Ranked 10 of 15 states · median $789/mo · CMS PY2026
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A 40-year-old roofer 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.
Trade work concentrates cost into rare, expensive events rather than spreading it across the year. That inverts the usual shopping logic: a lower premium with a $9,200 ceiling is a worse deal than a higher premium with a $6,000 one, because the ceiling is what you actually hit. These rankings follow the ceiling.
Occupational context: One of the highest fall-fatality rates of any US trade; heat illness.
Worth being clear about what this does and does not affect: a carrier in Florida cannot ask what you do for a living, cannot charge a roofer more than a librarian of the same age in the same ZIP, and cannot exclude anything you were already treated for. Occupation only tells you which plan structure to shop for.
Premium is set by rating area, so a roofer 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 |
|---|---|---|---|---|
| Taylor | $820 | Florida Blue HMO (a BlueCross BlueShield FL company) | $9,500 | 4 |
| Indian River | $554 | Ambetter Health | $8,000 | 7 |
| 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 |
The spread across just these six is $266/month — $3,188 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 roofer, 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
Read the comparison as context, not as a shopping list. Your county of residence determines what you can buy, and for a roofer 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.
Deduction categories that generally fit this trade: Tools, truck, fall-protection gear, liability insurance. Note the ordering problem with health premiums: the §162(l) deduction lowers your AGI, and your AGI is what sets your premium tax credit, so the two calculate against each other. That is a CPA conversation and worth having before you enroll, not after.
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 sits above the cliff in 1 of the 21 states reported and below it in the other 20, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Roofers (SOC 47-2181) 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 roofer. 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 Roofers 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 Roofers 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.
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.
All 67 counties in Florida sell a PPO, which is unusual and useful. For a roofer 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:
Coverage for Roofers is priced county by county across Florida. Enter your ZIP and I will show you what is on the table.