Florida Health Insurance

Under the Affordable Care Act, everyone in Florida is required to have health insurance or pay a tax penalty for not having coverage. If you don’t have insurance and employer-based coverage isn’t an option, we’re here to help you avoid the penalty and get the best insurance for your health, as well as your budget.

So, what do Floridians need to know about their health insurance options?

To start, it’s important to understand that you can purchase health insurance through a couple online marketplaces, referred to as the public and private exchanges. These exchanges allow you to research, compare, and buy health insurance.

The public exchange is the online marketplace offered by the government. Each state can choose to run its own marketplace, or default to the federal marketplace: HealthCare.gov. You can also choose to purchase health insurance through the private exchanges – either through a private insurance company, an online insurance seller, or an agent or broker. Start shopping here.

From cost, coverage options, and eligibility, here’s some useful information to help you find the coverage you need to protect your health.

Florida Health Insurance at a Glance, 2014

Marketplace Type Federally-facilitated
Marketplace Name N/A
Marketplace Link https://www.healthcare.gov/
Number of Insurers in the Individual Health Insurance Marketplace 11
Total Number of Individuals Determined Eligible to Enroll in a Marketplace Plan 1603575
Number of Individuals Eligible to Enroll in a Marketplace Plan with Financial Assistance 1114877
Determined or Assessed Eligible for Medicaid/CHIP by the Marketplace 180479
Individuals Potentially Eligible for Premium Tax Credits through Marketplace 1587000

Average Premium Cost in Florida

Monthly premiums are based on a single 40-year-old at 250 percent of poverty in a major city.

Major City Miami
Second-Lowest Cost Silver Plan Before Subsidies (Benchmark Plan) $ 269.00
Second-Lowest Cost Silver Plan After Subsidies $ 193.00
Lowest-Cost Bronze Plan Before Subsidies $ 198.00
Lowest-Cost Bronze Plan After Subsidies $ 122.00

Want to see if you qualify for savings through a health insurance subsidy? Click here to learn more.

Medicaid in Florida

Medicaid is a state program partially funded through the federal government to assist low-income families in Florida with their health insurance costs.

Typically, Medicaid eligibility is based on how your household income stacks up to the federal poverty level. Income qualification and eligibility varies in every state. In Florida, Medicaid qualification is decided upon by either the Department of Children and Families (DCF) or the Social Security Administration (for SSI recipients).

DCF will determine Medicaid eligibility for the following groups:

  • Parents and caretakers relatives of children
  • Children
  • Pregnant women
  • Former Foster Care Individuals
  • Non-citizens with medical emergencies
  • Aged or disabled individuals not currently receiving Supplemental Security Income (SSI)

To see if you’ll qualify for Medicaid, you can apply online through the Florida Department of Children and Families at: http://www.myflorida.com/accessflorida/

To learn more about Medicaid qualification, costs, and coverage, visit: http://medicaid.gov/Medicaid-CHIP-Program-Information/By-State/florida.html

Sources:

  1. Information for Florida Health Insurance at a Glance, 2014, is from The Kaiser Family Foundation State Health Facts: http://kff.org/statedata/
  2. Average premium information is from The Kaiser Family Foundation State Health Facts: http://kff.org/other/state-indicator/2014-monthly-premiums-for-a-single-40-year-old-at-250-percent-of-poverty-in-a-major-city-in-each-state/. Premiums will vary based on city of residence, age, family size, and tobacco use.
  3. Information about Medicaid in Florida is from the Florida Department of Child and Families: http://www.myflfamilies.com/service-programs/access-florida-food-medical-assistance-cash/medicaid
  4. 2014 Poverty Guidelines are from the U.S. Department of Health & Human Services: http://aspe.hhs.gov/poverty/14poverty.cfm