Kentucky · FIPS 21213

Simpson County, KY — ACA coverage

Marketplace plans, premium tax credit eligibility, and Medicaid options for residents of Simpson County, Kentucky. Updated 2026-06-08.

Step 1 — Free
Talk to a licensed ACA broker — free, no obligation

No cost, no obligation. Brokers are paid by the carrier and can compare plans side-by-side for your situation.

Request a broker →

Simpson County coverage highlights

Est. marketplace enrollees
811
2025 plan year — Kentucky total 97,374 ÷ 120 counties.
Premium tax credit
100–400%+ FPL
Benchmark Silver premium capped at 0%–8.5% of household income. Sourcei
Medicaid expansion
Adopted
Adults up to 138% FPL eligible. Sourcei
CHIP (Kentucky Children's Health Insurance Program (KCHIP))
218% FPL
Pregnancy Medicaid to 200% FPL. Sourcei
Carriers on marketplace
4
Statewide issuer count — county availability may vary. Sourcei
Medicare 5★ MA-PD (2026)
Not in county
No CMS 5-star MA-PD contract serves this county. Sourcei

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 Simpson 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 Simpson 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 Kentucky.

Formula used here: 97,374 total state signupsi ÷ 120 Kentucky countiesi = ~811 estimated enrollees for Simpson 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 Simpson County

Residents of Simpson County shop and enroll in ACA marketplace plans at kynect.ky.gov/. Plans are rated by county, so available carriers and prices in Simpson may differ from elsewhere in Kentucky.

Carriers currently selling in Kentucky include: Anthem Blue Cross Blue Shield Kentucky, CareSource, Ambetter from WellCare of Kentucky, Molina Healthcare. The final 2027 carrier list for Simpson County is confirmed when Kentucky 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 Kentucky subsidy & income tables.

Medicaid & CHIP in Simpson County

Simpson County residents may qualify for Medicaid up to 138% of the Federal Poverty Level under Kentucky's adopted ACA Medicaid expansion.

Kentucky Children's Health Insurance Program (KCHIP) covers children up to 218% FPL; pregnancy Medicaid covers up to 200% FPL. Apply year-round at kynect.ky.gov/benefits · 1-855-459-6328.

Open Enrollment & SEP

2026 OEP in Kentucky: November 1, 2026December 15, 2026. Missed it? You may still enroll within 60 days of a qualifying life event (job loss, marriage, birth, move, income change). See Kentucky OEP & SEP details.

Other Kentucky counties

Sources

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.

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.