Ranked 10 of 15 states · median $789/mo · CMS PY2026
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A 40-year-old painter 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 highest out-of-pocket maximum, Florida ranks 3 of 15 for this occupation.
Injury exposure means the number that matters is the out-of-pocket maximum, not the premium. A single ER visit and follow-up can hit that ceiling in one month, so these pages rank states by worst-case annual exposure rather than by monthly cost.
Occupational context: Solvent and VOC inhalation; ladder falls; shoulder strain.
This is background for choosing a plan, not for pricing one. Since 2014 every Florida 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 painter or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a painter 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 |
|---|---|---|---|---|
| Madison | $612 | Ambetter Health | $8,000 | 5 |
| Duval | $639 | Ambetter Health | $8,000 | 6 |
| Hernando | $650 | Oscar Health Maintenance Organization of Florida | $5,000 | 4 |
| Pasco | $659 | Oscar Health Maintenance Organization of Florida | $5,000 | 8 |
| Palm Beach | $674 | Wellpoint | $3,500 | 11 |
| Alachua | $694 | Ambetter Health | $8,000 | 5 |
The spread across just these six is $82/month — $985 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 — worst-case exposure | 2026 |
|---|---|
| Lowest annual out-of-pocket maximum | $2,250 |
| Highest annual out-of-pocket maximum | $10,600 |
| Cheapest Gold plan @40 | $545 — Health First Commercial Plans |
| Gold deductible | $2,200 |
| Cheapest Silver @40 | $554 — Ambetter Health |
| Cheapest Silver @50 | $775 |
For a painter, the gap between $2,250 and $10,600 in annual out-of-pocket maximum is worth more than any premium difference on this page. One serious injury reaches that ceiling regardless of which plan you picked.
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
A caveat on the table above: rating is by residence, not by job site. A painter living in Florida and working across a state line still buys Florida plans. A genuine permanent move does trigger a special enrollment period, but the plan year restarts with a fresh deductible.
Self-employed Painters in Florida typically deduct: Sprayers, ladders, paint, van, liability insurance. 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 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.
Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2026.
This occupation is below the cliff in all 21 states reported.
What this figure is. It is the median annual wage BLS reports for Painters, Construction and Maintenance (SOC 47-2141) in Florida. 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 painter. 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 Florida specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Painters in Florida and a blog covering deductibles, subsidies and special enrollment.
Florida loses a carrier this cycle: Cigna is out of the ACA individual market from January 1, 2027, leaving 14 filing here. For Painters that is a forced decision, and a better one made in November than in January.
Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. Florida has not finalised, so treat exact local 2027 pricing as unavailable rather than unknown.
Mark November 1, 2026 to open and December 15 to act. That second date guarantees cover from January 1 in Florida regardless of how the current litigation over the enrollment window resolves.
All 67 counties in Florida sell a PPO, which is unusual and useful. For a painter covering ground, it is the plan type that travels best.
You already know you are changing plans — Cigna is 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 in August than in the second week of December.
Give me a ZIP and I will tell you three things:
Two Painters on opposite sides of Florida can be quoted very different premiums for the same plan. Your ZIP is what decides it.