County-level plan data — no paid rankings

Health Insurance in Eastern Kentucky Coalfields, KY — 2026 Plans & Premiums

42 ACA marketplace plans are available in Eastern Kentucky Coalfields, KY, from 2 insurers. The cheapest plan starts at $438.12/month before subsidies.

Insurers price these 12 counties identically, so plan availability and premiums below apply to all of them:

  • Bell County
  • Floyd County
  • Harlan County
  • Johnson County
  • Knott County
  • Knox County
  • Leslie County
  • Letcher County
  • Magoffin County
  • Martin County
  • Perry County
  • Pike County

42

Plans Available

$438.12

Cheapest Plan/mo

2

Insurers

Kynect

Exchange

Insurers Serving Eastern Kentucky Coalfields

Anthem BlueCross
Ambetter from WellCare of Kentucky

Plans Available in Eastern Kentucky Coalfields

Sorted by monthly premium · 30-year-old · Before subsidies

1
Catastrophic
HMO
HSA

Anthem BlueCross Anthem Catastrophic Pathway Transition X (+ Incentives)

Anthem BlueCross

$438.12/mo

Ded: $10,600

2
Bronze
HMO
HSA

Anthem BlueCross Anthem Bronze Pathway X Transition 10600 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Anthem BlueCross

$461.11/mo

Ded: $10,600

3
Bronze
HMO
HSA

Ambetter from WellCare of Kentucky Everyday Bronze

Ambetter from WellCare of Kentucky

$476.30/mo

Ded: $8,450

4
Bronze
HMO
HSA

Ambetter from WellCare of Kentucky Everyday Bronze + Vision + Adult Dental

Ambetter from WellCare of Kentucky

$485.23/mo

Ded: $8,450

5
Bronze
HMO
HSA

Anthem BlueCross Anthem Bronze Pathway X Transition 7700 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Anthem BlueCross

$495.87/mo

Ded: $7,700

6
Bronze
HMO
HSA

Anthem BlueCross Anthem Bronze Pathway X Transition 7300 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Anthem BlueCross

$495.93/mo

Ded: $7,300

7
Bronze
HMO
HSA

Anthem BlueCross Anthem Bronze Pathway X Transition 8500 for HSA ( + Incentives)

Anthem BlueCross

$497.08/mo

Ded: $8,500

8
Bronze
HMO
HSA

Anthem BlueCross Anthem Bronze Pathway X Transition 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Rx)

Anthem BlueCross

$501.08/mo

Ded: $7,000

Average Premiums in Eastern Kentucky Coalfields

Avg Bronze Plan

$532/mo

18 plans

Avg Silver (Subsidy Benchmark)

$620/mo

Eligible for CSR cost reductions

Nearby Counties in Kentucky

All Counties in Kentucky

Frequently asked questions about ACA insurance in Kentucky

Which counties does this Kentucky health insurance page cover?

This page covers 12 Kentucky counties: Bell County, Floyd County, Harlan County, Johnson County, Knott County, Knox County, Leslie County, Letcher County, Magoffin County, Martin County, Perry County, Pike County. Insurers offer the same plans at the same premiums across all of them, so the 42 plans and $438.12/month starting price shown here apply to every one.

What is the health insurance marketplace in Kentucky?

The Kentucky (KY) health insurance marketplace is Kynect (https://kynect.ky.gov/), a state-based ACA exchange where residents compare and enroll in qualified health plans. Policymage lists 42 plans with live premium data. Open Enrollment runs November 1 through January 15.

How do I compare health insurance plans in Kentucky?

Use policymage.com/get-quotes: enter your ZIP code, household ages, and income. Policymage fetches ACA Marketplace plans for your county, calculates APTC subsidies, and lets you compare up to 3 plans side-by-side on premium, deductible, network, and benefits. Free, no account, no broker bias. Plans in Kentucky start from $438.12/month before subsidies.

Which Medicaid plan is best in Kentucky?

There is no single "best" Medicaid plan in Kentucky — Medicaid is administered through MCOs such as Anthem Blue Cross Blue Shield, CareSource, Ambetter from WellCare. The right plan depends on your county, doctors, and prescriptions. Medicaid (income up to 138% FPL, ~$21,597/year for an individual) is separate from ACA Marketplace plans at Kynect. Apply year-round through your state Medicaid office.

Is short-term health insurance available in Kentucky?

Short-term health insurance is sold outside the ACA Marketplace in Kentucky by private insurers. These plans are not ACA-compliant: they can exclude pre-existing conditions, skip Essential Health Benefits, and lack guaranteed renewal. For comprehensive coverage with subsidies, enroll in an ACA Marketplace plan at Kynect during Open Enrollment (Nov 1–January 15). See policymage.com/faq for more on short-term vs ACA plans.

How much is health insurance in KY?

Health insurance in KY starts as low as $438.12/month for a 30-year-old on a Bronze plan before subsidies. Most Kentucky residents who qualify for APTC pay significantly less — some as low as $0/month for a Silver plan.

What is the cheapest health insurance option in KY for 2026?

The cheapest ACA option in KY for 2026 is typically a Bronze-tier plan or, for residents under 30, a catastrophic plan — both carry the lowest monthly premium in exchange for a higher deductible. Compare exact Kentucky plans and prices at policymage.com/get-quotes.

When does Open Enrollment end in Kentucky for ACA plans?

Open Enrollment for Kentucky residents runs from November 1 through January 15. Kentucky runs its own exchange (Kynect), which set the January 15 deadline. Outside Open Enrollment, you need a Qualifying Life Event to enroll in a Special Enrollment Period.

How much does ACA health insurance cost in Kentucky?

Bronze-tier plans in Kentucky start as low as $438.12/month for a 30-year-old before subsidies. With APTC tax credits, many Kentucky residents pay $0–$50/month for Bronze coverage. Costs vary by age, county, tobacco use, and household size.

Does Kentucky use HealthCare.gov or its own state exchange?

Kentucky runs its own state-based Marketplace called Kynect (https://kynect.ky.gov/). You enroll there directly — not at HealthCare.gov. Plan offerings, enrollment dates, and customer support are managed by Kentucky, not the federal government.

Has Kentucky expanded Medicaid under the ACA?

Yes. Kentucky has expanded Medicaid, so adults with household income up to 138% of the Federal Poverty Level (approximately $21,597/year for an individual) qualify for free or very low-cost Medicaid. There's no Open Enrollment window — you can apply year-round.

What are the income limits for ACA subsidies in Kentucky?

Premium Tax Credit eligibility starts at 100% of the Federal Poverty Level — about $15,650/year for an individual or $32,300/year for a family of 4. Kentucky residents above 400% FPL still qualify if benchmark Silver costs more than 8.5% of their income. Use the Kynect subsidy calculator for your exact estimate.

What are the metal tiers in Kentucky (Bronze, Silver, Gold, Platinum)?

Kentucky ACA plans come in four metal tiers based on actuarial value (the percentage of medical costs the plan covers on average): Bronze (~60%), Silver (~70%), Gold (~80%), and Platinum (~90%). Bronze has the lowest premium and highest deductible; Platinum has the highest premium and lowest deductible. Silver is the "benchmark" tier used to calculate APTC subsidies, and it's the only tier eligible for Cost-Sharing Reductions if you qualify by income.

Are HSA-eligible plans available in Kentucky?

Yes. HSA-eligible High-Deductible Health Plans (HDHPs) are available in Kentucky through Kynect. For 2026, HDHPs must have a deductible of at least $1,650 (individual) or $3,300 (family), and you can contribute up to $4,300 (individual) or $8,550 (family) to your HSA pre-tax. HSA contributions roll over year-to-year and can be invested.

Do Kentucky ACA plans cover dental and vision?

Kentucky ACA Marketplace plans for adults include preventive care, mental health, prescriptions, hospitalization, and the 10 Essential Health Benefits — but adult dental and vision are not federally required. Most Kentucky plans cover pediatric dental and vision automatically. For adult dental/vision, you typically buy a separate standalone plan through Kynect or directly from an insurer.

What is a Qualifying Life Event for Special Enrollment in Kentucky?

Outside Open Enrollment, Kentucky residents can enroll in or change ACA plans within 60 days of a Qualifying Life Event: loss of other health coverage, marriage or divorce, birth or adoption of a child, moving to a new county or state, a change in income that affects subsidy eligibility, becoming a US citizen, or release from incarceration. Have documentation ready when applying through Kynect.

How do I find in-network doctors and hospitals in Kentucky?

Each Kentucky ACA plan has its own provider network. Before enrolling, look up the plan on Kynect, click the carrier name to access their provider directory, and search for your specific doctors and preferred hospitals by name. Out-of-network care typically isn't covered (HMO plans) or costs significantly more (PPO plans). If you have an existing provider relationship, network match is usually more important than the lowest premium.

Find the Right Plan in Eastern Kentucky Coalfields

Enter your ZIP code, age, and income to see all plans available to you — with your actual subsidy applied, or see how Eastern Kentucky Coalfields compares to the Kentucky state average.

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