace (HIOS), the federal database that insurers are required to report to. We process that data to surface standardized out-of-pocket cost estimates based on three SBC scenarios defined by CMS: having a baby, managing diabetes, and treating a fracture. We update our data annually with each new plan year and link to the original SBC documents so you can verify costs directly with the insurer.

Learn more about our data

Plans

332

Issuers

15

HSA-Eligible

105

Plan Types

4

EPO: 45HMO: 238POS: 35PPO: 14

Plans by Metal Level

Out-of-Pocket Cost Scenarios

Standardized SBC scenarios show what you'd pay across all Florida marketplace plans.

Normal delivery

Having a Baby

$7,060
Median Out-of-Pocket
Min $460Max $10,660
P25 $4,100P75 $8,488

Type 2, routine care

Managing Diabetes

$2,260
Median Out-of-Pocket
Min $420Max $5,320
P25 $1,715P75 $4,500

Emergency room treatment

Simple Fracture

$2,200
Median Out-of-Pocket
Min $400Max $2,810
P25 $1,800P75 $2,500

Florida residents have access to 332 health insurance plans through the federal ACA marketplace, offered by 15 different insurance companies. These marketplace plans provide essential health benefits and cannot deny coverage based on pre-existing conditions, making them a reliable option for individuals and families seeking comprehensive health coverage.

The Florida marketplace offers diverse plan types to meet different healthcare needs and preferences. You'll find 238 HMO plans, 45 EPO plans, 35 POS plans, and 14 PPO plans available. This variety ensures that whether you prefer lower-cost options with more managed care or higher-premium plans with greater provider flexibility, you can find coverage that fits your situation.

These are specifically ACA marketplace plans available through Healthcare.gov, not all health insurance options in Florida. Marketplace plans are standardized to include essential health benefits and offer financial assistance based on income, making them an important coverage option for many Floridians.

Lowest Cost Plans (Having a Baby)

Plan NameIssuerMetalTypeHSABaby OOPDiabetes OOPFracture OOP
AvMed Entrust Platinum 25 (2026)AvMedPlatinumHMO$460$620$600
BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)Florida Blue (BlueCross BlueShield FL)PlatinumEPO$460$1,300$400
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)Florida Blue (BlueCross BlueShield FL)PlatinumPPO$460$1,300$400
AvMed Entrust Platinum 25 (2026)AvMedPlatinumHMO$460$620$600
AvMed Entrust Platinum 25 (2026)AvMedPlatinumHMO$460$620$600

Highest Cost Plans (Having a Baby)

Plan NameIssuerMetalTypeHSABaby OOPDiabetes OOPFracture OOP
Wellpoint Essential Catastrophic (+ Incentives)WellpointCatastrophicHMOYes$10,660$5,320$2,800
UHC Bronze Essential ($0 Virtual Urgent Care)UnitedHealthcareBronzeHMOYes$10,660$1,100$2,800
UHC Bronze Essential- ($0 Virtual Urgent Care)UnitedHealthcareBronzeHMOYes$10,660$1,100$2,800
Capital Health Plan HMO Bronze 1100Capital Health PlanBronzeHMOYes$10,260$1,420$2,510
Gym Access IND Bronze HMO 1340Florida Health Care PlansExpanded BronzeHMOYes$10,210$4,520$2,810

Insurance Issuers in Florida

IssuerPlansAvg Baby CostAvg Diabetes CostAvg Fracture Cost
Florida Blue HMO (a BlueCross BlueShield FL company)83$6,115$3,678$1,834
Florida Blue (BlueCross BlueShield FL)33$4,603$3,215$1,753
Ambetter Health27$6,623$2,990$2,378
Oscar Health Maintenance Organization of Florida26$7,074$3,520$2,524
Cigna Healthcare26$7,386$1,790$2,148
Health First Commercial Plans, Inc.24$5,877$2,849$2,605
Florida Health Care Plans23$5,591$2,970$2,040
Molina Healthcare22$6,698$3,657$2,031
UnitedHealthcare15$6,093$633$2,489
AvMed14$4,978$2,177$1,658
Wellpoint13$7,448$2,889$2,401
Capital Health Plan8$6,651$1,370$2,079
AmeriHealth Caritas Next8$6,640$2,940$2,308
Cigna HealthCare of Florida, Inc.5$7,316$1,780$2,180
22 Health5$6,990$2,340$2,440

Frequently Asked Questions

How many health insurance companies offer plans in Florida?

There are 15 insurance companies offering marketplace plans in Florida, providing 332 total plan options across different metal levels and plan types.

What types of health plans are available in Florida?

Florida offers HMO plans (238 options), EPO plans (45 options), POS plans (35 options), and PPO plans (14 options). HMO plans are the most common, while PPO options are more limited.

Can I get an HSA-eligible plan in Florida?

Yes, Florida has 105 HSA-eligible health plans available through the marketplace. These high-deductible plans allow you to pair your coverage with a Health Savings Account for tax-advantaged medical savings.

What might I pay for having a baby with Florida marketplace plans?

Based on standard cost-sharing examples, having a baby costs between $460 and $10,660 depending on your plan, with a median cost of $7,060. Higher-tier plans generally have lower out-of-pocket costs for major medical events.

How much do diabetes management costs vary between Florida plans?

Managing diabetes costs range from $420 to $5,320 annually across Florida marketplace plans, with a median cost of $2,260. This includes routine doctor visits, medications, and monitoring supplies.

Compare Florida Health Insurance Plans

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Disclaimer: Our AI navigator provides information collected from trusted sources only and does not constitute licensed insurance advice.

Related Resources

Written by Jayant Panwar | Last reviewed: Q1 2026 | Last updated: January 2026

Insurance Disclaimer: This information is for educational purposes only and does not constitute insurance advice or a recommendation to enroll in any plan. SBC scenarios show standardized cost estimates — your actual costs will vary based on providers, services, and your specific plan benefits. Plans shown are CMS marketplace plans in Florida only, not all insurance available in the state. Consult your insurance company for accurate cost estimates.

Data source: CMS ACA Marketplace (HIOS), 2026 plan year. See our data methodology and editorial policy. Found an error? Report an inaccuracy.