Alabama Health Insurance (2026)

ACA marketplace health insurance rates, Medicaid eligibility, and top insurers in Alabama. Rates shown before premium tax credits — most buyers qualify for subsidies.

Silver Premium

$620/mo

Age 40, before credits

Avg Deductible

$4,200

Silver plan

Medicaid

Not Expanded

Gap may exist

Insurers

3

On marketplace

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Top Health Insurers in Alabama

1

Blue Cross Blue Shield

Nationwide network

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Avg Monthly

$480

Network

Very Large

Rating

4.5/5

2

UnitedHealthcare

Employer plans

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Avg Monthly

$510

Network

Large

Rating

4.3/5

3

Aetna

CVS integration

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Avg Monthly

$495

Network

Large

Rating

4.2/5

4

Cigna

Mental health coverage

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Avg Monthly

$490

Network

Large

Rating

4.2/5

5

Kaiser Permanente

Integrated care

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Avg Monthly

$440

Network

Regional

Rating

4.7/5

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Enrollment Requirements & Key Dates

  • Open Enrollment: Nov 1 – Jan 15 annually
  • Special Enrollment triggered by qualifying life events
  • Income between 100–400% FPL qualifies for ACA subsidies

Alabama Health Insurance Facts

Alabama did not expand Medicaid, leaving 300,000 residents in a coverage gap.
HealthMarkets and Ambetter are major marketplace options.
Average silver plan premium is above the national average.

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