Ranked 11 of 17 states · median $773/mo · CMS PY2026
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A 40-year-old engineer in Mississippi pays a median $773/month for a Silver plan before subsidies — 11th of 17 on cost. The cheapest plan in the state is $598 from Oscar Health Plan in DeSoto. On counties covered, Mississippi ranks 9 of 17 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.
None of that changes your price. ACA plans in Mississippi are community rated — premium varies by age, ZIP code, tobacco use and household size only. Your occupation cannot be used to rate you, decline you, or exclude a condition. What it changes is which plan design is the right bet.
Premium is set by rating area, so a engineer in one Mississippi 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 |
|---|---|---|---|---|
| Tunica | $598 | Oscar Health Plan | $6,300 | 5 |
| Benton | $640 | Oscar Health Plan | $6,300 | 5 |
| Hancock | $655 | Cigna Healthcare | $4,000 | 4 |
| Lamar | $661 | Ambetter from Magnolia Health | $6,000 | 4 |
| Bolivar | $684 | Ambetter from Magnolia Health | $6,000 | 3 |
| Clay | $684 | Ambetter from Magnolia Health | $6,000 | 4 |
The spread across just these six is $86/month — $1,030 a year for the same metal tier. Statewide the range runs $598 to $913. Coverage by County publishes all 82 Mississippi counties individually.
| Mississippi — network reach | 2026 |
|---|---|
| Counties in the state | 82 |
| Counties with only one carrier | 0 (0%) |
| Plan types available | EPO, HMO |
| PPO available on exchange | No |
| Carriers filing in the state | 5 |
| Cheapest Silver @40 | $598 — DeSoto |
Mississippi has no PPO plans on the exchange at all. For a engineer covering distance, that single fact outweighs premium: 0 of 82 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. 2,834 plan records across 82 Mississippi counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Oklahoma ($731), Kansas ($765), Tennessee ($773). More expensive: Florida ($789), Utah ($805), Texas ($807).
Side-by-side: Mississippi vs Kansas · Mississippi vs Tennessee · Mississippi vs Florida · Mississippi vs Utah
A caveat on the table above: rating is by residence, not by job site. A engineer living in Mississippi and working across a state line still buys Mississippi plans. A genuine permanent move does trigger a special enrollment period, but the plan year restarts with a fresh deductible.
Expense categories that typically apply to this trade: PE licensing, software, professional dues, site travel. Premiums are generally deductible above the line under IRC §162(l) when no employer plan is available to you or your spouse — a question for your CPA, not your agent.
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 BLS median wage for Industrial Engineers in Mississippi is $93,110 a year (May 2024). Starting pay — the 10th percentile — is about $64,560. The middle half earn $76,650 to $108,300, and the top 10% more than $134,450. BLS counts about 2,260 people doing this work for an employer in Mississippi. The self-employed are not in the BLS survey, so this is the going rate for the work, not your own number.
The cheapest Silver plan for a 40-year-old in Mississippi is $598 per month from Oscar Health Plan, with a state median of $773. 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.
No. Only EPO and HMO plans were filed for 2026.
Mississippi ranks 11 of 17 states covered here, at a median $773 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Above the cliff. At this income a single-person household receives no premium tax credit for 2027 and pays the full premium.
This occupation is above the cliff in all 23 states reported.
What this figure is. It is the median annual wage BLS reports for Industrial Engineers (SOC 17-2112) in Mississippi. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed engineer. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2027 the 400% FPL limit applies again, so household income above $63,840 ends premium tax credit eligibility outright.
This page compares states. For Mississippi specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Engineers in Mississippi and a blog covering deductibles, subsidies and special enrollment.
The biggest change here is two carriers walking away. Cigna and Molina leave Mississippi’s individual market on January 1, 2027 — two of the 5 carriers writing in Mississippi today. Every engineer on a Cigna or Molina plan is moving, and doing nothing just means the marketplace chooses the replacement.
On price the only honest number today is national: the Peterson-KFF read of 2027 filings puts the median proposed rise near 15%, spanning −1% to 54%. Final Mississippi rates are not approved, so any precise 2027 figure quoted for this state is guesswork.
Mark November 1, 2026 to open and December 15 to act. That second date guarantees cover from January 1 in Mississippi regardless of how the current litigation over the enrollment window resolves.
There is still no PPO on the Mississippi marketplace — not in any of its 82 counties. Every plan is an EPO or HMO, which for an engineer working across a wide area is the binding constraint, not price.
If you are with Cigna or Molina, you already know you are changing plans — both are leaving. The only real question is whether you pick the replacement or the marketplace picks it for you, and that is a much easier decision made now than in the second week of December.
Enter a ZIP and a licensed agent will tell you three things:
Coverage for Engineers is priced county by county across Mississippi. Enter your ZIP and a licensed agent will show you what is on the table.
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