Written By

Greg Wohl

Licensed Medicare Specialist

Health insurance is one of the largest monthly expenses for most Florida households, yet most people have no idea whether they are paying a fair price.

The answer depends heavily on which type of coverage you have, how old you are, and whether you qualify for federal subsidies. A 30-year-old on an ACA Silver plan might pay $180 per month after subsidies. A 64-year-old on private insurance could pay $1,400 or more. A 65-year-old on Medicare might pay under $200 for comprehensive coverage.

This guide breaks down average 2026 costs for every major coverage type available to Florida residents.

Key Takeaways

ACA Marketplace plans: Average unsubsidized Silver plan premiums for a 40-year-old in Florida run $550 to $700 per month. Subsidies can reduce this to near zero for many households.
Medicare Part B: The standard 2026 Part B premium is $185 per month. Most Medicare Advantage plans in Florida add $0 to $50 on top of that.
Employer-sponsored coverage: Florida employees pay an average of $130 per month for single coverage and $550 for family coverage after employer contributions.
Age is the biggest driver: Under the ACA, insurers can charge a 64-year-old up to three times more than a 21-year-old for the same plan.
Subsidies are underused: Hundreds of thousands of eligible Florida residents are not claiming ACA premium tax credits that could cut their premiums by 50% or more.
Medicare is usually cheapest at 65: For most people turning 65, switching to Medicare produces significant savings compared to private insurance.

ACA Marketplace Plan Costs in Florida

The ACA Marketplace (healthcare.gov) is the main option for Floridians who do not have employer coverage and are not yet eligible for Medicare.

Unsubsidized premiums in Florida for a Silver plan (the benchmark plan used to calculate subsidies) average:

2026 Average Monthly Silver Plan Premiums — Florida (Unsubsidized)

Age	Individual	Couple (same age)
21	$290 to $360	$580 to $720
30	$330 to $420	$660 to $840
40	$370 to $480	$740 to $960
50	$520 to $680	$1,040 to $1,360
60	$780 to $1,050	$1,560 to $2,100

These are unsubsidized rates. Most Florida residents who buy through the Marketplace qualify for premium tax credits that substantially reduce these amounts. Enhanced subsidies introduced in 2021 extended eligibility to households above 400% of the federal poverty level, and those subsidies are still in effect for 2026.

A 40-year-old with a household income of $50,000 (about 350% of the federal poverty level) would typically pay $150 to $250 per month after the tax credit, depending on the county.

Medicare Costs in Florida

For Floridians 65 and older, Medicare is the primary coverage option. The total monthly cost depends on which parts and supplements you choose.

Original Medicare (Parts A and B):

Part A (hospital): $0 premium for most people (requires 40+ quarters of Medicare taxes). Those with fewer quarters pay $278 to $505 per month.
Part B (medical): $185 per month standard premium in 2026. Higher earners pay more through IRMAA surcharges (up to $628.90/month at the top bracket).

Medicare Advantage (Part C): Many Florida Medicare Advantage plans have $0 additional monthly premium beyond Part B. The average premium for plans that do charge is $25 to $75 per month. Florida has one of the most competitive Medicare Advantage markets in the country, with dozens of plans available in most counties.

Medicare Supplement (Medigap): Medigap Plan G, the most popular supplement, averages $120 to $200 per month for a 65-year-old in Florida. Premiums increase with age. When combined with Part B, total monthly costs typically run $305 to $385 for comprehensive coverage with near-zero out-of-pocket exposure.

Part D (prescription drugs): Standalone Part D plans in Florida average $20 to $60 per month. Medicare Advantage plans often include drug coverage at no additional premium.

Employer-Sponsored Coverage Costs

For Floridians who get coverage through an employer, the cost picture is different. Employers typically pay the majority of the premium, and employees pay the remainder through payroll deduction.

National averages for 2026 (Florida is close to the national average for employer plans):

Single coverage: Total premium averages $8,400 per year. Employees pay about $1,600 per year ($133/month) on average.
Family coverage: Total premium averages $24,000 per year. Employees pay about $6,600 per year ($550/month) on average.

These are averages. Small employers typically contribute less, meaning employees at small businesses often pay $300 to $500 per month for single coverage. Large employers tend to be more generous.

Important note for people turning 65: If you have employer coverage, you need to carefully evaluate whether to keep it or switch to Medicare. In many cases, Medicare (especially with a Medigap supplement) provides better coverage at lower total cost. However, the right answer depends on your specific employer plan, your health needs, and your income.

How Subsidies Can Dramatically Lower Your ACA Premium

The ACA premium tax credit is one of the most underused financial benefits available to Florida residents. If your income falls between 100% and 400% of the federal poverty level (and in some cases above 400%), you qualify for a credit that reduces your monthly premium.

For 2026, the federal poverty level for a single person is approximately $15,060. Here is how the subsidy works at different income levels:

Income at 150% FPL (~$22,590): You pay no more than 0% of income toward the benchmark Silver plan premium. Many people at this level pay $0 per month.
Income at 250% FPL (~$37,650): You pay no more than 6% of income. For a 40-year-old, that caps the premium at about $188/month.
Income at 400% FPL (~$60,240): You pay no more than 8.5% of income. For a 40-year-old, that caps the premium at about $427/month.

The subsidy is applied as a tax credit and can be taken in advance to reduce your monthly bill. The key action is to check your eligibility every year, even if you did not qualify in prior years. Income changes, family size changes, and updated subsidy rules can all affect your eligibility.

What Affects Your Specific Premium

Beyond age and income, several other factors determine what you will actually pay:

County of residence: Premiums vary significantly by county in Florida. Miami-Dade, Broward, and Palm Beach tend to have higher premiums than the Tampa Bay area or the Panhandle.
Metal tier: Bronze plans have the lowest premiums but highest out-of-pocket costs. Gold plans have higher premiums but lower cost-sharing. Silver is the middle ground and the only tier eligible for cost-sharing reductions.
Tobacco use: ACA plans can charge tobacco users up to 50% more in some states. Florida allows this surcharge.
Plan type (HMO vs. PPO): HMO plans typically have lower premiums but require you to use a specific network. PPOs cost more but offer more flexibility.

For Medicare beneficiaries, your income from two years prior determines whether you pay the standard Part B premium or a higher IRMAA-adjusted amount. If your income has dropped significantly since then, you can request a redetermination using a more recent tax year.

Bottom Line: What to Expect in 2026

Here is a quick reference for what different Florida residents typically pay per month in 2026:

Under 65, no employer coverage, income qualifies for subsidy: $0 to $250/month for a Silver plan
Under 65, no employer coverage, no subsidy: $330 to $1,050/month depending on age
Employer coverage (employee share): $130 to $550/month depending on employer and plan
Medicare only (Part A + B): $185/month for most people
Medicare Advantage (Part B + $0 plan): $185/month total
Medicare + Medigap Plan G + Part D: $330 to $450/month total

The most important step you can take is to compare your options every year rather than auto-renewing. Plans change, subsidies change, and your circumstances change. An independent broker can run this comparison for you at no cost.

Schedule a free consultation with our licensed specialists to find out exactly what you should be paying.