Birmingham, Alabama: health insurance
Birmingham is in Jefferson County. Here is what Birmingham residents should know about coverage.
Coverage in Birmingham
Plans for Birmingham residents are determined by Jefferson County, home to about 662,895 people (2023 estimate). Medicare Advantage plans and marketplace plans are offered by area, so use your ZIP code when you compare, and make sure a plan covers Jefferson County before you choose it.
- Turning 65 in Birmingham? Your Initial Enrollment Period runs seven months around your birthday. Alabama SHIP (Alabama Department of Senior Services) offers free counseling at 1-800-243-5463.
- Buying your own plan? Shop through HealthCare.gov (federal Marketplace).
- Medicaid questions? Alabama Medicaid Agency handles applications.
Alabama note: Alabama has not adopted the ACA's Medicaid expansion, which is a meaningfully different situation from most of the other states covered on this site -- an Alabama adult without children generally can't qualify for Medicaid on income alone the way they could in an expansion state, regardless of how low that income is.
Colleges and universities near Birmingham
Alabama public institutions include University of Alabama, Auburn University, University of Alabama at Birmingham. Students and employees at these schools should check their school’s student health or benefits office, because campus plans and employer plans work differently from individual coverage. More about Alabama colleges.
Do Birmingham and Jefferson County have the same plans?
Plans are offered by service area, and Birmingham falls under Jefferson County. A plan that serves Jefferson County is generally the one that applies to you.
Do I have to enroll if I call?
No. A call is a conversation about your options.
Birmingham residents: call 855-367-1095
Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.
Call 855-367-1095Other major Alabama cities
Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.