2026 data Public-data reference. official source

Hamilton, Florida Health Insurance

Open-data reference.

52 ACA plans from 2 issuers - Plan year 2026

Hamilton, Florida offers 52 ACA marketplace plans from 2 issuers for plan year 2026. Bronze plans start at $774/mo and Silver plans start at $972/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$1,189
Avg Silver Premium/mo
$1,036
Benchmark Premium/mo
+53.5%
Year-over-Year Change
$4,612
Avg Deductible

What the Numbers Say About Hamilton

Hamilton, Florida has 52 ACA marketplace plans offered by 2 issuers for plan year 2026. The average Silver-tier premium comes in at $1,189/mo for a 27-year-old non-tobacco user, with the lowest Silver at $972 and the highest at $1,796. Bronze plans start at $774/mo, useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.

The benchmark (second-lowest Silver) premium is $1,036/mo, the figure used to calculate your Advance Premium Tax Credit (the federal subsidy). Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $4,612 and the average out-of-pocket maximum is $8,079 - numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Hamilton shifted by +53.5%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 2 issuers active in Hamilton, consumers have some competitive choice, though narrower than the most competitive counties. Network types split fairly evenly here between EPO and HMO, so comparing referral rules and out-of-network coverage across those two matters as much as comparing metal tiers. This page is informational only and is not insurance, medical, or tax advice, verify your eligibility, network coverage, and final pricing at HealthCare.gov before enrolling. Source: CMS Marketplace PUF, plan year 2026.

Premiums by Metal Level

Bronze

2 plans
$901/mo avg
$774 - $1,028

Silver

15 plans
$1,189/mo avg
$972 - $1,796

Gold

13 plans
$1,270/mo avg
$1,014 - $1,837

Platinum

6 plans
$1,988/mo avg
$1,527 - $2,487

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Hamilton is $1,036/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference. The higher the benchmark, the larger the potential subsidy.

ACA plans available

52

Plan year 2026

Issuers in market

2

Some competition

Benchmark Silver

$1,036 /mo

Sets your subsidy ceiling

Avg deductible

$4,612

Across all metal tiers

Hamilton ACA plans by premium and deductible

Each marker is the Hamilton average for one metal tier, monthly premium (age 27) plotted against the average annual deductible, both computed directly from this county's plans. The classic ACA tradeoff is visible: lower-premium Bronze tiers carry the highest deductibles, while Gold and Platinum invert it.

Source: CMS Marketplace Public Use Files for Hamilton, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

Source: CMS Marketplace Public Use Files for Hamilton, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible). Scatter plot of 5 data points. 02000400060008000 5001000150020002500 Monthly premium ($, age 27) Avg annual deductible ($) Bronze (2 plans)Expanded Bronze (16 plans)Silver (15 plans)Gold (13 plans)Platinum (6 plans)
Source: CMS Marketplace Public Use Files for Hamilton, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

Issuers in Hamilton

Issuer Plans Avg Premium (Age 27)
Florida Blue (BlueCross BlueShield FL) 33 $1,326/mo
Ambetter Health 19 $977/mo

All Plans in Hamilton

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
BlueSelect Bronze 24L01-01 (Rewards)
Florida Blue (BlueCross BlueShield FL)
Bronze EPO $773.56 $943.33 $6,150 $10,150
BlueOptions Bronze 24J01-06 (Rewards)
Florida Blue (BlueCross BlueShield FL)
Bronze PPO $1,028.06 $1,253.68 $6,150 $10,150
Everyday Bronze
Ambetter Health
Expanded Bronze HMO $765.05 $932.95 $8,450 $10,150
Standard Expanded Bronze
Ambetter Health
Expanded Bronze HMO $767.39 $935.81 $7,500 $10,000
Everyday Bronze + Vision + Adult Dental
Ambetter Health
Expanded Bronze HMO $785.74 $958.19 $8,450 $10,150
Standard Expanded Bronze + Vision + Adult Dental
Ambetter Health
Expanded Bronze HMO $788.15 $961.12 $7,500 $10,000
BlueSelect Bronze 2342S ($50 PCP Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze EPO $802.75 $978.92 $7,500 $10,000
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze EPO $809.62 $987.31 $6,650 $7,400
BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze EPO $815.34 $994.28 $6,500 $10,000
BlueSelect Bronze 2139 ($50 PCP Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze EPO $850.27 $1,036.88 $0 $9,900
BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze EPO $854.78 $1,042.38 $0 $9,900
BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze EPO $863.78 $1,053.35 $0 $9,900
Elite Bronze
Ambetter Health
Expanded Bronze HMO $873.86 $1,065.64 $0 $10,500
Elite Bronze + Vision + Adult Dental
Ambetter Health
Expanded Bronze HMO $897.50 $1,094.47 $0 $10,500
BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze PPO $1,066.70 $1,300.80 $7,500 $10,000
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze PPO $1,076.14 $1,312.31 $6,650 $7,400
BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze PPO $1,083.90 $1,321.78 $6,500 $10,000
BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Expanded Bronze PPO $1,132.14 $1,380.61 $0 $9,900
Clarity Silver
Ambetter Health
Silver HMO $971.54 $1,184.76 $8,000 $8,400
Standard Silver
Ambetter Health
Silver HMO $1,036.28 $1,263.70 $6,000 $8,900
BlueSelect Silver 1443 ($10 Labs / Rewards)
Florida Blue (BlueCross BlueShield FL)
Silver EPO $1,036.79 $1,264.33 $4,000 $8,100
BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards)
Florida Blue (BlueCross BlueShield FL)
Silver EPO $1,041.36 $1,269.90 $4,000 $8,100
Focused Silver
Ambetter Health
Silver HMO $1,048.77 $1,278.94 $6,300 $8,400
BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards)
Florida Blue (BlueCross BlueShield FL)
Silver EPO $1,050.48 $1,281.03 $4,000 $8,100
BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Silver EPO $1,053.96 $1,285.27 $6,000 $8,900
Standard Silver + Vision + Adult Dental
Ambetter Health
Silver HMO $1,064.31 $1,297.89 $6,000 $8,900
BlueSelect Silver 1456 ($50 PCP Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Silver EPO $1,065.87 $1,299.79 $3,125 $8,100
Enhanced Diabetes Care Silver with $0 Drug Options
Ambetter Health
Silver HMO $1,066.14 $1,300.12 $5,000 $8,650
Focused Silver + Vision + Adult Dental
Ambetter Health
Silver HMO $1,077.15 $1,313.54 $6,300 $8,400
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Ambetter Health
Silver HMO $1,094.98 $1,335.29 $5,000 $8,650
BlueOptions Silver 24J01-03 ($10 Labs / Rewards)
Florida Blue (BlueCross BlueShield FL)
Silver PPO $1,662.04 $2,026.81 $4,000 $8,100
BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Silver PPO $1,775.23 $2,164.83 $6,000 $8,900
BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Silver PPO $1,795.81 $2,189.93 $3,125 $8,100
Standard Gold
Ambetter Health
Gold HMO $1,014.14 $1,236.71 $2,000 $8,200
Everyday Gold
Ambetter Health
Gold HMO $1,036.10 $1,263.49 $800 $7,250
Standard Gold + Vision + Adult Dental
Ambetter Health
Gold HMO $1,041.58 $1,270.17 $2,000 $8,200
Everyday Gold + Vision + Adult Dental
Ambetter Health
Gold HMO $1,064.14 $1,297.68 $800 $7,250
Complete Gold
Ambetter Health
Gold HMO $1,070.73 $1,305.71 $1,450 $7,500
Complete Gold + Vision + Adult Dental
Ambetter Health
Gold HMO $1,099.69 $1,341.04 $1,450 $7,500
BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Gold EPO $1,165.94 $1,421.83 $2,000 $8,200
BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
Florida Blue (BlueCross BlueShield FL)
Gold EPO $1,193.54 $1,455.48 $1,500 $6,450
BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
Florida Blue (BlueCross BlueShield FL)
Gold EPO $1,225.02 $1,493.87 $0 $6,250
BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards)
Florida Blue (BlueCross BlueShield FL)
Gold EPO $1,229.56 $1,499.40 $0 $6,250
BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Gold PPO $1,746.72 $2,130.07 $2,000 $8,200
BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
Florida Blue (BlueCross BlueShield FL)
Gold PPO $1,788.22 $2,180.68 $1,500 $6,450
BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
Florida Blue (BlueCross BlueShield FL)
Gold PPO $1,836.81 $2,239.93 $0 $6,250
BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Platinum EPO $1,527.30 $1,862.49 $1,000 $4,000
BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Platinum EPO $1,569.66 $1,914.15 $0 $2,525
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Platinum EPO $1,635.83 $1,994.84 $0 $5,200
BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Platinum PPO $2,319.79 $2,828.90 $1,000 $4,000
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Platinum PPO $2,386.61 $2,910.39 $0 $2,525
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
Florida Blue (BlueCross BlueShield FL)
Platinum PPO $2,486.82 $3,032.59 $0 $5,200

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $581/mo $516 $715 17 2
2023 $670/mo $623 $758 13 2
2024 $743/mo $690 $853 11 2
2025 $873/mo $721 $1,205 15 2
2026 $1,189/mo $972 $1,796 15 2

Frequently Asked Questions

How many ACA plans are available in Hamilton, FL?

There are 52 ACA marketplace plans available in Hamilton from 2 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Hamilton?

The lowest-premium plan in Hamilton starts at $774/mo (Bronze tier, age 27). Silver plans start at $972/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Hamilton?

The benchmark (second-lowest Silver) premium in Hamilton is $1,036/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

How have premiums changed in Hamilton?

Average premiums in Hamilton changed by +53.5% year-over-year. Premium trends are tracked from 2022 to 2026 across all metal levels.

What is the average deductible and out-of-pocket maximum in Hamilton?

The average annual deductible across all plans in Hamilton is $4,612, and the average out-of-pocket maximum is $8,079. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which insurance companies offer plans in Hamilton?

There are 2 insurance issuers offering ACA marketplace plans in Hamilton, including Florida Blue (BlueCross BlueShield FL), Ambetter Health. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.

Disclaimer

This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.

Counties With a Similar Benchmark Premium

The closest counties nationwide to Hamilton, FL's $1,036/mo benchmark premium.

Data sources

Data sourced from the CMS Health Insurance Marketplace Public Use Files. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

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