Which states run their own ACA exchanges?

Asked by: Petra Mraz  |  Last update: December 25, 2023
Score: 4.5/5 (16 votes)

States which currently use State-Based Health Insurance Marketplaces:
  • California – Covered California.
  • Colorado – Connect for Health Colorado.
  • Connecticut – Access Health CT.
  • District of Columbia – DC Health Link.
  • Idaho – Your Health Idaho.
  • Kentucky – Kynect (Kentucky Health Benefit Exchange)
  • Maine – CoverME.

How many states have their own health insurance exchange?

As of the 2022 plan year (and continuing for the 2023 plan year): DC and 17 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.).

Who administers the Affordable Care Act's health insurance exchanges?

The Department of Health and Human Services (DHHS), Center for Medicare and Medicaid Services (CMS), has the responsibility for issuing certain regulations to implement the Affordable Care Act and has also facilitated the development of the information technology necessary to create the insurance exchanges.

How many states use a federally run exchange?

The federally run exchange is HealthCare.gov. It's used in 33 states as of the 2023 coverage year. The other 17 states and the District of Columbia run their own exchanges.

What states use ACA the most?

The federal marketplace accounted for 69% of 2021 ACA enrollments and the state exchanges accounted for 31% of enrollments. Three states accounted for 42% of all ACA enrollees in 2021: Florida, California, and Texas. Rounding out the top five states using Obamacare plans are North Carolina and Georgia.

States Should Flatly Reject ObamaCare Exchanges

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Which states do not participate in the Affordable Care Act?

Wyoming, Kansas, Texas, Wisconsin, Tennessee, Mississippi, Alabama, Georgia, South Carolina and Florida have yet to adopt the expansion of Medicaid, leaving over 2.1 million people in the “coverage gap” — meaning they fall into the income level that would make them eligible for Medicaid but cannot access it because ...

Who is the largest ACA insurer?

UnitedHealthcare. UnitedHealthcare is the largest health insurance provider in the U.S., and you'll find them on the ACA Marketplace, too.

Which states are state based exchanges?

Which States Have State-Based Marketplaces?
  • California – Covered California.
  • Colorado – Connect for Health Colorado.
  • Connecticut – Access Health CT.
  • District of Columbia – DC Health Link.
  • Idaho – Your Health Idaho.
  • Kentucky – Kynect (Kentucky Health Benefit Exchange)
  • Maine – CoverME.
  • Maryland – Maryland Health Connection.

Which states use federally facilitated marketplace?

Participating states
  • Alabama.
  • Alaska.
  • Arizona.
  • Georgia.
  • Indiana.
  • Kansas.
  • Louisiana.
  • Maine.

Does Virginia have its own HealthCare exchange?

Virginia has a state-run exchange that currently uses the federally-run enrollment platform – HealthCare.gov.

How do ACA exchanges work?

A health insurance exchange, also called a health insurance marketplace, is an online site where you buy Affordable Care Act (ACA) plans sold by private insurers. Some states manage their own health insurance marketplaces, while others use the federal marketplace, HealthCare.gov.

Is ACA and marketplace the same thing?

Shorthand for the “Health Insurance Marketplace ®,” a shopping and enrollment service for medical insurance created by the Affordable Care Act in 2010. In most states, the federal government runs the Marketplace (sometimes known as the "exchange") for individuals and families.

Does the Affordable Care Act set up insurance exchanges?

The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) required health insurance exchanges to be established in every state.

Are states not allowed to run their own marketplace all marketplace plans are run by the federal government?

Currently, states can house the entire marketplace operation, including the eligibility and enrollment platform, at either the state or federal level; run their own marketplace but use HealthCare.gov as their platform; or operate as a federal marketplace but conduct plan management tasks.

Which law requires each state to establish a health insurance exchange?

Federally-facilitated Exchange means an Exchange established and operated within a State by the Secretary under section 1321(c)(1) of the Affordable Care Act.

Which state has the most uninsured HealthCare?

Texas was the state with the highest percentage of uninsured among its population, while Massachusetts reported the lowest share of uninsured This statistic presents the percentage of the total population in the United States without health insurance in 2021, by state.

Who runs the federal marketplace?

The federal government operates the Health Insurance Marketplace ®, available at HealthCare.gov, for most states. Some states run their own Marketplaces.

Does Texas have its own marketplace if so what is the name of the marketplace?

Texas uses the federally run exchange at HealthCare.gov to enroll Texans in marketplace plans.

What is the difference between FFM and SBM states?

SBM states are responsible for performing all Marketplace functions, except for SBM-FP states that rely on the Healthcare.gov for application processing and certain eligibility and enrollment activities. In an FFM state, the US Department of Health and Human Services (HHS) conducts all Marketplace functions.

Is Florida a state based exchange?

Florida uses the federally run exchange, so residents enroll through HealthCare.gov. Florida has the highest exchange enrollment of any state in the country, with more than 2.7 million people enrolling during the open enrollment period for 2022 plans — almost 19% of the entire country's exchange enrollments.

Is Texas a state based exchange?

Under the ACA, states can establish their own exchange, or the federal government will do it for them. Texas insurers currently utilize the federal exchange, which is located at healthcare.gov. Fifteen other states currently operate their own independent exchange.

What are state based marketplace plans?

State-based Marketplace (SBM): States running a State-based Marketplace are responsible for performing all marketplace functions for the individual market. Consumers in these states apply for and enroll in coverage through marketplace websites established and maintained by the states.

Who is the largest customer owned health insurer in the United States?

Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), and an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned health insurer in the United States and fourth largest overall, operating through our Blue Cross and Blue Shield® Plans in Illinois, Montana, ...

Who is stakeholder of ACA?

Within the ACA legislation, there are a number of key stakeholder industries that are affected by provisions in the law: health care providers, health insurance companies, medical/biotechnology companies and pharmaceutical companies.