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ApexTrusted state analysis · 2027

Florida Health Insurance Review for 2027

Research and analysis by Updated Oct 24, 2026
Be the first to review this guide

Florida uses HealthCare.gov for 2027, with one CMS rating area for each of its 67 counties. Explore county assignments, historical issuer and rate evidence, plan quality, network and prescription checks, and the steps to verify current ZIP-specific options.

Research, not a quote or eligibility decision. Verify current household pricing and product availability.

  • HealthCare.gov 2027 Marketplace
  • 67 rating areas Pricing geography
  • 4,538,772 Latest completed OEP
  • Open Enrollment starts Nov. 1, 2026 2027 timing
Research standard ApexTrusted independent analysis Plan year 2027 Updated Oct 24, 2026 Method direct sources
01 / Market orientation

Florida health insurance in 2027: county-level market intelligence

Florida uses HealthCare.gov for the 2027 individual-market shopping pathway. Under the CMS geographic rating-area system, each of Florida's 67 counties is its own rating area. A shopper must therefore resolve the correct county and ZIP before comparing carrier products, premiums, benefits, or provider networks.

This guide separates four evidence layers: the county rating-area structure, Florida Office of Insurance Regulation issuer and 2026 rate history, historical CMS Marketplace enrollment data, and the live 2027 household-specific plan comparison. The county explorer, tables and rate visualizations are research aids; they do not replace a current application, provider-directory check or final plan documents.

Geography model67 / 67 counties resolvedFlorida uses a one-county-per-rating-area map
Carrier / product evidence14 selected issuer rowsFlorida OIR 2026 individual-market table used for product and change context
County and issuer viewsMap + chart + tablesCompare different evidence types without conflating county prices and statewide filings
Consumer validationZIP + householdLive Marketplace product, premium, provider and prescription checks
How to read this page:

The review distinguishes verified 2027 structure, latest completed 2026 historical evidence, and the live current-plan shopping checks still required before any Florida recommendation is credible.

02 / Editorial review brief

Florida decision brief: six facts to check before choosing a plan

Florida's county-specific rating areas make the household's actual county and ZIP the first decision gate. From there, compare only the plans offered to that household on HealthCare.gov. The 2026 enrollment and rate evidence in this review is a historical baseline, not a 2027 quote.

State research lensUse statewide evidence to understand the market, then verify the exact ZIP, carrier product, network and current plan documents before acting.
County first

Florida uses one rating area per county. Confirm the ZIP-to-county result rather than importing a premium from another city.

Exact product

Compare each offered product's service area and network, not only the parent insurance company.

Total annual cost

Review net premium, deductible, copays, coinsurance and out-of-pocket limit under the same household scenario.

Care continuity

Confirm hospitals, physicians and drugs with the plan for the applicable coverage year.

2027 availability, premiums and subsidies must be confirmed in the live official preview when it opens; HealthCare.gov's comparison guidance explains how to verify doctors and prescriptions.

03 / State research

Florida market snapshot: what an expert sees first

Three facts frame Florida Marketplace research. First, CMS recorded 4,538,772 plan selections during the completed 2026 Open Enrollment Period; that is historical plan selection, not 2027 effectuated enrollment. Second, all 67 counties have distinct rating-area IDs. Third, Florida OIR's 2026 individual-market product table shows materially different approved changes across issuers, so a single statewide average cannot stand in for a current ZIP-specific comparison.

Completed OEP baseline4.539M plan selections

Useful for market scale, not a guarantee of 2027 take-up or plan availability.

County-first research67 rating areas

Florida comparison should begin with the county, not with a statewide average.

Selected issuer change range24.8% to 51.6%

OIR evidence shows why issuer-specific context matters when reading the market.

Quote disciplineUse live HealthCare.gov results

Regulatory tables and historical data support context, not the final household premium.

04 / County-level market intelligence

Florida rating-area geography: county-first is non-negotiable

CMS publishes Florida’s geographic rating-area table for the individual market. Unlike states that group multiple counties into a few larger premium zones, Florida resolves the structure in the cleanest possible way: one county per rating area. This means Miami-Dade, Broward, Palm Beach, Orange, Hillsborough, Duval, Lee, Leon, and every other county each correspond to their own rating-area ID. That is why a shopper moving only one county away may cross into a different individual-market pricing region.

Statewide rating-area system

Florida county-rating locator

67 CMS areas

Loading 67 Florida county boundaries from U.S. Census geography. The county-to-rating-area explorer below remains available if the map cannot load.

67 county-based rating areasEach Florida county has its own CMS rating-area ID.Click a county to open its existing evidence panel below.
Verified county boundariesU.S. Census TIGERweb ACS 2025 county geometry, paired with CMS Florida rating areas.Boundaries are a geographic reference, not a live quote or coverage promise.

Choose a county on the map to open its CMS rating-area detail. Verify the current plan, premium and network using the household ZIP.

Geography rule

County resolves the rating area

67
43

Miami-DadeSouth Florida county rating area

6

BrowardAdjacent county, separate rating area

48

OrangeOrlando-area rating area

28

HillsboroughTampa-area rating area

Research sequence

Rating area is a starting point

ZIP

County/rating area explains the pricing geography. The live HealthCare.gov result still controls the exact product set and household-specific estimated price.

CountyGeographic pricing structureProductLive plan and network reality
South FloridaAdjacent counties, separate pricing regionsMiami-Dade = Area 43 · Broward = Area 6 · Palm Beach = Area 50.
Orlando areaMetro label does not override county logicOrange = Area 48 · Osceola = Area 49 · Seminole = Area 57.
Tampa BayNeighbor counties stay distinctHillsborough = Area 28 · Pasco = Area 51 · Pinellas = Area 52.
Jacksonville areaCounty matters even inside one metroDuval = Area 15 · Clay = Area 10 · Nassau = Area 45 · St. Johns = Area 58.
Southwest FloridaLee is not CollierLee = Area 35 · Collier = Area 11 · Charlotte = Area 8 · Sarasota = Area 56.
North FloridaRural and smaller metros still follow the same ruleAlachua = Area 1 · Bay = Area 3 · Escambia = Area 16 · Leon = Area 36.
Shopping implication:

Resolve the enrollment ZIP, confirm the county, note the county’s rating-area ID, and only then compare the live plan set returned for that household.

Interactive Florida geographySelect any of 67 county rating areas

The selector preserves the official CMS one-county-per-rating-area assignments while keeping the final shopping decision tied to the enrollment ZIP and exact product.

Rating Area 1

Alachua County

1federal rating-area ID

Alachua County maps to Florida Rating Area 1. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area1
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 2

Baker County

2federal rating-area ID

Baker County maps to Florida Rating Area 2. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area2
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 3

Bay County

3federal rating-area ID

Bay County maps to Florida Rating Area 3. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area3
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 4

Bradford County

4federal rating-area ID

Bradford County maps to Florida Rating Area 4. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area4
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 5

Brevard County

5federal rating-area ID

Brevard County maps to Florida Rating Area 5. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area5
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 6

Broward County

6federal rating-area ID

Broward County maps to Florida Rating Area 6. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area6
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 7

Calhoun County

7federal rating-area ID

Calhoun County maps to Florida Rating Area 7. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area7
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 8

Charlotte County

8federal rating-area ID

Charlotte County maps to Florida Rating Area 8. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area8
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 9

Citrus County

9federal rating-area ID

Citrus County maps to Florida Rating Area 9. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area9
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 10

Clay County

10federal rating-area ID

Clay County maps to Florida Rating Area 10. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area10
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 11

Collier County

11federal rating-area ID

Collier County maps to Florida Rating Area 11. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area11
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 12

Columbia County

12federal rating-area ID

Columbia County maps to Florida Rating Area 12. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area12
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 13

Desoto County

13federal rating-area ID

Desoto County maps to Florida Rating Area 13. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area13
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 14

Dixie County

14federal rating-area ID

Dixie County maps to Florida Rating Area 14. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area14
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 15

Duval County

15federal rating-area ID

Duval County maps to Florida Rating Area 15. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area15
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 16

Escambia County

16federal rating-area ID

Escambia County maps to Florida Rating Area 16. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area16
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 17

Flagler County

17federal rating-area ID

Flagler County maps to Florida Rating Area 17. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area17
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 18

Franklin County

18federal rating-area ID

Franklin County maps to Florida Rating Area 18. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area18
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 19

Gadsden County

19federal rating-area ID

Gadsden County maps to Florida Rating Area 19. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area19
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 20

Gilchrist County

20federal rating-area ID

Gilchrist County maps to Florida Rating Area 20. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area20
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 21

Glades County

21federal rating-area ID

Glades County maps to Florida Rating Area 21. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area21
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 22

Gulf County

22federal rating-area ID

Gulf County maps to Florida Rating Area 22. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area22
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 23

Hamilton County

23federal rating-area ID

Hamilton County maps to Florida Rating Area 23. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area23
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 24

Hardee County

24federal rating-area ID

Hardee County maps to Florida Rating Area 24. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area24
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 25

Hendry County

25federal rating-area ID

Hendry County maps to Florida Rating Area 25. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area25
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 26

Hernando County

26federal rating-area ID

Hernando County maps to Florida Rating Area 26. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area26
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 27

Highlands County

27federal rating-area ID

Highlands County maps to Florida Rating Area 27. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area27
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 28

Hillsborough County

28federal rating-area ID

Hillsborough County maps to Florida Rating Area 28. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area28
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 29

Holmes County

29federal rating-area ID

Holmes County maps to Florida Rating Area 29. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area29
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 30

Indian River County

30federal rating-area ID

Indian River County maps to Florida Rating Area 30. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area30
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 31

Jackson County

31federal rating-area ID

Jackson County maps to Florida Rating Area 31. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area31
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 32

Jefferson County

32federal rating-area ID

Jefferson County maps to Florida Rating Area 32. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area32
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 33

Lafayette County

33federal rating-area ID

Lafayette County maps to Florida Rating Area 33. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area33
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 34

Lake County

34federal rating-area ID

Lake County maps to Florida Rating Area 34. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area34
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 35

Lee County

35federal rating-area ID

Lee County maps to Florida Rating Area 35. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area35
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 36

Leon County

36federal rating-area ID

Leon County maps to Florida Rating Area 36. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area36
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 37

Levy County

37federal rating-area ID

Levy County maps to Florida Rating Area 37. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area37
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 38

Liberty County

38federal rating-area ID

Liberty County maps to Florida Rating Area 38. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area38
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 39

Madison County

39federal rating-area ID

Madison County maps to Florida Rating Area 39. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area39
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 40

Manatee County

40federal rating-area ID

Manatee County maps to Florida Rating Area 40. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area40
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 41

Marion County

41federal rating-area ID

Marion County maps to Florida Rating Area 41. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area41
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 42

Martin County

42federal rating-area ID

Martin County maps to Florida Rating Area 42. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area42
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 43

Miami-Dade County

43federal rating-area ID

Miami-Dade County maps to Florida Rating Area 43. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area43
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 44

Monroe County

44federal rating-area ID

Monroe County maps to Florida Rating Area 44. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area44
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 45

Nassau County

45federal rating-area ID

Nassau County maps to Florida Rating Area 45. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area45
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 46

Okaloosa County

46federal rating-area ID

Okaloosa County maps to Florida Rating Area 46. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area46
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 47

Okeechobee County

47federal rating-area ID

Okeechobee County maps to Florida Rating Area 47. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area47
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 48

Orange County

48federal rating-area ID

Orange County maps to Florida Rating Area 48. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area48
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 49

Osceola County

49federal rating-area ID

Osceola County maps to Florida Rating Area 49. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area49
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 50

Palm Beach County

50federal rating-area ID

Palm Beach County maps to Florida Rating Area 50. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area50
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 51

Pasco County

51federal rating-area ID

Pasco County maps to Florida Rating Area 51. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area51
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 52

Pinellas County

52federal rating-area ID

Pinellas County maps to Florida Rating Area 52. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area52
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 53

Polk County

53federal rating-area ID

Polk County maps to Florida Rating Area 53. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area53
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 54

Putnam County

54federal rating-area ID

Putnam County maps to Florida Rating Area 54. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area54
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 55

Santa Rosa County

55federal rating-area ID

Santa Rosa County maps to Florida Rating Area 55. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area55
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 56

Sarasota County

56federal rating-area ID

Sarasota County maps to Florida Rating Area 56. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area56
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 57

Seminole County

57federal rating-area ID

Seminole County maps to Florida Rating Area 57. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area57
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 58

St. Johns County

58federal rating-area ID

St. Johns County maps to Florida Rating Area 58. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area58
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 59

St. Lucie County

59federal rating-area ID

St. Lucie County maps to Florida Rating Area 59. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area59
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 60

Sumter County

60federal rating-area ID

Sumter County maps to Florida Rating Area 60. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area60
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 61

Suwannee County

61federal rating-area ID

Suwannee County maps to Florida Rating Area 61. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area61
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 62

Taylor County

62federal rating-area ID

Taylor County maps to Florida Rating Area 62. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area62
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 63

Union County

63federal rating-area ID

Union County maps to Florida Rating Area 63. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area63
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 64

Volusia County

64federal rating-area ID

Volusia County maps to Florida Rating Area 64. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area64
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 65

Wakulla County

65federal rating-area ID

Wakulla County maps to Florida Rating Area 65. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area65
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 66

Walton County

66federal rating-area ID

Walton County maps to Florida Rating Area 66. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area66
MarketplaceHealthCare.gov
Final resolverZIP + product
Rating Area 67

Washington County

67federal rating-area ID

Washington County maps to Florida Rating Area 67. Use the current enrollment ZIP and HealthCare.gov plan preview/application to resolve the actual product set and household-specific estimated pricing.

County model1 county
Rating area67
MarketplaceHealthCare.gov
Final resolverZIP + product

All 67 county-to-rating-area assignments are based on the CMS Florida Geographic Rating Areas table. This explorer does not represent current plan availability or a personalized price.

05 / State research

Metro-county quick-start matrix

The table below is not a quote sheet. It is a decision-support matrix that helps readers orient their Florida research. The point is to show how county-first logic should be applied in common metro shopping situations.

Florida metro counties: research starting points
CountyRating areaTypical use caseWhy it matters
Miami-Dade43South Florida urban householdDo not assume a Broward or Palm Beach product mix or estimate will match Miami-Dade.
Broward6Fort Lauderdale / Hollywood shopperAdjacent to Miami-Dade but in its own rating area with its own live plan set.
Palm Beach50Palm Beach County householdStill South Florida, but the research should stay county-specific.
Orange48Orlando-area shopperUse the actual county instead of a broad “Orlando metro” assumption.
Hillsborough28Tampa householdTampa Bay shopping can still diverge across Hillsborough, Pasco, and Pinellas.
Duval15Jacksonville householdUseful reminder that metro naming and rating-area resolution are not the same thing.
06 / State research

Issuer and product context from Florida OIR

Florida OIR’s 2026 individual-market web tables are unusually helpful because they go beyond brand recognition. They show issuer/product rows, exchange scope, network type, average monthly premium context, and the approved average percentage change. That makes them strong market-context evidence even though they are still not a substitute for the live 2027 household result.

Florida OIR 2026 individual-market issuer/product evidence (selected rows)
Issuer / productNetworkExchange scope2025 avg premium2026 avg premiumApproved change
AmeriHealth Caritas FloridaHMOOn & Off Exchange$596$83439.9%
AvMedHMOOn & Off Exchange$722$91727.0%
Florida Blue / BCBS of FloridaEPOOn & Off Exchange$866$1,14432.2%
Capital Health PlanHMOOn & Off Exchange$617$81732.3%
Centene Venture Company FloridaHMOOn & Off Exchange$587$82640.6%
Cigna Health and Life Insurance CompanyEPOOn & Off Exchange$652$86232.1%
Florida Health Care PlanHMOOn & Off Exchange$693$89228.7%
Health First Commercial PlansHMOOn & Off Exchange$614$76724.8%
Health OptionsHMOOn & Off Exchange$687$90531.6%
Molina Healthcare of FloridaHMOOn & Off Exchange$620$89043.6%
Oscar HMO of FloridaHMOOn & Off Exchange$621$80028.9%
Simply Healthcare PlansHMOOn & Off Exchange$647$84029.7%
Sunshine State Health PlanHMOOn & Off Exchange$546$82851.6%
UnitedHealthcare of FloridaHMOOn & Off Exchange$585$77532.5%
07 / State research

Approved-change visualization: the market is not moving uniformly

The range in the selected Florida OIR rows is wide enough that a visual is warranted. A shopper comparing Health First Commercial Plans, Oscar HMO of Florida, Florida Blue, Centene Venture Company Florida, Molina Healthcare of Florida, or Sunshine State Health Plan is not entering a market where every issuer moved the same way. That is exactly why issuer-level context improves the review.

HFCP
Health First Commercial PlansFlorida OIR selected issuer/product row
2025$614 2026$767
Approved change24.8%Regulatory context, not a household quote
AvMed
AvMedFlorida OIR selected issuer/product row
2025$722 2026$917
Approved change27.0%Regulatory context, not a household quote
Oscar
Oscar HMO of FloridaFlorida OIR selected issuer/product row
2025$621 2026$800
Approved change28.9%Regulatory context, not a household quote
Simply
Simply Healthcare PlansFlorida OIR selected issuer/product row
2025$647 2026$840
Approved change29.7%Regulatory context, not a household quote
FL Blue
Florida Blue / BCBS of FloridaFlorida OIR selected issuer/product row
2025$866 2026$1144
Approved change32.2%Regulatory context, not a household quote
UHC
UnitedHealthcare of FloridaFlorida OIR selected issuer/product row
2025$585 2026$775
Approved change32.5%Regulatory context, not a household quote
AHC
AmeriHealth Caritas FloridaFlorida OIR selected issuer/product row
2025$596 2026$834
Approved change39.9%Regulatory context, not a household quote
Centene
Centene Venture Company FloridaFlorida OIR selected issuer/product row
2025$587 2026$826
Approved change40.6%Regulatory context, not a household quote
Molina
Molina Healthcare of FloridaFlorida OIR selected issuer/product row
2025$620 2026$890
Approved change43.6%Regulatory context, not a household quote
Sunshine
Sunshine State Health PlanFlorida OIR selected issuer/product row
2025$546 2026$828
Approved change51.6%Regulatory context, not a household quote

Bar lengths reflect the 2025 and 2026 Florida OIR average monthly premium values for the selected issuer/product rows. The displayed percentages are the OIR-approved 2026 average changes, not 2027 household quotes.

Lowest selected change24.8%

Health First Commercial Plans in the selected OIR rows.

Highest selected change51.6%

Sunshine State Health Plan in the selected OIR rows.

40%+ examplesAmeriHealth · Centene · Molina

The wide spread reinforces why carrier context should not be compressed into one statewide summary.

Analytical cautionRate context ≠ final consumer price

Net premium still depends on the current application, subsidy results, and exact product selected.

08 / State research

Premium research: what should and should not be published

Florida mother and son comparing coverage options and plan documents at home
Editorial plan-comparison scene. The visible materials are generic and do not represent a specific insurer, premium, subsidy, or eligibility result.

HealthCare.gov makes an important distinction that many state pages blur. The consumer can preview plans and prices by entering a ZIP code and basic household details, but exact prices are returned through the full current application. That means a strong Florida review explains the method for premium research rather than pretending a static statewide premium table is the final answer for every ZIP and household.

Keep one scenario fixed while comparing:ZIPCountyAgeHousehold sizeIncomeMetal tierSubsidy status
Use OIR evidence for context

The OIR tables explain prior-year issuer/product averages and approved changes. They are not the same thing as a live 2027 household quote.

Use HealthCare.gov for the current result

The Marketplace consumer flow is still the correct place to resolve which products actually show up for the county, ZIP, and household entered.

Do not mix years carelessly

2026 baseline numbers and 2026 regulatory evidence are useful, but they must stay labeled as historical/latest-completed evidence inside a 2027 review.

09 / State research

Network, hospital, and physician access

Florida patient and care coordinator discussing clinic and provider network access
Editorial healthcare-access scene. It does not identify a specific provider or establish that any clinic is in-network.

A low headline premium is not a complete result. For Florida, product-level provider access can easily be the difference between a workable plan and a frustrating one. The right question is not “Does this carrier cover my doctor in Florida?” It is “Does this exact current Marketplace product in my county include the physicians, specialists, hospitals, and facilities my household expects to use?”

Directory disciplineCheck the product, not only the parent brand

The same insurer can offer multiple products with different networks.

County disciplineStay local

Provider reality is experienced at the county/product level even when the carrier brand is statewide.

Hospital disciplineVerify preferred hospitals

Hospital inclusion often matters as much as physician inclusion.

Year disciplineRe-check every plan year

Network assumptions from last year are not enough for a fresh enrollment decision.

10 / Plan quality evidence

Florida plan quality: compare actual product-level ratings

Quality is a separate evidence layer from Florida's county rating geography, rates and provider networks. HealthCare.gov explains Marketplace quality ratings on a one-to-five-star scale where reported. These ratings are tied to rated health plans and the applicable plan year; an insurer brand does not have a single reliable Florida-wide score.

Published qualityFind the current rated plan

Match the precise product offered in your county. A missing rating is not a zero-star rating.

Experience and careRead the quality categories

Separate member experience and clinical-care evidence from the overall star summary.

Real accessCheck hospitals and doctors

Network status is a distinct verification step; good quality scores do not guarantee your provider is included.

2027 cautionDo not carry ratings forward blindly

Recheck quality on the actual 2027 plan comparison screen rather than treating the prior year as a prediction.

Method: the CMS nationwide Quality Rating System files provide research context. No fabricated plan score or statewide ranking is used here.

11 / State research

Prescription coverage deserves its own workflow

Florida older patient discussing prescription coverage information with pharmacy staff
Editorial prescription-coverage scene. It does not show a real formulary decision, copay, insurer approval, or covered-drug determination.

Formulary fit, utilization-management rules, and preferred-pharmacy design can materially change the real value of a plan. Florida prescription research should be separated from the premium headline because a lower premium can still be the wrong outcome if the exact drug list fits poorly.

1
List exact medications

Use drug name, dose, and fill frequency rather than only a condition name.

2
Check formulary tier

Tier placement shapes both expected cost and the day-to-day experience of using the plan.

3
Check management rules

Prior authorization, step therapy, and quantity limits can matter as much as the list price.

4
Check pharmacy rules

Preferred-pharmacy and mail-order structures can change total-value comparisons.

5
Re-check annually

Do not assume the same drug was handled identically from one plan year to the next.

12 / State research

County- and ZIP-level evidence layers available for Florida research

The CMS 2026 Open Enrollment Public Use Files matter because they document the availability of deeper evidence layers for HealthCare.gov states like Florida. Those files support county-level and ZIP-level research such as plan selections, premium context, average APTC, and related Marketplace measures. That does not mean every useful metric should be dumped into a single page, but it does mean Florida can support more than a thin statewide summary.

County-level evidenceUseful for local market scale

County plan selections and county-level Marketplace context help prioritize which local comparisons matter most.

ZIP-level evidenceUseful for targeting the right area

ZIP evidence is especially valuable in states where consumers often compare nearby counties and metros.

APTC layersSupport affordability context

Average APTC and related public-use measures add context without pretending to replace the actual household application result.

Methodology ruleUse the right layer for the right claim

Statewide facts, county evidence, ZIP evidence, and household-specific live results should not be blurred together.

13 / Financial-help context

Financial help, Florida KidCare, and Medicaid pathway context

Marketplace research is only one part of a household decision. HealthCare.gov explains that exact prices and final eligibility outcomes are established through the full application. For some Florida households, the practical decision tree may also involve separate children’s coverage pathways such as Florida KidCare or Medicaid-related screening workflows. That is why a state review should explain pathway logic rather than pretending every household follows one identical path.

Marketplace financial help

Use the current application with current household size and expected income for the exact result.

Florida KidCare

Children may be routed through Florida KidCare pathways that are distinct from adult Marketplace shopping.

Medicaid screening

Eligibility and pathway outcomes can differ by household member, which matters in mixed-coverage households.

Special Enrollment Periods

Outside OEP, qualifying life events still need direct verification against current Marketplace rules.

14 / State research

Florida comparison workflow: a practical expert sequence

A good State Review teaches method. Florida’s method is unusually clear because its public evidence architecture is strong.

1
Resolve the exact enrollment ZIP

The live preview/application starts at the real location and household basics.

2
Confirm the county and rating area

Every Florida county stands on its own rating-area ID.

3
Preview the current live product set

See what HealthCare.gov actually returns for the household and county entered.

4
Keep one comparison scenario consistent

Age, income, household size, and metal tier should not drift while comparing products.

5
Compare total-value features

Premium, deductible, out-of-pocket maximum, network, and drug fit all belong in the same decision.

6
Read product documents

Review current plan documents and official summaries before enrollment.

15 / Research questions

Florida Marketplace research questions

What Marketplace platform does Florida use for 2027?

Florida uses HealthCare.gov as a federally facilitated Marketplace.

How many rating areas does Florida have?

CMS publishes 67 Florida rating areas, and each county corresponds to one rating area.

Why does this review emphasize county so heavily?

Because county determines the rating-area geography in Florida, which affects the correct starting point for plan comparison.

Is 4,538,772 a 2027 enrollment number?

No. It is the completed 2026 OEP Florida plan-selection total used as historical baseline evidence only.

Can the Florida OIR tables replace a live quote?

No. They are strong context for issuer/product and rate-change analysis, but they do not replace the current HealthCare.gov result.

Why do county, issuer and household price figures differ?

The three measures answer different questions. A county defines geographic rating context; OIR issuer filings describe historical product averages and approved changes; the live HealthCare.gov preview/application resolves current offerings and estimated household costs. Do not compare the figures as if they were interchangeable.

What is the right order for a Florida comparison?

ZIP → county → current plan set → one consistent scenario → provider check → prescription check → final plan documents.

16 / Method & direct sources

Methodology and direct sources

Marketplace structure and county rating geography are drawn from CMS and HealthCare.gov. The 2026 Open Enrollment baseline and county/ZIP evidence availability come from CMS reporting and Public Use Files. Issuer/product information and approved rate changes come from Florida OIR; children's and Medicaid pathways are linked to Florida KidCare and the Florida Department of Children and Families. Historical evidence is labeled by plan year, and individualized coverage questions belong in the current official application.

Research & editing by Tú Nguyễn Founder & Research Editor

Tú Nguyễn operates ApexTrusted and researches public insurer, government and regulatory information for its guides. This is editorial research, not a specialist medical or insurance-license review.

Read full editor biography

Why you can trust this guide

ApexTrusted identifies the dates, geographic scope and limits of the published sources behind each state guide. Carrier availability, prices and networks need plan-specific verification. Referral compensation is disclosed separately from editorial research.

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The State review explains the market, geography, rate and network context. The next step is to keep those findings attached to your real ZIP, household, providers, prescriptions and current plan choices.

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