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Best U65 Health insurance plans in Florida v.1

Sibling companies Florida Blue and Florida Blue HMO lead the pack in Florida. See how companies stack up.
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Mar 26, 2025
Fact Checked
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Written by Sankalp Heranjal
Senior Assigning Editor
Edited by Holly Carey
Profile photo of Sankalp Heranjal
Written by Sankalp Heranjal
Senior Assigning Editor
Edited by Holly Carey
+ 1 more+ 2 more

About one in five Floridians ages 19 to 64 buy their own health insurance on the marketplace or directly from an insurance company[F]. NerdWallet crunched the numbers on 223 health insurance plans to find the best in Florida based on cost, quality, customer satisfaction and more.

45+ Medicare companies and brands analyzed by our team of experts.

30+ years of combined experience covering Medicare and personal finance.

Governed by NerdWallet's strict guidelines for editorial integrity.

NerdWallet’s Medicare content, including articles, reviews and recommendations, is produced by a team of writers and editors who specialize in Medicare. Their work has appeared in The Associated Press, Washington Post, Nasdaq, MSN, MarketWatch, Yahoo! Finance and other national and regional media outlets. They have been cited in publications including Healthline, and appeared on NerdWallet's "Smart Money" podcast.

Compare the best health insurance plans in Florida

NerdWallet built our own data-driven marketplace health insurance rating system based on costs, claim denial rates, medical management programs, dental care, complaints, government quality data and more. We scored plans covering more than 95% of all marketplace health insurance enrollees in Florida[F].

Florida Blue logoFlorida Blue
Plan types offered
EPO, PPO
Claims denial rate
8.8% (Far fewer than average)
Avg. Silver premium
$461.96

(415) 930-9110

Call an insurance agent at Stride Health
Call an insurance agent at Stride Health

M-F 8AM-4PM PST

on Stride Health's website
Company name
NerdWallet rating
Plan types
Claims denial rate
Avg. Silver premium
Learn more
BEST HEALTH INSURANCE IN FLORIDA
on Stride Health's website
Call an insurance agent at Stride Health
M-F 8AM-4PM PST
Florida Blue logoFlorida Blue
5.0/5
EPO, PPO8.8% (Far fewer than average)$461.96
BEST FOR HMO PLANS
on Stride Health's website
Call an insurance agent at Stride Health
M-F 8AM-4PM PST
Florida Blue HMO logoFlorida Blue HMO
4.5/5
HMO, POS15.6% (Fewer than average)$440.04
MOST AFFORDABLE HEALTH INSURANCE IN FLORIDA
on Stride Health's website
Call an insurance agent at Stride Health
M-F 8AM-4PM PST
Ambetter Health (Florida) logoAmbetter Health (Florida)
3.0/5
HMO18.2% (Average)$400.14

💬 What are the best marketplace insurance plans in Florida?

"Florida Health insurance companies scored at least 4 stars on our rubric: Florida Blue and Florida Blue HMO. This pair stood out especially for rarely denying claims and receiving very few customer complaints. We also scored based on cost, customer satisfaction, quality data and more.

Note: the best fit if you can depend on your health, doctors, precisians, financial situation and preferences. Compare your options and consider working with a licensed insurance agent for more personalised recommendations."

Kate Ashford

Kate Ashford, lead writer covering Medicare

Best health insurance in Florida

Our pick for the best health insurance in Florida for 2025 is Florida Blue. Our analysis shows that the company denies far fewer in-network claims than average and rarely receives customer complaints. Lower-cost HMO plans (as well as POS plans) are available from Florida Blue HMO, which gets our second-highest rating.

BEST HEALTH INSURANCE IN FLORIDA
Florida Blue logoFlorida Blue
Florida Blue rarely denies customers’ claims and has best-in-state low complaint rates. However, with only EPO and PPO plans, its prices can be undercut by competitors that offer HMO plans.
Plan types offered
EPO, PPO
Claims denial rate
8.8% (Far fewer than average)
Avg. Silver premium
$461.96

(415) 930-9110

Call an insurance agent at Stride Health
Call an insurance agent at Stride Health

M-F 8AM-4PM PST

on Stride Health's website

Pros

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  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt

Cons

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BEST FOR HMO PLANS
Florida Blue HMO logoFlorida Blue HMO
Florida Blue HMO is a counterpart to Florida Blue that offers HMO and POS plans. It has rock-bottom complaint rates and denies fewer claims than average, but some competitors’ premiums are lower.
Plan types offered
HMO, POS
Claims denial rate
15.6% (Fewer than average)
Avg. Silver premium
$440.04

(415) 930-9110

Call an insurance agent at Stride Health
Call an insurance agent at Stride Health

M-F 8AM-4PM PST

on Stride Health's website

Pros

  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt
  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt

Cons

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Affordable health insurance in Florida

Silver plans

Ambetter Health offers the most affordable Silver plans on the health insurance marketplace, on average, in Florida for 2025.[F]. Molina Healthcare’s average premium isn’t much higher, so it could be another option for affordable health insurance in Florida.

MOST AFFORDABLE HEALTH INSURANCE IN FLORIDA
Ambetter Health (Florida) logoAmbetter Health (Florida)
Ambetter Health has the lowest premiums for Silver HMOs in Florida, on average. The company denies an average number of claims and gets fewer customer complaints than average, but its government quality ratings aren’t great.
Plan types offered
HMO
Claims denial rate
18.2% (Average)
Avg. Silver premium
$400.14

(415) 930-9110

Call an insurance agent at Stride Health
Call an insurance agent at Stride Health

M-F 8AM-4PM PST

on Stride Health's website

Pros

  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt
  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt

Cons

  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt
  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt
Molina Healthcare (Florida) logoMolina Healthcare (Florida)
Molina Healthcare offers some of the lowest average premiums in the state, but it denies a lot of claims and gets some below-average government quality ratings.
Plan types offered
HMO
Claims denial rate
34% (Far more than average)
Avg. Silver premium
$421.81
on NerdWallet

Pros

  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt
  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt

Cons

  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt
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Silver plans are often the most affordable because they’re potentially eligible for more subsidies than any other plan type. Silver plans can end up costing you less than Bronze plans if you qualify for certain cost savings — and most marketplace enrollees do[F].

Bronze plans

If you're not eligible for subsidies, you might want to look beyond Silver plans to find the very lowest premiums. For 2025, Ambetter Health also offers the cheapest Expanded Bronze plans on the market, on average, and UnitedHealthcare offers the cheapest regular Bronze plans.

UnitedHealthcare (Florida) logoUnitedHealthcare (Florida)
UnitedHealthcare sells the cheapest Bronze plans in Florida, on average, but its prices are less competitive for other metal levels, and it gets the lowest possible government rating for quality of medical care.
Plan types offered
HMO
Claims denial rate
17.9% (Average)
Avg. Silver premium
$494.63
on NerdWallet

Pros

  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt
  • Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt

Cons

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  • Here are the companies in Florida that scored best on NerdWallet’s marketplace health insurance rubric.

    * * * * * 5-star companies (NerdWallet rating)

    • Florida Blue (BlueCross BlueShield FL).

    * * * * 4.5-star companies (NerdWallet rating)

    • Florida Blue HMO (a BlueCross BlueShield FL company)

    See all marketplace insurance companies in Florida.

    • Aetna CVS Health.

    • Ambetter Health.

    • AmeriHealth Caritas Next.

    • AvMed.

    • Capital Health Plan.

    • Cigna Healthcare.

    • Florida Blue (BlueCross BlueShield FL).

    • Florida Blue HMO (a BlueCross BlueShield FL company).

    • Florida Health Care Plans.

    • Health First Commercial Plans.

    • Molina Healthcare.

    • Oscar Insurance Company of Florida.

    • UnitedHealthcare.

    • Wellpoint.

Off-marketplace health insurance in Florida

Some marketplace plans have matching policies that can be bought outside of the marketplace. You can choose to buy an off-marketplace plan rather than a marketplace plan during open enrollment (Nov. 1 through Jan. 15), but subsidies aren’t available if you do so[F].

You might be able to find other kinds of health insurance plans sold outside of the marketplace (and outside of open enrollment), such as limited, short-term or alternative health plans. These plans might not have the same coverage and/or consumer protections as plans sold on the marketplace.

It’s a good idea to check whether an off-marketplace plan offers “minimum essential coverage.” If not, the plan might be allowed to do things that most health plans can’t, such as deny coverage due to health status, limit coverage of pre-existing conditions and/or not cover essential health benefits.

Best Medicare plans in Florida

Medicare is available for people age 65 and older and people living with certain medical conditions. There are many kinds of Medicare coverage, and the best choice for you can depend on your health, finances and preferences. Check out NerdWallet’s reviews of the best Medicare plans:

Health insurance resources in Florida

How to choose a marketplace health insurance plan

There can be a lot of moving parts when shopping for health insurance coverage. Here are a few questions to help you think through your needs and options:

  • How much are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?

  • Are you eligible for subsidies? Whether applying yourself or with an agent/broker, be sure to enter accurate information to check whether you’re eligible for subsidies through the marketplace.

  • Is your doctor in-network? If you have a preferred doctor (or doctors) or hospital, make sure they participate in the plan’s network.

  • Are your prescriptions covered? If you’re on medication, understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?

  • Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?

If you have questions or need help navigating the marketplace, you can get help from a trained assister or an agent/broker at HealthCare.gov.

Marketplace health insurance ratings methodology

NerdWallet evaluates marketplace health insurance plans based on marketplace data about plans’ premiums, out-of-pocket costs and benefits, prescription drug coverage, dental coverage, government quality rating data, complaint data, records about how plans approve and deny claims and more.

We evaluate individual plans and then aggregate scores to the company level. When a plan is missing data for a certain metric, we exclude it from calculations. For example, the federal government calculates official star ratings for marketplace health insurance plans, but many plans are unrated, and others have incomplete ratings. NerdWallet’s analysis incorporates government quality ratings when they’re available, but doesn’t penalize plans that are unrated[F].

These ratings are a guide, but we encourage you to shop around and compare several insurance quotes to find the best coverage and rate for you. NerdWallet does not receive compensation for any reviews. Read our editorial guidelines for more information.

Insurer complaints methodology

We examined complaints received by state insurance regulators and reported to the National Association of Insurance Commissioners. To assess how insurers compare to one another, the NAIC calculates a complaint index each year for each subsidiary, measuring its share of total complaints relative to its size, or share of total premiums in the industry. To evaluate a company’s complaint history, we calculated a similar index for each insurance company, weighted by market shares of each subsidiary. We score companies based on this index of how many complaints the company receives relative to its market share. NerdWallet conducts its data analysis and reaches conclusions independently and without the endorsement of the NAIC.