Oscar Health, built specifically for the ACA marketplace in 2012, posts one of Florida's lowest 2026 increases at 26.4% but sells only in select metro counties. Ambetter, sold by Centene's Florida entity, carries one of the largest marketplace enrollments in the state but also one of 2026's steepest approved increases at 37.9%. Both compete on Florida's 2026 ACA marketplace, where 16 insurers now participate and the statewide weighted-average rate rose roughly 31.5% before subsidies — but the two carriers take very different approaches to networks, plan types, and price.
This comparison breaks down how Oscar and Ambetter differ on county availability, provider networks, plan types, 2026 premiums, and member experience — and which type of Florida enrollee each one fits best.
Comparing ACA plans in Florida
$0 telehealth and a leading app: Oscar offers $0 virtual visits 24/7 through its app for many common conditions — a standout for Bronze and high-deductible enrollees who would otherwise pay full price for office visits before meeting the deductible. Its app is consistently among the highest-rated in health insurance.
Dedicated Care Teams: Instead of a rotating call center, Oscar assigns each member a small Care Team of guides and a nurse who handle every interaction, creating continuity that traditional carriers rarely match.
Competitive metro pricing: In the counties where Oscar competes — primarily South Florida, Central Florida, and the Tampa Bay region — its Silver HMO plans are often among the lowest-cost, and its 26.4% approved increase for 2026 is one of the gentlest among Florida carriers.
Low premiums and broad footprint: Ambetter is consistently among the lowest-cost options in Florida's most populous counties and has long carried one of the largest marketplace enrollments in the state. For subsidy-eligible shoppers who choose by price, Ambetter's Silver plans are frequently at or near the benchmark.
My Health Pays rewards: Ambetter members can earn My Health Pays reward dollars for completing a wellness visit, annual checkup, or health survey — funds that can offset premiums or be spent on everyday health items. It is one of the more generous wellness-incentive programs on the Florida exchange.
Centene scale and managed-care roots: Ambetter is backed by Centene, the country's largest Medicaid managed-care organization, which gives it deep experience serving lower-income and subsidy-eligible members transitioning between Medicaid and marketplace coverage.
| Feature | Oscar | Ambetter |
|---|---|---|
| Founded / status | 2012 (ACA-native) | Centene's ACA brand; in FL since 2014 |
| Plan types | HMO only | HMO / EPO |
| Florida county availability | Select metro counties | Broad — most populous FL counties |
| Telehealth | $0 telehealth via Oscar app (24/7) | Ambetter Telehealth included |
| Provider network | Narrower; curated metro networks | Large but value-tiered |
| Out-of-network coverage | Emergency only | Emergency only |
| Signature feature | Dedicated Care Team; top-rated app | My Health Pays rewards |
| 2026 approved rate change | +26.4% (one of the lowest in FL) | +37.9% (one of the steepest in FL) |
Oscar's Florida networks are curated rather than comprehensive — selected hospitals and physician groups in the metros it serves, HMO-only, with no out-of-network coverage except emergencies. Because Oscar is not statewide, your first check is simply whether it is sold in your county at all.
Ambetter manages cost through value-tiered networks that are broad in major metros but narrower than Florida Blue's. Its 37.9% approved increase for 2026 is among the highest in the state, so its historic price edge narrows in some counties — always confirm your doctors are in the specific Ambetter network for your plan.
The network gap between these two carriers is the single most important thing to check before you enroll, because an ACA plan only pays in full when you stay in its network.
Sticker premiums rose across the board for 2026 — Florida's statewide weighted average climbed about 31.5% before subsidies. The illustrative Silver-plan figures below show how Oscar and Ambetter compare in counties where both compete.
| County (35-yr-old, non-smoker, Silver) | Oscar | Ambetter |
|---|---|---|
| Miami-Dade County | ~$480/mo | ~$470/mo |
| Orange (Orlando) County | ~$450/mo | ~$445/mo |
| Hillsborough (Tampa) County | ~$440/mo | ~$435/mo |
Approximate 2026 unsubsidized premiums for a 35-year-old non-smoker, before APTC subsidies. What you actually pay is set by the benchmark Silver plan in your rating area; more than 95% of Florida enrollees qualify for a subsidy. As a reference point, regulators cited a 28-year-old in Duval County on a Silver plan moving from about $149 to roughly $281 per month for 2026.
A licensed Florida health insurance agent can compare your 2026 options county by county and check whether your providers are in-network — at no cost to you.
Compare Plans in Your County