Ranked 11 of 17 states · median $773/mo · CMS PY2026
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A 40-year-old occupational therapist 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.
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.
This is background for choosing a plan, not for pricing one. Since 2014 every Mississippi exchange plan has been guaranteed issue and community rated: same age, same ZIP, same tobacco status means the same filed premium whether you are a occupational therapist or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a occupational therapist 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 |
|---|---|---|---|---|
| Hinds | $634 | Oscar Health Plan | $6,300 | 5 |
| Pontotoc | $653 | Ambetter from Magnolia Health | $6,000 | 4 |
| Stone | $655 | Cigna Healthcare | $4,000 | 4 |
| Adams | $684 | Ambetter from Magnolia Health | $6,000 | 2 |
| Chickasaw | $684 | Ambetter from Magnolia Health | $6,000 | 4 |
| Franklin | $684 | Ambetter from Magnolia Health | $6,000 | 3 |
The spread across just these six is $50/month — $600 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 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. 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
Read the comparison as context, not as a shopping list. Your county of residence determines what you can buy, and for a occupational therapist that is fixed unless you relocate. Where it is actionable is a move already in progress — that is a qualifying life event, and you have 60 days on either side of it.
Expense categories that typically apply to this trade: Licensing, equipment, malpractice insurance, CE. 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 Occupational Therapists in Mississippi is $92,330 a year (May 2024). Starting pay — the 10th percentile — is about $68,390. The middle half earn $78,430 to $103,950, and the top 10% more than $114,010. BLS counts about 1,120 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. Mississippi exchange plans are guaranteed issue and community rated, so a occupational therapist pays exactly what anyone else of the same age in the same ZIP pays. Occupation is not on the application as a rating factor.
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 Occupational Therapists (SOC 29-1122) 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 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 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 Occupational Therapists in Mississippi and a blog covering deductibles, subsidies and special enrollment.
← Occupational Therapists in all 23 states · All occupations
Mississippi loses two carriers this cycle: Cigna and Molina are out of Mississippi’s individual market from January 1, 2027, leaving 3 filing here. For Occupational Therapists that is a forced decision, and a better one made in November than in January.
Nobody can tell you your 2027 Mississippi premium yet. Filings nationally cluster around a 15% median increase, with the full spread running −1% to 54% — and until this state signs off, a specific local number is invention.
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 an occupational therapist 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:
Most Occupational Therapists here are buying their own coverage without an employer. One ZIP is all I need to show you what is available in your part of Mississippi.
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