Obamacare premiums have spiked for millions of Floridians. Here’s what to know

After enhanced premium tax credits expired at the start of this year, many of the 4.5 million Floridians who buy health insurance through the ACA’s Federal Marketplace are paying sharply more for coverage. The higher costs are forcing some to cut back on spending, delay retirement or reduce medical care.

FULL STORY: Meals, mortgage or medicine? Floridians on Obamacare are facing tough choices

Here are key takeaways:

• Eighty percent of ACA plan holders had premiums under $10 a month in 2025. With enhanced tax credits gone, KFF projected premiums for a 60-year-old South Florida couple earning $85,000 a year would spike nearly 350%.

• Miami-Dade has the largest Obamacare enrollment of any county in the nation — more than 1 million last year, according to the Centers for Medicare and Medicaid Services.

• Almost 200,000 Floridians have dropped their ACA Marketplace plans since the start of the year, one of the sharpest declines in the country. The people most likely to drop coverage are younger and healthier, which pushes premiums higher for everyone who remains.

• Congress debated extending the credits last year. The effort passed the House but stalled in the Senate, largely along party lines. Miami-Dade Rep. María Elvira Salazar crossed the aisle to support a three-year extension, while Rep. Mario Díaz-Balart opposed it, calling the credits a “temporary Band-Aid” that would cost taxpayers $80 billion over 10 years.

• Florida is especially vulnerable because the state never expanded Medicaid, only 40% of residents have employer-based insurance compared to 49% nationally and the state skews older.

• A recent KFF poll found 81% of Marketplace plan holders said their health care costs have risen, and 55% said they are cutting back on household spending to afford care.

This report was produced with the assistance of a proprietary tool powered by artificial intelligence and using our own originally reported, written and published content. It was reviewed and edited by our journalists.