Madison, Alabama: health insurance
Madison is in Madison County. Here is what Madison residents should know about coverage.
Coverage in Madison
Madison has about 60,854 residents (U.S. Census Bureau 2023 estimate).
Plans for Madison residents are determined by Madison County, home to about 412,600 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 Madison County before you choose it.
- Turning 65 in Madison? 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.
Medicare plans leaving Madison County for 2027
Medicare plans are set by county, so this applies to residents of this city. 7 plans are listed in Madison County for 2026 but not for 2027, covering at least 1,257 people.
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| Blue Advantage Premier (PPO) H0104-015 | BlueCross BlueShield of Alabama | 671 |
| HealthSpring TotalCare Plus (HMO D-SNP) H4513-063 | Cigna HealthSpring (HCSC) | 262 |
| HealthSpring TotalCare (HMO D-SNP) H4513-055 | Cigna HealthSpring (HCSC) | 258 |
| HealthSpring Preferred AL (HMO) H4513-046 | Cigna HealthSpring (HCSC) | 46 |
| HumanaChoice H5216-448 (PPO) H5216-448 | Humana | 20 |
See all 7 plans leaving Madison County →
A plan can be listed because it was renumbered or replaced, not only because a company is leaving the county. When the same company keeps other plans there, members are usually moved to a replacement plan. Your plan should send you a notice, and Medicare’s Annual Enrollment Period (October 15 to December 7) is when you can compare and switch. “People enrolled” is the number enrolled in that plan today (CMS hides counts of 10 or fewer). Source: CMS Medicare Advantage and Part D landscape files for 2026 and 2027, and CMS enrollment data from September 2026.
Colleges and universities near Madison
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 Madison and Madison County have the same plans?
Plans are offered by service area, and Madison falls under Madison County. A plan that serves Madison 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.
Madison 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
- Birmingham
- Montgomery
- Huntsville
- Mobile
- Tuscaloosa
- Auburn
- Hoover
- Dothan
- Decatur
- Florence
- Prattville
- Phenix City
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.