2026 CMS Marketplace plan selections represented across 67 county records.
Alabama ACA Marketplace coverage, explained with current sources.
Alabama uses HealthCare.gov for Marketplace enrollment. CMS reports 455,776 cumulative 2026 Open Enrollment plan selections across Alabama counties in the 2026 County-Level Public Use File.
Source: Centers for Medicare & Medicaid Services · Verified September 17, 2026
State evidence snapshot
What stands out in Alabama's 2026 Marketplace data?
Across the 67 counties in this CoveragePath CMS dataset, CMS reports 455,776 Marketplace plan selections. The largest county total is Jefferson County with 61,991 selections.
91.1% of selections in counties with unsuppressed APTC counts received advance premium tax credits. The selection-weighted county premium benchmarks are $744 before APTC and $126 after APTC. These are historical county aggregates, not household quotes.
What stands out in Alabama
Turn statewide totals into local context.
61,991 selections, 13.6% of the state total represented in this county dataset.
Selection-weighted county average gross premium where CMS reports the measure.
Selection-weighted county average APTC where CMS reports the measure.
CoveragePath calculations use 2026 CMS county public-use-file measures. Weighted figures are descriptive historical benchmarks, not 2027 quotes, plan availability or eligibility determinations.
What the Alabama data can tell you
Enrollment
Use current CMS enrollment data to understand Marketplace participation without treating plan selections as active enrollment or a guarantee of coverage.
Financial assistance
Eligibility for premium tax credits depends on current federal rules and household circumstances. CoveragePath verifies rule changes before publishing numeric guidance.
County intelligence
CoveragePath now publishes verified 2026 CMS Marketplace benchmarks for 67 evidence-ranked Alabama counties, including enrollment, premium and APTC measures.
2026 ACA Marketplace data by Alabama county
Choose your county to review its verified CMS Marketplace enrollment, premium and financial-assistance benchmarks. County figures are historical measures, not a quote or guarantee of eligibility or plan availability.
Autauga County
3,613 2026 Marketplace plan selections reported by CMS.
Baldwin County
23,785 2026 Marketplace plan selections reported by CMS.
Barbour County
2,261 2026 Marketplace plan selections reported by CMS.
Bibb County
1,727 2026 Marketplace plan selections reported by CMS.
Blount County
4,966 2026 Marketplace plan selections reported by CMS.
Bullock County
1,349 2026 Marketplace plan selections reported by CMS.
Butler County
1,275 2026 Marketplace plan selections reported by CMS.
Calhoun County
11,426 2026 Marketplace plan selections reported by CMS.
Chambers County
4,524 2026 Marketplace plan selections reported by CMS.
Cherokee County
2,743 2026 Marketplace plan selections reported by CMS.
Chilton County
4,075 2026 Marketplace plan selections reported by CMS.
Choctaw County
1,291 2026 Marketplace plan selections reported by CMS.
Clarke County
2,588 2026 Marketplace plan selections reported by CMS.
Clay County
1,390 2026 Marketplace plan selections reported by CMS.
Cleburne County
1,444 2026 Marketplace plan selections reported by CMS.
Coffee County
4,316 2026 Marketplace plan selections reported by CMS.
Colbert County
5,504 2026 Marketplace plan selections reported by CMS.
Conecuh County
1,915 2026 Marketplace plan selections reported by CMS.
Coosa County
1,170 2026 Marketplace plan selections reported by CMS.
Covington County
3,825 2026 Marketplace plan selections reported by CMS.
Crenshaw County
889 2026 Marketplace plan selections reported by CMS.
Cullman County
7,624 2026 Marketplace plan selections reported by CMS.
Dale County
4,645 2026 Marketplace plan selections reported by CMS.
Dallas County
4,383 2026 Marketplace plan selections reported by CMS.
DeKalb County
6,151 2026 Marketplace plan selections reported by CMS.
Elmore County
4,822 2026 Marketplace plan selections reported by CMS.
Escambia County
3,450 2026 Marketplace plan selections reported by CMS.
Etowah County
9,878 2026 Marketplace plan selections reported by CMS.
Fayette County
1,313 2026 Marketplace plan selections reported by CMS.
Franklin County
2,581 2026 Marketplace plan selections reported by CMS.
Geneva County
2,798 2026 Marketplace plan selections reported by CMS.
Greene County
986 2026 Marketplace plan selections reported by CMS.
Hale County
1,834 2026 Marketplace plan selections reported by CMS.
Henry County
1,585 2026 Marketplace plan selections reported by CMS.
Houston County
9,992 2026 Marketplace plan selections reported by CMS.
Jackson County
4,335 2026 Marketplace plan selections reported by CMS.
Jefferson County
61,991 2026 Marketplace plan selections reported by CMS.
Lamar County
842 2026 Marketplace plan selections reported by CMS.
Lauderdale County
8,349 2026 Marketplace plan selections reported by CMS.
Lawrence County
2,939 2026 Marketplace plan selections reported by CMS.
Lee County
12,920 2026 Marketplace plan selections reported by CMS.
Limestone County
8,856 2026 Marketplace plan selections reported by CMS.
Lowndes County
1,709 2026 Marketplace plan selections reported by CMS.
Macon County
2,074 2026 Marketplace plan selections reported by CMS.
Madison County
35,835 2026 Marketplace plan selections reported by CMS.
Marengo County
2,019 2026 Marketplace plan selections reported by CMS.
Marion County
2,906 2026 Marketplace plan selections reported by CMS.
Marshall County
9,364 2026 Marketplace plan selections reported by CMS.
Mobile County
50,311 2026 Marketplace plan selections reported by CMS.
Monroe County
1,588 2026 Marketplace plan selections reported by CMS.
Montgomery County
16,495 2026 Marketplace plan selections reported by CMS.
Morgan County
10,429 2026 Marketplace plan selections reported by CMS.
Perry County
1,035 2026 Marketplace plan selections reported by CMS.
Pickens County
1,357 2026 Marketplace plan selections reported by CMS.
Pike County
2,735 2026 Marketplace plan selections reported by CMS.
Randolph County
2,070 2026 Marketplace plan selections reported by CMS.
Russell County
5,632 2026 Marketplace plan selections reported by CMS.
Shelby County
15,389 2026 Marketplace plan selections reported by CMS.
St. Clair County
7,521 2026 Marketplace plan selections reported by CMS.
Sumter County
1,346 2026 Marketplace plan selections reported by CMS.
Talladega County
6,578 2026 Marketplace plan selections reported by CMS.
Tallapoosa County
3,815 2026 Marketplace plan selections reported by CMS.
Tuscaloosa County
16,899 2026 Marketplace plan selections reported by CMS.
Walker County
5,878 2026 Marketplace plan selections reported by CMS.
Washington County
1,476 2026 Marketplace plan selections reported by CMS.
Wilcox County
864 2026 Marketplace plan selections reported by CMS.
Winston County
2,101 2026 Marketplace plan selections reported by CMS.
Continue your coverage path
Start with eligibility factors, then review savings and Special Enrollment guidance. Final eligibility and plan availability must be verified through the Marketplace.