Did my state establish an exchange? What does that mean for me?

What is an exchange?

An exchange, also called a marketplace, is one place where you can view your coverage options, compare plans side-by-side and enroll online. An exchange simplifies your choices and provides you with information about how the Health Reform law affects you, your family or your business.

Qualifying for lower premiums or out-of-pocket expenses starting in 2014

Based on household income, you might qualify for lower premiums or lower out-of-pocket costs on a new plan in 2014. You'll have four choices (Platinum, Gold, Silver, Bronze and a 5th 'catastrophic' plan choice for some) that are sold by private insurance companies competing for your business. Premiums are based on a sliding scale to keep them affordable for you.

Did all states set up an exchange?

No, some states chose not to establish an exchange. Twenty-six states did not. And six more states are still trying to decide if they want to establish an exchange or not. By setting up an exchange, the state assumes control and administration of the exchange, but it also assumes the costs associated with the exchange, too.

What if my state did not establish an exchange?

If your state did not establish an exchange, you will use the federal exchange instead if you qualify for reduced premiums or out-of-pocket costs. And to you, it shouldn't feel any different. You'll be still able to choose between four plans (platinum, gold, silver, bronze) sold by private insurance companies competing for your business. 

Visit our State Decisions page to see what your state decided to do about the exchange.