2026 data Public-data reference. official source

Shelby, Alabama Health Insurance

Open-data reference.

54 ACA plans from 4 issuers — Plan year 2026

Shelby, Alabama offers 54 ACA marketplace plans from 4 issuers for plan year 2026. Bronze plans start at $361/mo and Silver plans start at $513/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$588
Avg Silver Premium/mo
$535
Benchmark Premium/mo
+31.9%
Year-over-Year Change
$5,073
Avg Deductible

What the Numbers Say About Shelby

Shelby, Alabama has 54 ACA marketplace plans offered by 4 issuers for plan year 2026. The average Silver-tier premium comes in at $588/mo for a 27-year-old non-tobacco user, with the lowest Silver at $513 and the highest at $669. Bronze plans start at $361/mo — useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.

The benchmark (second-lowest Silver) premium is $535/mo, the figure the IRS uses to calculate your Advance Premium Tax Credit. Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $5,073 and the average out-of-pocket maximum is $9,064 — numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Shelby shifted by +31.9%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 4 issuers active in Shelby, consumers have meaningful competition to pressure premiums lower. 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

1 plan
$361/mo avg
$361 — $361

Silver

21 plans
$588/mo avg
$513 — $669

Gold

15 plans
$672/mo avg
$583 — $758

Catastrophic plan available: avg $355/mo (1 plan) — only for individuals under 30 or with a hardship exemption.

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Shelby is $535/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

54

Plan year

Issuers in market

4

Competitive market

Benchmark Silver

$535 /mo

Sets your subsidy ceiling

Avg deductible

$5,073

Across all metal tiers

Shelby ACA plans by premium and deductible

Each marker is the Shelby average for one metal tier (and the local Bronze low / Silver high extremes where data is available). The dashed line marks the federal out-of-pocket-maximum ceiling.

Source: CMS Marketplace PUF for Shelby, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

No data to plot
Source: CMS Marketplace PUF for Shelby, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

Issuers in Shelby

Issuer Plans Avg Premium (Age 27)
Ambetter of Alabama 18 $559/mo
Blue Cross and Blue Shield of Alabama 14 $544/mo
UnitedHealthcare 13 $551/mo
Oscar Insurance Company 9 $624/mo

All Plans in Shelby

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
Blue Protect
Blue Cross and Blue Shield of Alabama
Catastrophic PPO $354.76 $432.62 $10,600 $10,600
UHC Bronze Essential (No Referrals)
UnitedHealthcare
Bronze EPO $361.23 $440.51 $10,600 $10,600
UHC Bronze Standard (No Referrals)
UnitedHealthcare
Expanded Bronze EPO $382.70 $466.69 $7,500 $10,000
Blue Saver Bronze
Blue Cross and Blue Shield of Alabama
Expanded Bronze PPO $387.32 $472.32 $8,500 $10,600
Blue Standardized Bronze
Blue Cross and Blue Shield of Alabama
Expanded Bronze PPO $390.22 $475.86 $7,500 $10,000
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UnitedHealthcare
Expanded Bronze EPO $397.88 $485.20 $7,500 $10,000
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Expanded Bronze EPO $400.23 $488.07 $0 $10,600
Blue HSA Bronze
Blue Cross and Blue Shield of Alabama
Expanded Bronze PPO $422.51 $515.24 $7,200 $7,200
Everyday Bronze
Ambetter of Alabama
Expanded Bronze EPO $430.53 $525.02 $8,450 $10,150
Standard Expanded Bronze
Ambetter of Alabama
Expanded Bronze EPO $430.97 $525.56 $7,500 $10,000
Everyday Bronze + Vision + Adult Dental
Ambetter of Alabama
Expanded Bronze EPO $448.04 $546.37 $8,450 $10,150
Standard Expanded Bronze + Vision + Adult Dental
Ambetter of Alabama
Expanded Bronze EPO $448.50 $546.93 $7,500 $10,000
Elite Bronze
Ambetter of Alabama
Expanded Bronze EPO $497.10 $606.19 $0 $10,500
Elite Bronze + Vision + Adult Dental
Ambetter of Alabama
Expanded Bronze EPO $517.31 $630.84 $0 $10,500
Bronze Classic Standard
Oscar Insurance Company
Expanded Bronze EPO $517.76 $631.39 $7,500 $10,000
Bronze Classic 4700
Oscar Insurance Company
Expanded Bronze EPO $526.97 $642.62 $4,700 $9,800
Bronze Simple Chronic Care CKM
Oscar Insurance Company
Expanded Bronze EPO $537.30 $655.22 $5,500 $10,150
Bronze Elite + PCP Saver Plus
Oscar Insurance Company
Expanded Bronze EPO $565.81 $689.99 $0 $10,600
Blue Saver Silver EPO
Blue Cross and Blue Shield of Alabama
Silver EPO $512.59 $625.08 $4,000 $9,450
Blue Standardized Silver EPO
Blue Cross and Blue Shield of Alabama
Silver EPO $535.02 $652.44 $6,000 $8,900
Blue Statewide Silver EPO
Blue Cross and Blue Shield of Alabama
Silver EPO $543.36 $662.60 $3,500 $9,450
Blue Standardized Statewide Silver EPO
Blue Cross and Blue Shield of Alabama
Silver EPO $557.20 $679.49 $6,000 $8,900
Blue Cross Select Silver
Blue Cross and Blue Shield of Alabama
Silver PPO $558.69 $681.30 $5,000 $10,600
Standard Silver
Ambetter of Alabama
Silver EPO $558.81 $681.45 $6,000 $8,900
Blue Standardized Silver
Blue Cross and Blue Shield of Alabama
Silver PPO $562.83 $686.35 $6,000 $8,900
Focused Silver
Ambetter of Alabama
Silver EPO $565.27 $689.33 $6,300 $8,400
Enhanced Diabetes Care Silver with $0 Drug Options
Ambetter of Alabama
Silver EPO $576.00 $702.41 $5,000 $8,650
Standard Silver + Vision + Adult Dental
Ambetter of Alabama
Silver EPO $581.53 $709.16 $6,000 $8,900
UHC Silver Standard (No Referrals)
UnitedHealthcare
Silver EPO $587.71 $716.69 $6,000 $8,900
Focused Silver + Vision + Adult Dental
Ambetter of Alabama
Silver EPO $588.25 $717.35 $6,300 $8,400
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Silver EPO $590.56 $720.16 $3,500 $8,900
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UnitedHealthcare
Silver EPO $596.25 $727.11 $0 $10,150
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Ambetter of Alabama
Silver EPO $599.42 $730.97 $5,000 $8,650
UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare
Silver EPO $605.74 $738.68 $3,500 $8,900
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UnitedHealthcare
Silver EPO $611.43 $745.62 $0 $10,150
Blue Value Silver
Blue Cross and Blue Shield of Alabama
Silver PPO $624.08 $761.05 $3,700 $10,600
Silver Classic Standard
Oscar Insurance Company
Silver EPO $663.05 $808.57 $6,000 $8,900
Silver Simple
Oscar Insurance Company
Silver EPO $668.45 $815.15 $6,300 $9,300
Silver Simple Chronic Care CKM
Oscar Insurance Company
Silver EPO $668.95 $815.76 $5,900 $10,150
Standard Gold
Ambetter of Alabama
Gold EPO $582.77 $710.67 $2,000 $8,200
Standard Gold + Vision + Adult Dental
Ambetter of Alabama
Gold EPO $606.46 $739.56 $2,000 $8,200
Complete Gold
Ambetter of Alabama
Gold EPO $614.80 $749.73 $1,450 $7,500
Complete Gold + Vision + Adult Dental
Ambetter of Alabama
Gold EPO $639.80 $780.21 $1,450 $7,500
UHC Gold Standard (No Referrals)
UnitedHealthcare
Gold EPO $648.08 $790.31 $2,000 $8,200
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UnitedHealthcare
Gold EPO $650.52 $793.29 $750 $8,000
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
UnitedHealthcare
Gold EPO $666.40 $812.65 $750 $8,000
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UnitedHealthcare
Gold EPO $669.34 $816.23 $0 $7,000
Elite Gold
Ambetter of Alabama
Gold EPO $671.19 $818.50 $0 $6,500
Blue Standardized Gold
Blue Cross and Blue Shield of Alabama
Gold PPO $687.01 $837.78 $2,000 $8,200
Elite Gold + Vision + Adult Dental
Ambetter of Alabama
Gold EPO $698.48 $851.78 $0 $6,500
Blue Cross Select Gold
Blue Cross and Blue Shield of Alabama
Gold PPO $721.53 $879.88 $850 $6,000
Gold Simple
Oscar Insurance Company
Gold EPO $733.44 $894.41 $3,300 $9,950
Gold Classic Standard
Oscar Insurance Company
Gold EPO $737.96 $899.92 $2,000 $8,200
Blue Value Gold
Blue Cross and Blue Shield of Alabama
Gold PPO $758.25 $924.66 $750 $6,000

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $456/mo $428 $532 9 2
2023 $517/mo $441 $558 10 2
2024 $544/mo $464 $642 18 3
2025 $470/mo $431 $512 15 3
2026 $588/mo $513 $669 21 4

Health Insurance Guides

Related Health & Cost Data

Frequently Asked Questions

How many ACA plans are available in Shelby, AL?

There are 54 ACA marketplace plans available in Shelby from 4 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Shelby?

The lowest-premium plan in Shelby starts at $361/mo (Bronze tier, age 27). Silver plans start at $513/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Shelby?

The benchmark (second-lowest Silver) premium in Shelby is $535/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 Shelby?

Average premiums in Shelby changed by +31.9% 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 Shelby?

The average annual deductible across all plans in Shelby is $5,073, and the average out-of-pocket maximum is $9,064. 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 Shelby?

There are 4 insurance issuers offering ACA marketplace plans in Shelby, including Ambetter of Alabama, Blue Cross and Blue Shield of Alabama, UnitedHealthcare, and others. 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.

All federal data sources used on this page

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

Verify with IRS →