Ranked 10 of 15 states · median $789/mo · CMS PY2026
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A 40-year-old real estate agent 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 counties covered, Florida ranks 12 of 15 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: High driving exposure; irregular hours; showing-related risk.
None of that changes your price. ACA plans in Florida 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 real estate agent 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 |
|---|---|---|---|---|
| Palm Beach | $674 | Wellpoint | $3,500 | 11 |
| Alachua | $694 | Ambetter Health | $8,000 | 5 |
| Okeechobee | $727 | Ambetter Health | $8,000 | 3 |
| Hendry | $771 | Wellpoint | $3,500 | 5 |
| Union | $890 | Ambetter Health | $8,000 | 4 |
| Wakulla | $591 | Ambetter Health | $8,000 | 5 |
The spread across just these six is $299/month — $3,587 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 — network reach | 2026 |
|---|---|
| Counties in the state | 67 |
| Counties with only one carrier | 1 (1%) |
| Plan types available | EPO, HMO, POS, PPO |
| PPO available on exchange | Yes |
| Carriers filing in the state | 15 |
| Cheapest Silver @40 | $554 — Indian River |
Florida has PPO plans available. For a real estate agent covering distance, that single fact outweighs premium: 1 of 67 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. 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
Cross-state numbers are useful for understanding whether Florida is treating you well, not for arbitrage. You cannot buy an out-of-state exchange plan. If you are a real estate agent weighing a relocation for other reasons, the premium difference is a real line item worth putting in the decision.
Self-employed Real Estate Agents in Florida typically deduct: Vehicle, licensing, MLS dues, E&O insurance, marketing. 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 20 states reported.
What this figure is. It is the median annual wage BLS reports for Real Estate Sales Agents (SOC 41-9022) 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 real estate agent. 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 Real Estate Agents in Florida and a blog covering deductibles, subsidies and special enrollment.
The biggest change here is a carrier walking away. Cigna leaves the ACA individual market on January 1, 2027 — one of the 15 carriers writing in Florida today. Every a real estate agent on a Cigna plan is moving, and doing nothing just means the marketplace chooses the replacement.
Nobody can tell you your 2027 Florida 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.
The window opens November 1, 2026, and December 15 is the date worth writing down — it is what secures January 1 cover in Florida and everywhere else. You will find later dates quoted; they stem from a 2025 rule that was vacated in June 2026 and is under appeal.
In your favour: PPOs are sold in all 67 Florida counties. That is the type most likely to pay toward out-of-network care, and worth defending at renewal if your work as a real estate agent takes you around.
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 Real Estate Agents on opposite sides of Florida can be quoted very different premiums for the same plan. Your ZIP is what decides it.