Health insurance cost in Alabama
If you're moving to Alabama without job-based coverage, here's what a Marketplace plan costs before subsidies. Alabama ranks #32 of 51 for the lowest benchmark premium.
Monthly premium by age
| Age | Benchmark silver | Cheapest bronze |
|---|---|---|
| 21 | $504 | $339 |
| 30 | $573 | $385 |
| 40 | $645 | $433 |
| 50 | $901 | $605 |
| 60 | $1,370 | $920 |
| 64 | $1,514 | $1,016 |
Scaled from the age-40 average with the federal default age curve, which lets insurers charge a 64-year-old up to 3× what a 21-year-old pays. Excludes tobacco surcharges.
The Alabama benchmark rose 21% for 2026, less than the 26% national increase, leaving it 3% above the U.S. average for a 40-year-old.
What is different in Alabama
- Where to enroll
- HealthCare.gov
- Open enrollment for 2027
- Nov 1 – Jan 15
- Marketplace insurers, 2026
- 4
- Medicaid expansion
- Not adopted
- Penalty if uninsured
- None
- Average paid after credits, 2026
- $126/mo
- Where and when. Alabama uses HealthCare.gov, the federal marketplace. Open enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027; pick a plan by December 15 for coverage that starts January 1.
- Choice of insurers. 4 insurers sell Marketplace plans in Alabama for 2026, up from 3 in 2025. Not every insurer sells in every county, so your choices depend on where you live. 455,776 people picked a Marketplace plan here for 2026, down 5% from 2025.
- What enrollees paid. Enrollees here paid an average of $126 a month after tax credits for 2026, roughly double the $65 they paid for 2025 (U.S. average: $178). Before credits, the plans they chose averaged $743.
- Medicaid. Alabama hasn't expanded Medicaid. Most adults without children can't get Medicaid at any income, and parents in a family of three qualify only below 18% of the federal poverty level. Marketplace credits start at 100%, so the poorest adults fall into a coverage gap.
- Going uninsured. Alabama doesn't charge a penalty for going without coverage, and the federal penalty ended after 2018. In 2024, 8.2% of residents had no health insurance (U.S.: 8.2%), and 6.8% bought their own coverage.
Subsidies in 2026
The enhanced premium tax credits of 2021–2025 expired, so 2026 follows the original ACA rules: credits are available for household incomes between 100% and 400% of the federal poverty level, and you're expected to pay between about 2.1% and 9.96% of income for the benchmark plan. Above 400% there's no federal credit. Check your price at HealthCare.gov.
Frequently asked questions
How much is health insurance in Alabama in 2026?
The benchmark silver plan for a 40-year-old averages $645 a month before subsidies, and the cheapest bronze plan $433 (KFF analysis of CMS data). That's up 21% from 2025.
How much does health insurance cost for a 60-year-old in Alabama?
About $1,370 a month for the benchmark silver plan before subsidies, using the federal default age curve.
Did Alabama expand Medicaid?
Alabama hasn't expanded Medicaid. Most adults without children can't get Medicaid at any income, and parents in a family of three qualify only below 18% of the federal poverty level. Marketplace credits start at 100%, so the poorest adults fall into a coverage gap.