Ranked 9 of 15 states · median $765/mo · CMS PY2026
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A 40-year-old truck driver in Kansas pays a median $765/month for a Silver plan before subsidies — 9th of 15 on cost. The cheapest plan in the state is $565 from Oscar in Anderson. On counties covered, Kansas ranks 2 of 15 for this occupation.
Once your work crosses county and state lines, network geography stops being a detail and becomes the whole decision. An HMO contracted in one metro leaves you paying cash 200 miles down the road, and a handful of states filed no PPO at all for 2026. These rankings lead with reach.
Occupational context: Elevated rates of obesity, sleep apnea, and back injury; DOT physical required every 24 months.
Worth being clear about what this does and does not affect: a carrier in Kansas cannot ask what you do for a living, cannot charge a truck driver 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 truck driver in one Kansas 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 |
|---|---|---|---|---|
| Hodgeman | $739 | Ambetter from Sunflower | $6,000 | 2 |
| Decatur | $746 | Ambetter from Sunflower | $6,000 | 2 |
| Ness | $746 | Ambetter from Sunflower | $6,000 | 2 |
| Russell | $746 | Ambetter from Sunflower | $6,000 | 2 |
| Wichita | $746 | Ambetter from Sunflower | $6,000 | 2 |
| Haskell | $882 | Blue Cross and Blue Shield of Kansas | $3,400 | 1 |
The spread across just these six is $143/month — $1,715 a year for the same metal tier. Statewide the range runs $565 to $979. Coverage by County publishes all 105 Kansas counties individually.
| Kansas — network reach | 2026 |
|---|---|
| Counties in the state | 105 |
| Counties with only one carrier | 14 (13%) |
| Plan types available | EPO |
| PPO available on exchange | No |
| Carriers filing in the state | 6 |
| Cheapest Silver @40 | $565 — Anderson |
Kansas has no PPO plans on the exchange at all. For a truck driver covering distance, that single fact outweighs premium: 14 of 105 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. 3,058 plan records across 105 Kansas counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Michigan ($708), South Dakota ($725), Oklahoma ($731). More expensive: Florida ($789), Utah ($805), Texas ($807).
Side-by-side: Kansas vs South Dakota · Kansas vs Oklahoma · Kansas vs Florida · Kansas vs Utah
Read the comparison as context, not as a shopping list. Your county of residence determines what you can buy, and for a truck driver 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.
If you file a Schedule C as a truck driver, the categories that usually show up are: Truck payment, fuel, maintenance, per diem, insurance. The health premium itself is normally an above-the-line deduction under IRC §162(l), which reduces AGI rather than requiring you to itemize. Your CPA should confirm it against your actual situation.
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 Kansas is $565 per month from Oscar, with a state median of $765. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
No. Kansas exchange plans are guaranteed issue and community rated, so a truck driver 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 plans were filed for 2026.
Kansas ranks 9 of 15 states covered here, at a median $765 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 Heavy and Tractor-Trailer Truck Drivers (SOC 53-3032) in Kansas. 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 truck driver. 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 Kansas specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Truck Drivers in Kansas and a blog covering deductibles, subsidies and special enrollment.
Right now 6 carriers file plans across the 105 counties of Kansas. Participation is reset annually, which is why Truck Drivers should check the roster in November rather than assume this year’s options carry over.
Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. Kansas 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 Kansas regardless of how the current litigation over the enrollment window resolves.
There is still no PPO on the Kansas marketplace — not in any of its 105 counties. Every plan is an HMO, EPO or POS, which for a truck driver working across a wide area is the binding constraint, not price.
Because Kansas sells no PPO in any of its 105 counties, the thing that will decide your 2027 experience is which network your providers sit in — and that is far easier to check now than during the rush.
Give me a ZIP and I will tell you three things:
Most Truck Drivers 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 Kansas.