Health coverage in Alabama
Alabama puts more people on the Marketplace than its population would suggest. It has not expanded Medicaid, which is what makes the poverty line the number that matters here.
Has Alabama expanded Medicaid?
No. Alabama has not expanded Medicaid.
Help with a Marketplace premium starts at 100% of the federal poverty level, and Alabama Medicaid covers a narrower group of adults than that.
Is there a coverage gap in Alabama?
Yes. Below 100% of the poverty level, an Alabama adult can have too much income for Alabama Medicaid and too little for help with a Marketplace premium. That band is the coverage gap.
It comes from a state policy decision. Apply for Alabama Medicaid anyway — the rules reach more people than most expect, especially households with children, someone who is pregnant, or someone with a disability. Community health centres and hospital charity care exist as well.
Who gets the most help in Alabama?
Between 100% and 138% of the poverty level. Households in that band get the largest help with the premium the Marketplace offers, plus cost-sharing reductions that lower what you pay when you use the plan.
The band sits on the Marketplace here because Alabama did not widen Medicaid to 138% of the poverty level.
How many people used the Marketplace in Alabama?
CMS counted 97,512 new Marketplace consumers in Alabama for 2026, from a state of about 5.1 million people.
Can this page tell me where I land?
No. Your household size and your exact income decide it, and this page has neither.
Apply for Alabama Medicaid, and ask a licensed agent about a Marketplace plan. Doing both is normal and neither one commits you to anything.
Which parts of Alabama do you cover?
All 67 counties. Wherever you are in Alabama, your details go to an agent who holds a licence in Alabama — that is the only agent this system will route you to.
The county count comes from the US Census Bureau's ZIP-code-to-county relationship file, 2020 geographies.
The other states we work in
The rules are not the same in each one, so each state has its own page.
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