How Much Is Obamacare in Florida?

How Much Is Obamacare in Florida?

The cost of health insurance under the Affordable Care Act (Obamacare) varies by age, family size, region and plan type. The cost also reflects out-of-pocket spending and related limits like deductibles.

The health law protects you by preventing insurance companies from denying you coverage for pre-existing conditions, allowing adults under the age of 26 to stay on their parents’ plans and requiring that all plans cover preventive services without copays or deductibles.


The Affordable Care Act provides subsidies to help lower your premiums. The subsidy limits and cost-sharing reductions change each year.

More than 12 million Americans receive advanced premium tax credits based on their incomes. These tax credits save them an average of $508 per month.

You’ll also get additional savings if you choose a silver plan. These savings reduce your out-of-pocket costs by lowering your deductible and copays.

As of 2022, individuals and families must earn up to 400% of the federal poverty level (FPL) to qualify for ACA subsidies. The FPL is adjusted each year for inflation.

Florida residents who do not qualify for Medicaid expansion may still be eligible to purchase a health insurance plan through the exchange. However, the resulting cost will be higher than for those who receive Medicaid expansion.


Health insurance subsidies or additional costs are the federal government’s way of helping people buy affordable health coverage. These subsidies are provided through the health insurance marketplaces (also known as exchanges) and they’re available to people who earn too much money to qualify for Medicaid or who have a job that doesn’t provide coverage.

In Florida, people who get subsidies can use those dollars to lower their premiums or purchase a plan that’s more affordable. The government also pays for the cost of certain medical services that aren’t covered by other programs, such as maternity care.

However, it’s important to remember that these subsidies are temporary and will only be in place until 2022. If they aren’t extended, the average 2021 Florida health insurance premium could jump by more than 50%, according to a new study from Georgetown University.

In the Tampa area, nonprofits like Volunteers in Medicine are working to sign up new residents who moved to Florida from other states or didn’t have coverage because they lost their jobs. They also are helping families get low-cost or free care through Medicaid or Children’s Health Insurance Programs, such as CHIP.

Out-of-pocket expenses

There are a variety of out-of-pocket expenses that you may have to pay when you buy a health plan. These include deductibles, copays and coinsurance.

The deductible is the amount you will need to pay annually for all healthcare services until your insurance plan begins to cover them. Once you have met the deductible, your insurer will usually split the cost of healthcare services with you.

Copays are flat fees you will need to pay when you visit a doctor or specialist. For example, Leon, a 34-year-old forklift operator who works out of Jacksonville, Florida, pays $30 copays when he visits his primary care physician and $50 copays when he sees a specialist like an orthopedic surgeon.

The maximum out-of-pocket limit for 2020 is $8,150. It is based on average premiums in 2013 and is multiplied by a formula that HHS finalized for the 2020 plan year.

Plan types

There are a variety of different types of plans available to Florida residents. Some are more affordable than others, so it’s important to compare your options and find one that works best for you.

A health insurance plan is designed to help you get and pay for your medical care. The type of plan you choose will depend on your budget, where you live, and the kind of medical services you need.

If you have a chronic condition or need a lot of medical care, you may want to consider a plan that has a high deductible and low coinsurance. This can help you avoid large out-of-pocket costs and make your premium more affordable.

The federal government also provides subsidies to reduce the cost of your monthly premium, such as cost-sharing reductions (CSR) and advance premium tax credits. If you aren’t sure whether you qualify for a subsidy or not, consult a qualified tax professional or one of our licensed insurance agents.

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About the Author: Raymond Donovan