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Marketplace health plans in Sumter County, FL — 2026
What agents look up before working a county's individual market: plans by metal level, insurers, the benchmark silver premium, the lowest bronze premium, deductible and out-of-pocket floors, the population under 65, and what changed since last year.
In 2026, Sumter County, Florida has 91 Marketplace health plans from 3 insurers: 30 bronze, 31 silver, 19 gold, 11 platinum. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $643.47 per month; the lowest bronze premium is $475.05.
What changed vs 2025
- Benchmark silver premium up $138.16 a month (+27.3%) from 2025
- 15 fewer plans than 2025
- Insurers exited: Health First Commercial Plans, Inc.
- Lowest bronze premium up $85.77 a month
Market snapshot
- Residents under 65
- 60,686
- Insurers
- 3
- Plans by metal level
- 30 bronze, 31 silver, 19 gold, 11 platinum
- Benchmark silver premium, age 40, before subsidies
- $643.47/mo
- Lowest bronze premium, age 40, before subsidies
- $475.05/mo
- Lowest gold premium, age 40, before subsidies
- $629.73/mo
- Lowest silver deductible
- $3,125
- Lowest out-of-pocket maximum
- $2,250
Insurers in the county
- Florida Blue HMO (a BlueCross BlueShield FL company) — 39 plans (Bronze, Silver, Gold, Platinum)
- Florida Blue (BlueCross BlueShield FL) — 33 plans (Bronze, Silver, Gold, Platinum)
- Ambetter Health — 19 plans (Bronze, Silver, Gold)
Lowest age-40 premium per metal level, before subsidies
| Metal level | Plan | Insurer | Plan type | Monthly premium, age 40 | Deductible | Out-of-pocket maximum | Plans at this level |
|---|
| Bronze | Everyday Bronze (49004FL0010002) | Ambetter Health | HMO | $475.05 | $8,450 | $10,150 | 30 |
|---|
| Silver | Clarity Silver (49004FL0010031) | Ambetter Health | HMO | $603.27 | $8,000 | $8,400 | 31 |
|---|
| Gold | Standard Gold (49004FL0010013) | Ambetter Health | HMO | $629.73 | $2,000 | $8,200 | 19 |
|---|
| Platinum | BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) (16842FL0120062) | Florida Blue (BlueCross BlueShield FL) | EPO | $980.43 | $1,000 | $4,000 | 11 |
|---|
One plan per metal level shown, of 91 plans in the county.
Benchmark silver premium by age
The benchmark plan (Ambetter Health) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|
| $503.51 | $527.67 | $571.47 | $643.47 | $899.25 | $1,366.50 |
Nearby counties
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About this data
Premiums are individual, non-tobacco, age 40, before any premium tax credit, from the CMS QHP Landscape Individual Market Medical file for plan year 2026; population: U.S. Census Bureau ACS 5-year 2024.
This page summarizes publicly available CMS data. It does not recommend plans and is not an application. To check subsidy eligibility and enroll, use HealthCare.gov or talk to a licensed agent. HealthCare.gov plan preview.