Florida · FIPS 12047
Hamilton County, FL — ACA coverage
Marketplace plans, premium tax credit eligibility, and Medicaid options for residents of Hamilton County, Florida. Updated 2026-06-08.
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Enrollee count is an estimate derived by evenly distributing the state's CMS plan-select total across counties; actual county enrollment varies with population.
How the Hamilton County estimate is calculated
Methodology: ACA Beacon does not have county-level enrollment dashboards for every U.S. county. To give you a directional sense of marketplace activity in Hamilton County, we take the most recent state-wide Open Enrollment Period (OEP) plan-selection total reported by CMSi (or the state-based marketplace) and divide it evenly by the number of counties in Florida.
Formula used here: 4,735,415 total state signupsi ÷ 67 Florida countiesi = ~70,678 estimated enrollees for Hamilton County.
Uncertainty & limitations: Counties vary widely in population, income, and insurer participation. Urban counties typically enroll far more residents than rural ones. This number is a simple average, not a forecast or official CMS county report. Use it as a rough indicator of statewide penetration, not a precise local count.
Last updated 2026-06-08. Data source: CMS OEP state-level plan-selection reports.
ACA marketplace in Hamilton County
Residents of Hamilton County shop and enroll in ACA marketplace plans at www.healthcare.gov. Plans are rated by county, so available carriers and prices in Hamilton may differ from elsewhere in Florida.
Carriers currently selling in Florida include: 22 Health, Ambetter Health, AmeriHealth Caritas Next, AvMed, Capital Health Plan, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc., Molina Healthcare, Oscar Health Maintenance Organization of Florida, UnitedHealthcare, Wellpoint. The final 2027 carrier list for Hamilton County is confirmed when Florida filings finalize in summer 2026.
Premium tax credit eligibility
Premium tax credits (APTC) cap your monthly premium for a benchmark Silver plan at a percentage of household income — currently 0% at 150% FPL up to 8.5% at 400%+ FPL while Inflation Reduction Act enhancements remain in effect. Cost-sharing reduction (CSR) Silver plans further reduce deductibles for households under 250% FPL.
Use our free subsidy calculator or see the full Florida subsidy & income tables.
Medicaid & CHIP in Hamilton County
Florida has not adopted ACA Medicaid expansion, so adults without dependents in Hamilton County may fall into the coverage gap below 100% FPL. Premium tax credits on the marketplace begin at 100% FPL.
Florida KidCare covers children up to 215% FPL; pregnancy Medicaid covers up to 191% FPL. Apply year-round at www.floridakidcare.org · 1-888-540-5437.
Open Enrollment & SEP
2026 OEP in Florida: November 1, 2026 – December 15, 2026. Missed it? You may still enroll within 60 days of a qualifying life event (job loss, marriage, birth, move, income change). See Florida OEP & SEP details.
Other Florida counties
Sources
- Florida marketplace(opens in a new tab)
- HealthCare.gov subsidies(opens in a new tab)
- KFF Medicaid expansion tracker(opens in a new tab)
- U.S. Census county FIPS reference(opens in a new tab)
- CMS CHIP & Medicaid(opens in a new tab)
- CMS OEP state-level plan-selection reports(opens in a new tab)
- CMS 2026 Star Ratings(opens in a new tab)
The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.