Ranked 10 of 15 states · median $789/mo · CMS PY2026
Licensed Independent Agent · NPN #22052447 · 21 States
A 40-year-old engineer in Florida pays a median $789/month for a Silver plan before subsidies — 10th of 15 on cost. The cheapest plan in the state is $554 from Ambetter Health in Indian River. On counties covered, Florida ranks 12 of 15 for this occupation.
Work that crosses county and state lines makes network geography the binding constraint. A cheap HMO that only contracts in one metro is worthless 200 miles away, so these pages rank states by network reach and flag the ones with no PPO on the exchange at all.
Occupational context: Sedentary strain; site-visit exposure depending on discipline.
Two things get confused here constantly. Risk exposure decides what coverage you should buy. It does not decide what you are charged — Florida carriers rate on age, ZIP, tobacco and family size, full stop. A engineer with a bad back and a healthy 40-year-old office worker in the same county see the same number.
Premium is set by rating area, so a engineer in one Florida county can pay materially more than one an hour away. Six counties from across the state, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Nassau | $781 | Ambetter Health | $8,000 | 4 |
| Lafayette | $929 | Ambetter Health | $8,000 | 3 |
| Calhoun | $598 | Ambetter Health | $8,000 | 5 |
| Lake | $627 | Ambetter Health | $8,000 | 10 |
| Gulf | $641 | Ambetter Health | $8,000 | 3 |
| Marion | $656 | Ambetter Health | $8,000 | 8 |
The spread across just these six is $331/month — $3,970 a year for the same metal tier. Statewide the range runs $554 to $2,203. Coverage by County publishes all 67 Florida counties individually.
| Florida — network reach | 2026 |
|---|---|
| Counties in the state | 67 |
| Counties with only one carrier | 1 (1%) |
| Plan types available | EPO, HMO, POS, PPO |
| PPO available on exchange | Yes |
| Carriers filing in the state | 15 |
| Cheapest Silver @40 | $554 — Indian River |
Florida has PPO plans available. For a engineer covering distance, that single fact outweighs premium: 1 of 67 counties here are served by one carrier, so an HMO bought in one metro may leave you out of network for the rest of your route.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 7,569 plan records across 67 Florida counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: South Dakota ($725), Oklahoma ($731), Kansas ($765). More expensive: Utah ($805), Texas ($807), North Carolina ($828).
Side-by-side: Florida vs Oklahoma · Florida vs Kansas · Florida vs Utah · Florida vs Texas
This only matters if you can actually choose — you buy in the state where you live, not where you work. If you are a engineer who moved this year, that move is a qualifying life event and opens a special enrollment period.
Deduction categories that generally fit this trade: PE licensing, software, professional dues, site travel. Note the ordering problem with health premiums: the §162(l) deduction lowers your AGI, and your AGI is what sets your premium tax credit, so the two calculate against each other. That is a CPA conversation and worth having before you enroll, not after.
If your household income is above the subsidy range, ACA is not automatically the answer. There are other categories of coverage that may fit, and they work very differently. That is a conversation, not a web page.
The cheapest Silver plan for a 40-year-old in Florida is $554 per month from Ambetter Health, with a state median of $789. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
No. Under the ACA, carriers cannot rate, decline, or exclude based on occupation or health history. Rates vary only by age, ZIP code, tobacco use and household size.
Yes. Plan types filed for 2026: EPO, HMO, POS, PPO.
Florida ranks 10 of 15 states covered here, at a median $789 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
This page compares states. For Florida specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Engineers in Florida and a blog covering deductibles, subsidies and special enrollment.