Ranked 14 of 15 states · median $828/mo · CMS PY2026
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A 40-year-old occupational therapist in Arkansas pays a median $828/month for a Silver plan before subsidies — 14th of 15 on cost. The cheapest plan in the state is $753 from Octave in Arkansas. On median Silver premium, Arkansas ranks 14 of 15 for this occupation.
Patient-facing and on-your-feet work produces steady, predictable claims — routine visits, refills, physical therapy, the occasional urgent care. That profile is decided by copay design and by whether your providers are in network, not by the sticker premium, so carrier count sits alongside cost below.
Occupational context: Lifting and transfer injuries; repetitive strain.
Two things get confused here constantly. Risk exposure decides what coverage you should buy. It does not decide what you are charged — Arkansas carriers rate on age, ZIP, tobacco and family size, full stop. A occupational therapist 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 rather than by county, so counties in the same area price identically. Six counties from across Arkansas, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Sharp | $753 | Octave | $6,000 | 4 |
| Yell | $753 | Octave | $6,000 | 4 |
| Calhoun | $753 | Octave | $6,000 | 4 |
| Columbia | $753 | Octave | $6,000 | 4 |
| Desha | $753 | Octave | $6,000 | 4 |
| Greene | $753 | Octave | $6,000 | 4 |
All six fall in the same rating area, so they price identically at $753. Statewide the range still runs $753 to $879. Coverage by County publishes all 75 Arkansas counties individually.
| Arkansas — network and cost | 2026 |
|---|---|
| Median Silver premium @40 | $828 |
| Cheapest Silver @40 | $753 — Octave (Arkansas) |
| Most expensive Silver @40 | $879 |
| Carriers filing in the state | 4 — Ambetter from Arkansas Health & Wellness, Arkansas Blue Cross and Blue Shield, Health Advantage, Octave |
| Plan types available | POS, PPO |
| Counties with only one carrier | 0 of 75 |
Arkansas has 4 carriers filing and 0 of 75 counties served by a single issuer. For a occupational therapist 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. 3,900 plan records across 75 Arkansas counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Utah ($805), Texas ($807), North Carolina ($828). More expensive: Nebraska ($875).
Side-by-side: Arkansas vs Texas · Arkansas vs North Carolina · Arkansas vs Nebraska
This only matters if you can actually choose — you buy in the state where you live, not where you work. If you are a occupational therapist who moved this year, that move is a qualifying life event and opens a special enrollment period.
Self-employed Occupational Therapists in Arkansas typically deduct: Licensing, equipment, malpractice insurance, CE. Health premiums sit separately, above the line under IRC §162(l), and only when neither you nor a spouse could have joined an employer plan — eligibility disqualifies you even if you declined the coverage.
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 Arkansas is $753 per month from Octave, with a state median of $828. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
It cannot happen on an exchange plan. Rating in Arkansas 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.
Yes. Plan types filed for 2026: POS, PPO.
Arkansas ranks 14 of 15 states covered here, at a median $828 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 2026 and pays the full premium.
This occupation is above the cliff in all 21 states reported.
What this figure is. It is the median annual wage BLS reports for Occupational Therapists (SOC 29-1122) in Arkansas. 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 occupational therapist. 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 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For Arkansas specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Occupational Therapists in Arkansas and a blog covering deductibles, subsidies and special enrollment.
← Occupational Therapists in all 21 states · All occupations
The Arkansas market currently runs to 4 carriers over 75 counties. Carriers re-file every year, and for Occupational Therapists the question that actually decides your renewal is which of them are still there in November.
Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. Arkansas 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, Arkansas 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.
In your favour: PPOs are sold in all 75 Arkansas counties. That is the type most likely to pay toward out-of-network care, and worth defending at renewal if your work as an occupational therapist takes you around.
Nothing about 2027 is urgent yet, which is exactly why it is worth ten minutes now. Come November you will be choosing between Arkansas’s carriers under a deadline; today you can do it without one.
Give me a ZIP and I will tell you three things:
The sticker price is rarely what Occupational Therapists in Arkansas end up paying. Start with a ZIP and I will work out your actual number.