Health Insurance in Alachua County, Florida
2027 ACA and Medicare options for Gainesville and all of Alachua County, explained by a licensed Florida agent. Free to compare, no obligation.
- Open Enrollment
- Nov 1 to Jan 15
- Enroll by Dec 15 for Jan 1 coverage
- Subsidy income cap
- $63,840
- Single person, 2027 (400% of poverty level)
- Medicare changes
- Oct 15 to Dec 7
- Annual Enrollment for 2027 plans
- County seat
- Gainesville
- North Florida
Your coverage options in Alachua County
ACA marketplace plans
For residents under 65. Most households qualify for help paying premiums.
See your 2027 options →Medicare Advantage and supplements
For residents 65+ or on disability. Plan choices are set county by county.
Compare Medicare plans →Self-employed and private plans
For 1099 workers and business owners who buy their own coverage.
Self-employed guide →
Reviewed by Brad S. · Licensed Florida Health Insurance Agent
Updated June 2026. Written and reviewed by a licensed agent at United Liberty Insurance Agency LLC to ensure accuracy. We cite official sources (HealthCare.gov, CMS, KFF) wherever possible.
The Alachua County market
Alachua County is part of North Florida. North Florida combines university towns and rural communities, so plan availability and provider access can vary widely from one ZIP code to the next. Because marketplace pricing and Medicare Advantage plan availability are set at the county level, your options in Alachua County can differ from a neighboring county.
How much does coverage cost in Alachua County?
Premiums depend on your age, income, household size, and the specific plan. The larger subsidies ended after 2025, so for 2027 help generally stops at 400% of the poverty level, and picking the right Silver plan matters more than ever. Estimate your subsidy →
Cities in Alachua County
Find a doctor in Alachua County
Search providers by ZIP, then we'll help confirm they're in your plan's network.
Plan availability, premiums, and benefits vary by ZIP code within Alachua County and are subject to change. For official information visit HealthCare.gov or Medicare.gov.