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How to Get Health Insurance Quotes in Florida

Last updated · By Frank Caballero, licensed health insurance broker, NPN 21032307

Short answer

In Florida, self-employed people and families usually compare two kinds of quotes: private, medically underwritten plans priced on age, ZIP code and health, and Marketplace plans on HealthCare.gov, where household income sets any subsidy.

If approved, a private plan can start the first of any month; HealthCare.gov plans follow open enrollment unless you qualify for a special enrollment period.

Frank Caballero, a licensed broker (NPN 21032307), quotes both for Florida households from Miami–Fort Lauderdale–West Palm Beach to Fort Myers–Naples by phone or video, at no fee.

Florida at a glance

Florida health insurance facts for 2027 coverage
Where ACA plans are soldHealthCare.gov (the federal Marketplace)
Medicaid expansionNot expanded
Open enrollment for 2027 coverageNov 1, 2026 – Jan 15, 2027 (Dec 15 for a Jan 1 start)
Private plan enrollmentAny month, if approved
2027 subsidy line (400% of the poverty level)$63,840 for one person; $132,000 for a family of four
2027 Marketplace out-of-pocket maximum$12,000 for one person; $24,000 for a family
2027 average Marketplace rate change10.4% (final)
Largest metro areasMiami–Fort Lauderdale–West Palm Beach, Tampa Bay, Orlando, Jacksonville and Fort Myers–Naples

What a quote takes

  1. Book a 15-minute call by phone or video, in English or Spanish. There is no fee.
  2. Have ready: your Florida ZIP code, everyone's ages, your doctors (in Miami–Fort Lauderdale–West Palm Beach, Tampa Bay or elsewhere), prescriptions, a rough income estimate for the HealthCare.gov side and your health history for the private side.
  3. Frank prices private plans from your health answers and Marketplace plans on HealthCare.gov from your income, and checks each network for your doctors.
  4. Next, a private application goes to the insurer for an underwriting decision; if approved, coverage can start the first of the next month. HealthCare.gov enrollment happens in open enrollment or a special enrollment period, with Frank's help.

Private plan vs. the Marketplace in Florida

Private, medically underwritten plans compared with Marketplace plans on HealthCare.gov
FeaturePrivate, medically underwritten planMarketplace plan (HealthCare.gov)
Priced onAge, ZIP code and your health answersAge and ZIP code; household income sets any subsidy
Coverage can startThe first of any month, if approvedAfter open enrollment, or after a qualifying event in a special enrollment period
Health questionsYes, and approval depends on the answersNo
NetworksMany private plans use national PPO networksMany Florida Marketplace plans are HMO or EPO networks inside the state
Benefits and pre-existing condition rulesVary by plan; read the plan documents before you applyEvery plan covers essential health benefits and pre-existing conditions

Short-term plans are sold in Florida but are a bridge of a few months under federal rules and do not cover pre-existing conditions. The private PPO plans we quote most are not short-term and have no such cap.

Florida rules that shape a quote

Florida buyers shop the largest individual market in the country through HealthCare.gov, with no state exchange and no state subsidy above the federal 400 percent income line. Leaving an employer with fewer than 20 workers triggers Florida's own continuation law, which keeps the group plan for up to 18 months at up to 115 percent of the premium if you notify the insurer within 63 days. Florida law also allows short-term plans with an initial term under 12 months and up to 36 months in total, one of the more permissive rules in the country. For 2027, average individual premiums rise about 10 percent, and plan choice and networks vary enormously by county, so the same coverage decision can come out differently in Hillsborough, Miami-Dade and the Panhandle.

Who usually starts with which

Price a private plan first

You are in good health, self-employed or a business owner, and your household income is above the Florida subsidy line of $63,840 for one person or $132,000 for a family of four. Above that line you pay the full HealthCare.gov premium, so a plan priced on health may cost you less.

Start with the Marketplace

You have health conditions that could affect a private approval, or your household income may qualify for a subsidy. Marketplace plans on HealthCare.gov cannot turn you down or charge more because of your health.

Common self-employed work in Florida: Real estate agents, construction trades, charter captains and marine trades, truck drivers working the ports and I-4 corridor, hospitality and tourism gig workers, and early retirees under 65 who moved here from the Northeast and Midwest.

The SBA's 2025 profile counts about 3.5 million small businesses in Florida, 99.8 percent of all firms, and nearly 3 million of them have no employees at all. Census nonemployer data show where those solo owners work. Transportation and warehousing leads with about 406,000 one-person firms, ahead of administrative and support services, professional and technical services, personal services and real estate. Construction adds another 277,000. Hispanic Floridians own about 37 percent of the state's businesses, well above their 29 percent share of the workforce.

No state has more Marketplace enrollees than Florida. CMS counted 4,538,772 plan selections in the 2026 open enrollment, about 4 percent fewer than the 4,735,415 of a year earlier, the first season after the enhanced federal tax credits expired. About 94.6 percent of 2026 enrollees received an advance premium tax credit, leaving roughly 5.4 percent, or about 243,000 people, paying full price, nearly double the 2025 share. Census data for 2024 show about 38.5 percent of Florida households earn $100,000 or more, and many of them sit above the subsidy line.

Business owners with employees

Florida law defines a small employer as one with 1 to 50 employees and its main place of business in the state. For 2027, eight insurers filed small-group rates averaging about 11.4 percent, a simple average because Florida treats enrollment counts as trade secrets, with individual requests ranging from about 8 to 16 percent. Two insurers are leaving the small-group market. Under section 627.6699, premiums may vary only by age, tobacco use, family size and geographic area, rating regions must follow county lines, and composite rating is barred for groups under 10 employees.

Leaving a job or group plan

Floridians leaving COBRA or state continuation shop on HealthCare.gov. When continuation runs out, you have 60 days to choose a plan, and you can apply up to 60 days early so the new plan starts the first of the month after the old one ends. Dropping COBRA early by choice, or just not paying, does not open a special enrollment window, so time a voluntary switch for open enrollment. Questions or complaints go to the Department of Financial Services Insurance Consumer Helpline at 1-877-693-5236.

If you are self-employed in Florida, premiums for you and your family are often deductible on your federal return, whichever kind of plan you choose. General information, not tax advice — confirm with your CPA based on your specific entity structure.

2027 rates in Florida

Marketplace premiums in Florida are set to rise 10.4% on average for 2027 in finalized filings, with small-group plans up about 11.4%; the Florida 2027 premium increase page has the details.

About your broker

Frank Caballero is a licensed health insurance broker, NPN 21032307, licensed in 31 states including Florida. He is based in Tampa and works with Florida clients by phone or video, in English and Spanish. There is no fee to the client. FC Insurance Solutions is BBB Accredited with an A rating and rated 4.9 on Google from 78 reviews. More about Frank · License list

Florida health insurance quote questions

Can I get a private health insurance quote in Florida outside open enrollment?

Yes. Private, medically underwritten plans can be quoted in Florida any time of year and, if approved, start the first of any month. Marketplace plans on HealthCare.gov need open enrollment or a special enrollment period, such as after losing other coverage.

How long does a Florida health insurance quote take?

About 15 minutes by phone or video. HealthCare.gov prices come from your ZIP code, ages and income estimate; private plans also need your health history, and the insurer decides after you apply.

Do I need to go through HealthCare.gov to get a Florida quote?

No. Florida uses HealthCare.gov. Open enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027. A licensed broker can quote HealthCare.gov plans and private plans in the same call, and private plans are not sold through HealthCare.gov at all.

Is there a fee to use a health insurance broker in Florida?

No. Frank charges Florida clients nothing; the insurance company pays the broker, and you don't pay extra for the help.

What if I have a pre-existing condition in Florida?

Marketplace plans on HealthCare.gov cannot decline you or charge more because of your health, so HealthCare.gov is often the place to start. Private plans in Florida ask health questions, and approval depends on your answers.

I earn too much for a subsidy in Florida. What are my options?

A private, medically underwritten plan priced on your health rather than your income. For a healthy household above the subsidy range in Florida it may be the lower monthly cost and may use a PPO network. If you have a serious condition, the marketplace is still the right answer and I will tell you so.

Official sources

FC Insurance Solutions LLC is a private, licensed insurance brokerage. It is not HealthCare.gov, a state exchange or a government agency.

BBB Accredited · A Rating
4.9★ · 78 Google reviews
Licensed in 31 States
NPN: 21032307
Free Consultations · No Pressure
Hablamos Español
BBB Accredited · A Rating
4.9★ · 78 Google reviews
Licensed in 31 States
NPN: 21032307
Free Consultations · No Pressure
Hablamos Español