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Investopedia’s team of researchers, editors, and writers recommends products based on thorough and objective data analysis. Our advice is impartial and based on consumer needs. We may earn compensation if you click certain links, but our adv🌠ertising partnerships don’t impact how we review products, although they may influence their placement. Investopedia was founded in 1999 and has helped readers find the best health insuraꦚnce companies since 2019.

How Does Health Insurance In Florida Work?

If you don’t have access to insurance through your employer, your spouse’s employer, a parent’s employer, or a federal program, you may consider purchasing an insurance plan through the 澳洲幸运5开奖号码历史查询:ACA insurance marketplace. 

In Florida, the health insurance marketplace is facilitated and run by the federal government, which means that residents of the state can shop for and enroll in health insurance coverage💛 through HealthCare.gov. 

During 澳洲幸运5开奖号码历史查询:open enrollment, which runs from November 1 through January 15 every year, you can sign up for a new plan. However, some people may be eligible to enroll for a new plan at another time if they’ve experienced a 澳洲幸运5开奖号码历史查询:qualifying event, such as the birth of a child.

The 澳洲幸运5开奖号码历史查询:cost of plans are based on a variety of factors, such as the plan category, your age, smoking status, family size, and more. And because of the 澳洲幸运5开奖号码历史查询:Affordable Care Act (ACA), health ins🧸urance companies cannot charge higher premiums or deny you coverage based𝓀 on whether you have pre-existing conditions, such as diabetes and asthma, or your gender.

On the marketplace, there are 澳洲幸运5开奖号码历史查询:four tiers of plans: bronze, 🍰silver, gold, and platinum. Bronze plans are usually the most affordable and have the highest deductible, while platinum plans are the priciest and have the lowest deductible. 

There are also🔯 catastrophic pl𝓡ans, which are available to people below the age of 30 and who are not able to afford other marketplace plans. These plans have very high deductibles, so they’re best for those who have very low healthcare needs.

Additionally, some people enrolling in insurance plans on the exchange may be eligible for financial assistance. For marketplace plans, there are two types of financial assistance: the premium tax credit and the 澳洲幸运5开奖号码历史查询:cost sharing reduction (CSR). 

The 澳洲幸运5开奖号码历史查询:premium tax credit is a refundable tax credit that can help reduce the cost of your monthly premiums. You can either receive the tax credit in advance or after you file your tax return. For example, if you opt to receive the advanced premium tax credit, you can choose to have the tax credit paid directly to the insurance company to reduce🌺 the cost of your premiums. 

CSRs are anot♛her type of 𝓰financial assistance that can reduce out-of-pocket expenses from deductibles, coinsurance, and co-pays. However, you’re only eligible to receive CSRs for silver tier plans. With CSRs, you may be eligible for a lower deductible, co-pays, and out-of-pocket maximums.

Eligibility for financial assistance depends on such factors as your income and eligibility for other types of�ꦐ� medical coverage. 

What Will Health Insurance Cover?

Due to the ACA, all insurance plans available on the exchange are required to cover certain services and goods, including preventati༒ve care, emergency services, prescription drugs, hospitalization, pregnancy care, mental health services, a𝐆nd more.

However, there are certain types of services and procedures that 澳🎃洲幸运5开奖号码历史查询:health insurance companies won’t cover. For examp🧜le, most insurance plans don’t cover such services as cosmetic surgery, alternative medicine, and experimental treatments. 

Common Health Insurance Terms to Understand

• Coinsurance: This is the percentage that you pay for covered services after you’ve met your deductible. If a plan has 10% 澳洲幸运5开奖号码历史查询:coinsurance and a $1,000 deductible, that means that after you spent $1,000 on covered services, you’d pay for 10% of the total cost (while the insurance company pays 90%) until you hit the out-of-pocket limit. Depending on the plan, there may be separate in-network and out-of-network deductibles. Additionally, if you have family coverage, there may be individual deductibles as well as a family deductible.
• Premiums: This is the monthly amount you pay for health insurance.
• Out-of-pocket maximum (OOP): In a plan year, this is the maximum you’d pay for covered medical services. After you hit the 澳洲幸运5开奖号码历史查询:OOP maximum, your insurance will pay for 100% of covered services. The premiums you pay do not count towards the OOP maximum. In 2025, the annual OOP maximum for plans available on the exchange can be no greater than $9,200 for self-only coverage and $18,400 for family coverage.
• Deductible: In a plan year, this is the amount you pay for covered services before your insurance starts sharing costs. For example, if the deductible is $1,500 for your plan year, you’ll have to spend at least $1,500 on covered services before your insurance pays a portion of the costs.
• Copayment: This is a fixed fee you pay for a covered healthcare service. Typically, copays do not count towards your deductible, so you’ll still have to pay them even after you’ve hit the deductible. 
• High deductible health plan (HDHP): An HDHP is a type of healthcare plan with lower premiums and a higher deductible. These plans are usually tied to a health savings account, which is a tax-advantaged account for medical expenses. In 2025, plans must have an annual deductible of at least $1,650 for self-only coverage and $3,300 or more for family coverage to be considered HSA-eligible. 
• Health savings account (HSA): An HSA is a type of account that allows people to put away pre-tax dollars for medical expenses. When funds are used for qualified healthcare expenses, that money is not taxed. 

Types of Health Insurance Plans

• Health maintenance organization (HMO): With an HMO, you’re typically limited to using providers within a local network and out-of-network services are only covered for emergency care. Plus, HMOs usually require a referral from a primary care physician to see a specialist.
• Preferred provider organization (PPO): A PPO typically has higher premiums than an HMO but offers greater flexibility—these plans allow you to see specialists without a referral. And while out-of-network providers may cost more, they are covered too.
• Point of service (POS): Like an HMO, these types of plans require you to get a referral from your primary care physician to see a specialist. The POS does cover out-of-network providers, although it may be at a higher cost.
• Exclusive provider organization (EPO): With an EPO, you’re restricted to doctors and specialists within your network, except if you need emergency care. These plans typically have larger networks than HMOs.
  

How We Picked the Bes๊t Health Insurance Companies in Florida

Investopedia’s rankings of the best health insurance companies in 🌳Florida are based on our independent research into seven providers offering plans through the federal marketplace in Florida. We evaluated costs, customer satisfaction, plan benefits, and medical management programs. 

We analyzed market share, enrollment trends, and availability to select the seven companies in our review. Investopedia’s research for this ranking was conducted from Oct. 24 to Nov. 8, 2024. We collected data from HealthCare.gov, the Natio🐲nal Association of Insurance Commissioners (NAIC) complaiඣnt index, and directly from each company.

We used t🌟his data it to create our scoring model to 𒅌evaluate each company, based on the following weights:

• Costs: 52%
• Customer Satisfaction: 23%
• Plan Types: 16%
• Medical Management Programs: 6%
• Plan Benefits: 3%

Read our 澳洲幸运5开奖号码历史查询:full methodology for reviewing health insurance providers.