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. Cigna expanded its Florida presence for 2026 by adding a new Cigna HMO entity alongside its existing Cigna Health & Life plans, though it still sells only in select metro counties. 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 Cigna 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.
National network for travelers: Cigna's national network is an advantage for Floridians who travel frequently or split the year between states, giving access to contracted providers well beyond Florida.
MDLIVE telehealth: Cigna includes MDLIVE virtual care for urgent, primary, and behavioral health visits, a convenient option for routine needs without an office trip.
Expanding Florida footprint: For 2026 Cigna added a new HMO entity in Florida alongside its Cigna Health & Life plans, broadening the metro counties where it competes, and its 29.5% approved increase is roughly in line with the statewide average.
| Feature | Oscar | Cigna |
|---|---|---|
| Founded / status | 2012 (ACA-native) | National carrier; added a new Cigna HMO entity for 2026 |
| Plan types | HMO only | EPO / HMO |
| Florida county availability | Select metro counties | Select metro FL counties |
| Telehealth | $0 telehealth via Oscar app (24/7) | MDLIVE virtual care |
| Provider network | Narrower; curated metro networks | National Cigna network; selective FL participation |
| Out-of-network coverage | Emergency only | Emergency only |
| Signature feature | Dedicated Care Team; top-rated app | MDLIVE telehealth; Express Scripts pharmacy |
| 2026 approved rate change | +26.4% (one of the lowest in FL) | +29.5% |
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.
Cigna sells EPO and HMO plans in select Florida metros — primarily South Florida, Central Florida, and the Tampa Bay area — with out-of-network care covered for emergencies only. Its national network helps travelers, but its Florida county footprint is far smaller than Florida Blue's or Ambetter's.
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 Cigna compare in counties where both compete.
| County (35-yr-old, non-smoker, Silver) | Oscar | Cigna |
|---|---|---|
| Miami-Dade County | ~$480/mo | ~$515/mo |
| Orange (Orlando) County | ~$450/mo | ~$490/mo |
| Hillsborough (Tampa) County | ~$440/mo | ~$480/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