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What is a Health Exchange (also referred to as a ‘State Exchange’)?

June 28, 2013 

A Health Exchange is a separate insurance market in each state created by the Affordable Care Act to provide subsidized insurance to individuals and families.  Health Exchanges, also known as State Exchanges, are different from private insurance in that those that purchase coverage on the Exchanges receive government subsidies that reduce their insurance premium payments and are eligible for cost-sharing that will make their out-of-pocket costs reasonable relative to their income.  Individuals are eligible to purchase insurance in Health Exchanges if their income is below approximately $44,000 per year and family eligibility is available for income levels up to $88,000 annually.  Employed individuals and their families may purchase health insurance in a State Exchange if the cost of their employee coverage is prohibitive or if their employer does not offer coverage.

For more information on Health Exchanges, see

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