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. Molina Healthcare of Florida built its book on rock-bottom value plans, but its 40.8% approved increase is the steepest among Florida's major 2026 carriers. 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 Molina 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.
Lowest-premium positioning: Molina's strategy is value: low-cost HMO plans aimed at subsidy-eligible shoppers who want the smallest possible premium. In the counties it serves, Molina is frequently among the cheapest Silver and Bronze options.
Medicaid-to-marketplace continuity: Molina is one of Florida's largest Medicaid managed-care organizations, so members who lose Medicaid eligibility can often move to a Molina marketplace plan and keep similar community and safety-net providers.
Simple, predictable plan designs: Molina favors straightforward HMO plan designs with community health centers and FQHCs at the core, which keeps costs down for members who use those providers.
| Feature | Oscar | Molina |
|---|---|---|
| Founded / status | 2012 (ACA-native) | Medicaid-rooted value carrier |
| Plan types | HMO only | HMO |
| Florida county availability | Select metro counties | Select counties; heavy South & Central FL |
| Telehealth | $0 telehealth via Oscar app (24/7) | Virtual care included |
| Provider network | Narrower; curated metro networks | Narrow, cost-focused |
| Out-of-network coverage | Emergency only | Emergency only |
| Signature feature | Dedicated Care Team; top-rated app | Lowest-premium value plans |
| 2026 approved rate change | +26.4% (one of the lowest in FL) | +40.8% (the steepest among FL majors) |
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.
Molina runs narrow, cost-managed networks built around community health centers and safety-net providers, concentrated in South and Central Florida. Its 40.8% approved increase for 2026 — the steepest of the state's major carriers — means its price advantage is thinner than in past years, so compare the post-subsidy net premium carefully.
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 Molina compare in counties where both compete.
| County (35-yr-old, non-smoker, Silver) | Oscar | Molina |
|---|---|---|
| Miami-Dade County | ~$480/mo | ~$455/mo |
| Orange (Orlando) County | ~$450/mo | ~$435/mo |
| Hillsborough (Tampa) County | ~$440/mo | ~$425/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