Which States Do Not Have Health Care Exchanges?

by | Last updated on January 24, 2024

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Every state and the District of Columbia has a exchange . It is run by the state itself in some states, whereas other states use the federally run exchange. This can change over time as a state develops its own exchange or reverts to the federal exchange.

What states have their own HealthCare exchanges?

The 14 states operating state-based exchanges are California, Colorado, Connecticut, Idaho, Massachusetts, Maryland, Minnesota, Nevada, New Jersey, New York, Pennsylvania, Rhode Island, Vermont and Washington .

How many states have HealthCare exchanges?

DC and 14 states have fully state-run marketplaces, which means they oversee the marketplace and operate their own website and call center (examples are GetCoveredNJ, Pennie, Vermont Health Connect, Washington Healthplanfinder, etc.). Twenty-four states rely fully on the federal government for their marketplaces.

What states do not participate in the Affordable Care Act?

Nonexpansion states include 12 states that have not expanded Medicaid: Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Wisconsin, and Wyoming . Data: Urban Institute's Health Insurance Policy Simulation Model (HIPSM), 2021.

Does Georgia use the federal or a state marketplace for health insurance purchases?

Georgia opted to use the federal health insurance marketplace , HealthCare.gov.

Is Medi cal a state based exchange?

The Exchange will screen for and enroll individuals in Medi-Cal or the Healthy Families Program if they are eligible for those programs. The federal law requires state exchanges to perform this function .

Does Texas have its own health insurance exchange?

Although the State will not run it's own exchange Texans can use HealthCare.gov to shop for affordable health insurance. Texas has the highest percentage of uninsured in the country with 25% of Texans uninsured prior to open enrollment 2015.

Did Tennessee expand Medicaid?

Tennessee has not expanded Medicaid coverage (which is called TennCare) as allowed under the Affordable Care Act, which means that there are an estimated 118,000 residents in the coverage gap — ineligible for Medicaid and also ineligible for premium subsidies in the exchange.

Does Florida have a HealthCare marketplace?

HealthChoices FloridaTM The Health Insurance Marketplace provides affordable health insurance options for individuals, families, and licensed professionals in Florida.

What states have state based exchange?

  • California – Covered California.
  • Colorado – Connect for Health Colorado.
  • Connecticut – Access Health CT.
  • District of Columbia – DC Health Link.
  • Idaho – Your Health Idaho.
  • Maryland – Maryland Health Connection.
  • Massachusetts – Health Connector.
  • Minnesota – MNsure.

Is Washington a state based exchange?

The state of Washington operates its own health insurance exchange – Washington Healthplanfinder. Twelve insurers offer a total of 120 plans for 2022 through the exchange.

Is Oregon a state based exchange?

Oregon has a state-run exchange , run by the Oregon Department of Consumer and Business Services (DCBS), but they've been using Healthcare.

Does Wisconsin participate in ACA?

Wisconsin is one of the states that has an ACA-created CO-OP . Common Ground Healthcare Cooperative received federal loans to get up and running, and has been offering health insurance in Wisconsin since the beginning of 2014.

Which states are opposed to Medicaid expansion?

However, as of now, 12 states are refusing to expand Medicaid. Those states are Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, North Dakota, South Carolina, South Dakota, Tennessee, Texas, and Wisconsin .

Is Affordable Care Act federal or state?

The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act, and colloquially known as Obamacare, is a landmark United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010.

What state has cheapest health insurance?

State 2017 Rank Minnesota $442 1 New Hampshire $267 2 Rhode Island $261 3 New Mexico $255 4

Does Texas use HealthCare gov?

Texas uses the federally run exchange at HealthCare.gov , and the state has taken a very hands-off approach with regards to implementing the ACA. Texas has not expanded Medicaid, and through 2021, was one of just three states that left the rate review process for ACA-compliant plans to CMS.

Is it illegal to not have health insurance in Georgia?

You won't face a tax penalty for going without health insurance in 2022 —but there are big downsides to being uninsured. Obamacare's tax penalty went away in 2019. That means that if you don't have health insurance, you won't have to pay a penalty when you file your federal income taxes.

Is Connecticut a state based exchange?

Connecticut exchange overview

Connecticut operates a state-run health insurance exchange with three carriers participating in 2022. Outside of the yearly open enrollment period, a qualifying event is required to enroll or make changes to coverage.

Is Obamacare the same as Covered California?

California Obamacare Plans. California is among the few states that chose to create its own health care marketplace under the Affordable Care Act. This marketplace is called Covered California .

Is Obamacare the same as Medi-Cal?

The most important difference between Medicaid and Obamacare is that Obamacare health plans are offered by private health insurance companies while Medicaid is a government program (albeit often administered by private insurance companies that offer Medicaid managed care services).

Is Texas 2021 insurance mandatory?

Texas residents are not required to have health insurance under state law . However, the Affordable Care Act does mandate a health insurance requirement on a federal level that includes Texans. Texas utilizes the federal exchange for health plans and has one of the highest enrollment rates in the country.

Did Illinois expand Medicaid?

Experts say a growing number of states have expanded or are planning to expand state-funded coverage to low-income adults regardless of their immigration status. Illinois lawmakers have expanded Medicaid twice since 2020, to add immigrants who are 55 and older . Children 18 and younger are already covered by the state.

Does Washington State require health insurance?

Under the Patient Protection and Affordable Care Act (ACA), most people are currently required to enroll in health insurance or pay a penalty .

Why did Tennessee reject Medicaid expansion?

Tennessee politicians have complained that expanding Medicaid would cost the State too much money . Last Spring, the Federal government offered Tennessee 900 Million Dollars in net incentives to expand Medicaid.

Has Mississippi expanded Medicaid?

Mississippi Medicaid has not been expanded as allowed under the Affordable Care Act (ACA) , despite the state medical association's support of expansion going back to August 2016. Mississippi is one of just 12 states that have not yet expanded Medicaid as of 2021.

What is the difference between TennCare and Medicaid?

TennCare is the state of Tennessee's Medicaid program . It provides healthcare to mostly low-income pregnant women, parents or caretakers of a minor child, children and individuals who are elderly or have a disability. To get Medicaid, you must meet the income and resource limits. You can apply anytime for TennCare.

Ahmed Ali
Author
Ahmed Ali
Ahmed Ali is a financial analyst with over 15 years of experience in the finance industry. He has worked for major banks and investment firms, and has a wealth of knowledge on investing, real estate, and tax planning. Ahmed is also an advocate for financial literacy and education.