Country Guide
Best Health Insurance in Alabama (2026)
Alabama did not expand Medicaid. ACA marketplace coverage is especially important for low-income AL residents.
By Itai Varochik | Updated February 20, 2026
Top Exchanges in Alabama
| # | Exchange | Best For | Fees | Type |
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield of Alabama | Widest AL network | $4,920/yr | — |
| 2 | Ambetter Alabama | Budget ACA plans | $3,840/yr | — |
| 3 | UnitedHealthcare | Plan variety | $5,280/yr | — |
| 4 | Cigna | National network | $4,800/yr | — |
| 5 | Oscar Health | Digital tools | $4,200/yr | — |