To summarize, the Georgia Health Insurance Exchange will be an online marketplace where where individuals and families can shop for health insurance plans and receive access to federal tax credits. Georgia small businesses can purchase policies through the group exchange (called the "SHOP" marketplace).
The Georgia Health Insurance Exchange will open for enrollment October 1, 2013 with coverage beginning January 1, 2014.
Georgia Health Insurance Exchange - Proposed Carriers
According to Georgia Health News, the following carriers proposed to offer plans through Georgia's individual and/or small group exchange:
- Blue Cross and Blue Shield of Georgia
- Kaiser Foundation Health Plan
- Peach State
The report notes that two big players are missing from the list: United Healthcare and Cigna.
Georgia Health Insurance Exchange - Proposed Rates
Reportedly, the rates are just below the average cost of employer-sponsored group policies in Georgia ($456/month). However, these proposed rates are prior to federal individual tax subsidies, which most Georgians will be eligible to receive based on household size and income.
All plans offered through the Georgia Health Insurance Exchange must meet the ACA definition of a Qualified Health Plan (QHP). The plans will be offered by level of coverage for essential health benefits (EHB), to allow consumers to compare plans on an "apples to apples" basis.
The four "metal" levels are: Bronze (plan pays 60%), Silver (plan pays 70%), Gold (plan pays 80%) and Platinum (plan pays 90%).