Ranked 11 of 17 states · median $773/mo · CMS PY2026
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A 40-year-old nurse practitioner 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 median Silver premium, Mississippi ranks 11 of 17 for this occupation.
When you use coverage regularly, the annual total is driven by what each visit costs and whether the clinician you already see is contracted. A plan $40 cheaper that drops your specialist is not cheaper. These rankings pair median premium with how many carriers actually file in the state.
Occupational context: Needlestick and infectious exposure; standing strain.
Two things get confused here constantly. Risk exposure decides what coverage you should buy. It does not decide what you are charged — Mississippi carriers rate on age, ZIP, tobacco and family size, full stop. A nurse practitioner 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 nurse practitioner 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 |
|---|---|---|---|---|
| Sharkey | $684 | Ambetter from Magnolia Health | $6,000 | 3 |
| Wayne | $684 | Ambetter from Magnolia Health | $6,000 | 3 |
| Simpson | $704 | Cigna Healthcare | $4,000 | 4 |
| Hinds | $634 | Oscar Health Plan | $6,300 | 5 |
| Pontotoc | $653 | Ambetter from Magnolia Health | $6,000 | 4 |
| Stone | $655 | Cigna Healthcare | $4,000 | 4 |
The spread across just these six is $70/month — $841 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 and cost | 2026 |
|---|---|
| Median Silver premium @40 | $773 |
| Cheapest Silver @40 | $598 — Oscar Health Plan (DeSoto) |
| Most expensive Silver @40 | $913 |
| Carriers filing in the state | 5 — Ambetter from Magnolia Health, Cigna Healthcare, Molina Healthcare, Oscar Health Plan |
| Plan types available | EPO, HMO |
| Counties with only one carrier | 0 of 82 |
Mississippi has 5 carriers filing and 0 of 82 counties served by a single issuer. For a nurse practitioner with an established provider relationship, that carrier count is the number that decides whether you keep your doctor.
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
Cross-state numbers are useful for understanding whether Mississippi is treating you well, not for arbitrage. You cannot buy an out-of-state exchange plan. If you are a nurse practitioner weighing a relocation for other reasons, the premium difference is a real line item worth putting in the decision.
If you file a Schedule C as a nurse practitioner, the categories that usually show up are: Malpractice insurance, licensing, DEA registration, CE. The health premium itself is normally an above-the-line deduction under IRC §162(l), which reduces AGI rather than requiring you to itemize. Your CPA should confirm it against your actual situation.
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 Nurse Practitioners in Mississippi is $119,290 a year (May 2024). Starting pay — the 10th percentile — is about $92,720. The middle half earn $104,660 to $133,510, and the top 10% more than $162,290. BLS counts about 4,170 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.
It cannot happen on an exchange plan. Rating in Mississippi uses four inputs only: age, ZIP code, tobacco use and how many people are on the policy. Trade, injury history and pre-existing conditions are all excluded from pricing by law.
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 22 states reported.
What this figure is. It is the median annual wage BLS reports for Nurse Practitioners (SOC 29-1171) 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 nurse practitioner. 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 Nurse Practitioners in Mississippi and a blog covering deductibles, subsidies and special enrollment.
Two of Mississippi’s 5 carriers are leaving. Cigna and Molina both exit Mississippi’s individual market on January 1, 2027, so if you are a nurse practitioner covered by either the question is not whether you switch but whether you choose the switch yourself.
Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. Mississippi has not finalised, so treat exact local 2027 pricing as unavailable rather than unknown.
Enrollment opens November 1, 2026. Treat December 15 as the deadline: it guarantees January 1 cover on every marketplace, Mississippi included. Conflicting end dates get quoted because a 2025 rule shortened the window and a court vacated it in June 2026, appeal pending — enrol by the 15th and the argument is irrelevant to you.
One thing 2027 will not fix: no PPO is sold anywhere in Mississippi. All 82 counties offer EPO or HMO plans only, so care outside the network is effectively emergency-only. If your work as a nurse practitioner crosses county lines, weigh that above the premium.
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 Nurse Practitioners 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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