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How to check subsidy-eligible plansHealth Insurance Plans in Georgia
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| Plan Name | Metal Level | Deductible (individual/family) | Out-of-pocket Max (individual/family) | |
|---|---|---|---|---|
Anthem Catastrophic Pathway Guided Access HMO 10600 First 3 PCP Visits $40 by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Catastrophic | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
Anthem Catastrophic Pathway Guided Access HMO 10600 First 3 PCP Visits $40 by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Catastrophic | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
Anthem Catastrophic Pathway HMO 10600 First 3 PCP Visits $40 by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Catastrophic | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
Anthem Catastrophic Pathway Guided Access HMO 10600 First 3 PCP Visits $40 by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Catastrophic | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
Bronze Simple 2 Guided Care HMO $9150 10% by Oscar Health Plan of Georgia | Bronze | $9,150 / $18,300 | $10,150 / $20,300 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 7900 0% HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $7,900 / $15,800 | $7,900 / $15,800 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 5000 $45 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $5,000 / $10,000 | $10,600 / $21,200 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 7500 $50 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $7,500 / $15,000 | $10,600 / $21,200 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 6000 $50 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $6,000 / $12,000 | $10,600 / $21,200 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 8000 50% $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $8,000 / $16,000 | $10,600 / $21,200 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 7900 0% HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $7,900 / $15,800 | $7,900 / $15,800 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 7500 $50 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $7,500 / $15,000 | $10,600 / $21,200 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 8000 50% $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $8,000 / $16,000 | $10,600 / $21,200 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 5000 $45 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $5,000 / $10,000 | $10,600 / $21,200 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 6000 $50 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $6,000 / $12,000 | $10,600 / $21,200 | Price & Details |
Anthem ICHRA Bronze Pathway HMO 4500 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $4,500 / $9,000 | $10,150 / $20,300 | Price & Details |
Anthem Bronze Pathway HMO 7500 $50 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $7,500 / $15,000 | $10,600 / $21,200 | Price & Details |
Anthem Bronze Pathway HMO 5000 $45 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $5,000 / $10,000 | $10,600 / $21,200 | Price & Details |
SoloCare Vitruvian Plus Bronze HMO $6800 40% by Alliant Health Plans | Bronze | $6,800 / $13,600 | $10,150 / $20,300 | Price & Details |
Anthem ICHRA Bronze Pathway HMO 4500 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $4,500 / $9,000 | $10,150 / $20,300 | Price & Details |
Connect Bronze HMO $0 $5500 $55 by Cigna Healthcare | Bronze | $0 / $0 | $10,150 / $20,300 | Price & Details |
Anthem ICHRA Bronze Pathway HMO 4500 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $4,500 / $9,000 | $10,150 / $20,300 | Price & Details |
Anthem Bronze Pathway HMO 7900 0% HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $7,900 / $15,800 | $7,900 / $15,800 | Price & Details |
Anthem Bronze Pathway HMO 6000 $50 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $6,000 / $12,000 | $10,600 / $21,200 | Price & Details |
Choice Bronze HSA HMO $7250 0% by Ambetter of Peach State Inc. | Bronze | $7,250 / $14,500 | $7,250 / $14,500 | Price & Details |
SoloCare Bronze HMO $8500 0% HSA by Alliant Health Plans | Bronze | $8,500 / $17,000 | $8,500 / $17,000 | Price & Details |
SoloCare Exp Bronze HMO $4000 50% by Alliant Health Plans | Bronze | $4,000 / $8,000 | $10,150 / $20,300 | Price & Details |
Anthem Bronze Pathway HMO 8000 50% $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $8,000 / $16,000 | $10,600 / $21,200 | Price & Details |
Connect myDiabetesCare Bronze HMO $4500 $25 by Cigna Healthcare | Bronze | $4,500 / $9,000 | $10,150 / $20,300 | Price & Details |
Connect Bronze HMO $7000 $50 HSA by Cigna Healthcare | Bronze | $7,000 / $14,000 | $8,300 / $16,600 | Price & Details |
Connect Bronze HMO $6500 $30 by Cigna Healthcare | Bronze | $6,500 / $13,000 | $10,600 / $21,200 | Price & Details |
Everyday Bronze HMO $8450 $40 + Vision + Adult Dental by Ambetter of Peach State Inc. | Bronze | $8,450 / $16,900 | $10,150 / $20,300 | Price & Details |
Connect Bronze HMO $8500 $40 by Cigna Healthcare | Bronze | $8,500 / $17,000 | $10,600 / $21,200 | Price & Details |
Clear Bronze HMO $9000 0% + Vision + Adult Dental by Ambetter of Peach State Inc. | Bronze | $9,000 / $18,000 | $9,000 / $18,000 | Price & Details |
Standard Expanded Bronze HMO $7500 $50 + Vision + Adult Dental by Ambetter of Peach State Inc. | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Clear Bronze HMO $9000 0% by Ambetter of Peach State Inc. | Bronze | $9,000 / $18,000 | $9,000 / $18,000 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 7900 0% HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $7,900 / $15,800 | $7,900 / $15,800 | Price & Details |
Ambetter Health Solutions Bronze HSA 6400 by Ambetter from Peach State Health Plan | Bronze | $6,400 / $12,800 | $8,050 / $16,100 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 7500 $50 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $7,500 / $15,000 | $10,600 / $21,200 | Price & Details |
SoloCare Exp Bronze HMO $6800 40% by Alliant Health Plans | Bronze | $6,800 / $13,600 | $10,150 / $20,300 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 6000 $50 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $6,000 / $12,000 | $10,600 / $21,200 | Price & Details |
Anthem ICHRA Bronze Pathway HMO 4500 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $4,500 / $9,000 | $10,150 / $20,300 | Price & Details |
Choice Bronze HSA HMO $7250 0% + Vision + Adult Dental by Ambetter of Peach State Inc. | Bronze | $7,250 / $14,500 | $7,250 / $14,500 | Price & Details |
Ambetter Health Solutions Bronze HSA 6400 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Bronze | $6,400 / $12,800 | $8,050 / $16,100 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 5000 $45 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $5,000 / $10,000 | $10,600 / $21,200 | Price & Details |
Ambetter Health Solutions Bronze 5000 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Bronze | $5,000 / $10,000 | $9,700 / $19,400 | Price & Details |
Bronze Elite Saver Plus HMO $0 $50 by Oscar Health Plan of Georgia | Bronze | $0 / $0 | $10,600 / $21,200 | Price & Details |
Ambetter Health Solutions Bronze 5000 by Ambetter from Peach State Health Plan | Bronze | $5,000 / $10,000 | $9,700 / $19,400 | Price & Details |
SoloCare Exp Bronze HMO $8000 50% by Alliant Health Plans | Bronze | $8,000 / $16,000 | $10,150 / $20,300 | Price & Details |
SoloCare Exp Bronze HMO $9500 50% by Alliant Health Plans | Bronze | $9,500 / $19,000 | $10,150 / $20,300 | Price & Details |
Bronze Simple MultiCondition Guided Care HMO $5500 $50 by Oscar Health Plan of Georgia | Bronze | $5,500 / $11,000 | $10,150 / $20,300 | Price & Details |
Bronze HSA HMO $8300 $0 Off Exchange by Oscar Health Plan of Georgia | Bronze | $8,300 / $16,600 | $8,300 / $16,600 | Price & Details |
Anthem Bronze Pathway Guided Access HMO 8000 50% $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $8,000 / $16,000 | $10,600 / $21,200 | Price & Details |
Bronze Classic Standard HMO $7500 $50 by Oscar Health Plan of Georgia | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Anthem Bronze Blue Value HMO 6000 40% HSA by Anthem Blue Cross and Blue Shield | Bronze | $6,000 / $12,000 | $8,300 / $16,600 | Price & Details |
Anthem Bronze Blue Value HMO 10600 $35 $0 Virtual PCP $0 Select Drugs by Anthem Blue Cross and Blue Shield | Bronze | $10,600 / $21,200 | $10,600 / $21,200 | Price & Details |
Bronze Simple 2 HMO $9150 10% by Oscar Health Plan of Georgia | Bronze | $9,150 / $18,300 | $10,150 / $20,300 | Price & Details |
Bronze Simple Diabetes HMO $5500 $50 by Oscar Health Plan of Georgia | Bronze | $5,500 / $11,000 | $10,150 / $20,300 | Price & Details |
Anthem Bronze Pathway PCP Copay Choice HMO 6000 $5 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Bronze | $6,000 / $12,000 | $10,600 / $21,200 | Price & Details |
Bronze Classic Saver Plus Guided Care HMO $8000 $0 by Oscar Health Plan of Georgia | Bronze | $8,000 / $16,000 | $10,150 / $20,300 | Price & Details |
Bronze HMO $3000 $75 Off Exchange by Oscar Health Plan of Georgia | Bronze | $3,000 / $6,000 | $10,150 / $20,300 | Price & Details |
Bronze Classic 4700 Guided Care HMO $4700 $70 by Oscar Health Plan of Georgia | Bronze | $4,700 / $9,400 | $9,600 / $19,200 | Price & Details |
Bronze Classic Saver Plus HMO $8000 $0 by Oscar Health Plan of Georgia | Bronze | $8,000 / $16,000 | $10,150 / $20,300 | Price & Details |
Buena Salud Bronce Estandar Clasico HMO $7500 $50 by Oscar Health Plan of Georgia | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Bronze Classic 4700 HMO $4700 $70 by Oscar Health Plan of Georgia | Bronze | $4,700 / $9,400 | $9,600 / $19,200 | Price & Details |
Bronze Classic Standard Guided Care HMO $7500 $50 by Oscar Health Plan of Georgia | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Anthem Bronze Blue Value HMO 5000 $30 $0 Virtual PCP $0 Select Drugs by Anthem Blue Cross and Blue Shield | Bronze | $5,000 / $10,000 | $10,600 / $21,200 | Price & Details |
Standard Expanded Bronze HMO $7500 $50 by Ambetter of Peach State Inc. | Bronze | $7,500 / $15,000 | $10,000 / $20,000 | Price & Details |
Everyday Bronze HMO $8450 $40 by Ambetter of Peach State Inc. | Bronze | $8,450 / $16,900 | $10,150 / $20,300 | Price & Details |
Connect Bronze HMO $7500 $30 by Cigna Healthcare | Bronze | $7,500 / $15,000 | $10,150 / $20,300 | Price & Details |
Bronze Simple Breathe Easy with Enhanced COPD Benefits HMO $5500 $50 by Oscar Health Plan of Georgia | Bronze | $5,500 / $11,000 | $10,150 / $20,300 | Price & Details |
Anthem ICHRA Silver Pathway HMO 6000 $40 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $6,000 / $12,000 | $9,200 / $18,400 | Price & Details |
Anthem Silver Pathway Guided Access HMO 3900 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $3,900 / $7,800 | $10,600 / $21,200 | Price & Details |
Standard Silver HMO $6000 $40 by Ambetter of Peach State Inc. | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Anthem Silver Pathway Guided Access HMO 6000 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $6,000 / $12,000 | $9,000 / $18,000 | Price & Details |
Ambetter Health Solutions Silver 5000 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Silver | $5,000 / $10,000 | $8,700 / $17,400 | Price & Details |
Ambetter Health Solutions Silver Copay HSA 4000 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Silver | $4,000 / $8,000 | $7,000 / $14,000 | Price & Details |
Silver Classic Standard Guided Care HMO $6000 $40 by Oscar Health Plan of Georgia | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Silver Elite Saver Plus HMO $0 $70 by Oscar Health Plan of Georgia | Silver | $0 / $0 | $9,100 / $18,200 | Price & Details |
Buena Salud Plateado Estandar Clasico HMO $6000 $40 by Oscar Health Plan of Georgia | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Anthem Silver Pathway Guided Access HMO 5000 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,000 / $10,000 | $9,750 / $19,500 | Price & Details |
Anthem ICHRA Silver Pathway HMO 5000 $50 HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,000 / $10,000 | $7,500 / $15,000 | Price & Details |
Ambetter Health Solutions Silver 3000 by Ambetter from Peach State Health Plan | Silver | $3,000 / $6,000 | $9,600 / $19,200 | Price & Details |
Ambetter Health Solutions Silver 5000 by Ambetter from Peach State Health Plan | Silver | $5,000 / $10,000 | $8,700 / $17,400 | Price & Details |
Silver Classic Virtual Guided Care HMO $4000 $0 by Oscar Health Plan of Georgia | Silver | $4,000 / $8,000 | $8,300 / $16,600 | Price & Details |
Ambetter Health Solutions Silver 1350 by Ambetter from Peach State Health Plan | Silver | $1,350 / $2,700 | $9,500 / $19,000 | Price & Details |
Ambetter Health Solutions Silver 4500 by Ambetter from Peach State Health Plan | Silver | $4,500 / $9,000 | $9,200 / $18,400 | Price & Details |
Silver MultiCondition Care HMO $3750 $30 Off Exchange by Oscar Health Plan of Georgia | Silver | $3,750 / $7,500 | $9,500 / $19,000 | Price & Details |
Connect Silver HMO $3700 $10 by Cigna Healthcare | Silver | $3,700 / $7,400 | $10,125 / $20,250 | Price & Details |
Anthem Silver Pathway Guided Access HMO 2800 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $2,800 / $5,600 | $10,150 / $20,300 | Price & Details |
Anthem Silver Pathway Guided Access HMO 3900 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $3,900 / $7,800 | $10,600 / $21,200 | Price & Details |
Anthem Silver Pathway Guided Access HMO 6000 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $6,000 / $12,000 | $9,000 / $18,000 | Price & Details |
Anthem Silver Pathway Guided Access HMO 5500 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,500 / $11,000 | $10,000 / $20,000 | Price & Details |
Focused Silver HMO $6300 $40 by Ambetter of Peach State Inc. | Silver | $6,300 / $12,600 | $8,400 / $16,800 | Price & Details |
Complete Silver HMO $5950 $30 by Ambetter of Peach State Inc. | Silver | $5,950 / $11,900 | $8,850 / $17,700 | Price & Details |
Focused Silver HMO $6300 $40 + Vision + Adult Dental by Ambetter of Peach State Inc. | Silver | $6,300 / $12,600 | $8,400 / $16,800 | Price & Details |
Silver Simple Saver HMO $5750 $10 by Oscar Health Plan of Georgia | Silver | $5,750 / $11,500 | $9,900 / $19,800 | Price & Details |
Complete Silver HMO $5950 $30 + Vision + Adult Dental by Ambetter of Peach State Inc. | Silver | $5,950 / $11,900 | $8,850 / $17,700 | Price & Details |
Silver Simple Women's Health with Menopause Benefits HMO $6000 $0 by Oscar Health Plan of Georgia | Silver | $6,000 / $12,000 | $10,150 / $20,300 | Price & Details |
Buena Salud Plateado HMO $3500 $40 (fuera del mercado) by Oscar Health Plan of Georgia | Silver | $3,500 / $7,000 | $9,500 / $19,000 | Price & Details |
Standard Silver HMO $6000 $40 + Vision + Adult Dental by Ambetter of Peach State Inc. | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Silver Classic Standard HMO $6000 $40 by Oscar Health Plan of Georgia | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Ambetter Health Solutions Silver Copay HSA 4000 by Ambetter from Peach State Health Plan | Silver | $4,000 / $8,000 | $7,000 / $14,000 | Price & Details |
Ambetter Health Solutions Silver HSA 4000 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Silver | $4,000 / $8,000 | $7,000 / $14,000 | Price & Details |
Anthem Silver Pathway Guided Access HMO 2800 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $2,800 / $5,600 | $10,150 / $20,300 | Price & Details |
Silver Simple Saver Guided Care HMO $5750 $10 by Oscar Health Plan of Georgia | Silver | $5,750 / $11,500 | $9,900 / $19,800 | Price & Details |
Silver Simple MultiCondition Guided Care HMO $5900 $0 by Oscar Health Plan of Georgia | Silver | $5,900 / $11,800 | $10,150 / $20,300 | Price & Details |
SoloCare Standard Off Silver PPO $6000 40% Chiro by Alliant Health Plans | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Silver HSA HMO $6000 $0 Off Exchange by Oscar Health Plan of Georgia | Silver | $6,000 / $12,000 | $8,300 / $16,600 | Price & Details |
Standard St. Joseph's Candler SELECT Silver HMO $6000 $40 by Ambetter of Peach State Inc. | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Standard Wellstar SELECT Silver HMO $6000 $40 by Ambetter of Peach State Inc. | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Silver HMO $3000 $60 Off Exchange by Oscar Health Plan of Georgia | Silver | $3,000 / $6,000 | $9,500 / $19,000 | Price & Details |
Ambetter Health Solutions Silver 4500 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Silver | $4,500 / $9,000 | $9,200 / $18,400 | Price & Details |
Clarity Wellstar SELECT Silver HMO $6300 $50 by Ambetter of Peach State Inc. | Silver | $6,300 / $12,600 | $10,600 / $21,200 | Price & Details |
Ambetter Health Solutions Silver HSA 4000 by Ambetter from Peach State Health Plan | Silver | $4,000 / $8,000 | $7,000 / $14,000 | Price & Details |
Ambetter Health Solutions Silver 3000 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Silver | $3,000 / $6,000 | $9,600 / $19,200 | Price & Details |
Clear Silver HMO $7000 $50 with $0 Insulin Options by Ambetter of Peach State Inc. | Silver | $7,000 / $14,000 | $7,000 / $14,000 | Price & Details |
Ambetter Health Solutions Silver 1350 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Silver | $1,350 / $2,700 | $9,500 / $19,000 | Price & Details |
Silver Simple Diabetes HMO $6500 $0 by Oscar Health Plan of Georgia | Silver | $6,500 / $13,000 | $10,000 / $20,000 | Price & Details |
Silver Simple HMO $5000 $20 by Oscar Health Plan of Georgia | Silver | $5,000 / $10,000 | $9,500 / $19,000 | Price & Details |
Anthem Silver Blue Value HMO 4500 $10 $0 Virtual PCP $0 Select Drugs by Anthem Blue Cross and Blue Shield | Silver | $4,500 / $9,000 | $10,450 / $20,900 | Price & Details |
Anthem Silver Blue Value HMO 6000 $10 $0 Virtual PCP $0 Select Drugs by Anthem Blue Cross and Blue Shield | Silver | $6,000 / $12,000 | $9,000 / $18,000 | Price & Details |
Anthem Silver Blue Value HMO 3500 $10 $0 Virtual PCP $0 Select Drugs by Anthem Blue Cross and Blue Shield | Silver | $3,500 / $7,000 | $10,600 / $21,200 | Price & Details |
Clarity St. Joseph's Candler SELECT Silver HMO $6300 $50 by Ambetter of Peach State Inc. | Silver | $6,300 / $12,600 | $10,600 / $21,200 | Price & Details |
Anthem Silver Pathway Guided Access HMO 6000 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $6,000 / $12,000 | $9,000 / $18,000 | Price & Details |
Anthem Silver Pathway Guided Access HMO 5500 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,500 / $11,000 | $10,000 / $20,000 | Price & Details |
Connect Silver HMO $5000 $5 by Cigna Healthcare | Silver | $5,000 / $10,000 | $9,900 / $19,800 | Price & Details |
Anthem Silver Pathway Guided Access HMO 2800 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $2,800 / $5,600 | $10,150 / $20,300 | Price & Details |
Anthem Silver Pathway Guided Access HMO 3900 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $3,900 / $7,800 | $10,600 / $21,200 | Price & Details |
Anthem Silver Pathway Guided Access HMO 5000 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,000 / $10,000 | $9,750 / $19,500 | Price & Details |
SoloCare Off Silver HMO $6500 40% by Alliant Health Plans | Silver | $6,500 / $13,000 | $9,600 / $19,200 | Price & Details |
Silver Simple Breathe Easy with Enhanced COPD Benefits HMO $6200 $0 by Oscar Health Plan of Georgia | Silver | $6,200 / $12,400 | $9,600 / $19,200 | Price & Details |
Anthem Silver Blue Value HMO 4000 $10 $0 Virtual PCP $0 Select Drugs by Anthem Blue Cross and Blue Shield | Silver | $4,000 / $8,000 | $10,150 / $20,300 | Price & Details |
Anthem ICHRA Silver Pathway HMO 3000 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $3,000 / $6,000 | $10,150 / $20,300 | Price & Details |
Connect myDiabetesCare Silver HMO $2700 $15 by Cigna Healthcare | Silver | $2,700 / $5,400 | $10,150 / $20,300 | Price & Details |
Connect Silver HMO $7000 $5 by Cigna Healthcare | Silver | $7,000 / $14,000 | $9,925 / $19,850 | Price & Details |
Anthem Silver Pathway PCP Copay Choice HMO 4500 $5 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $4,500 / $9,000 | $9,900 / $19,800 | Price & Details |
SoloCare Silver HMO $6000 30% by Alliant Health Plans | Silver | $6,000 / $12,000 | $10,150 / $20,300 | Price & Details |
SoloCare Off Silver HMO $5000 60% by Alliant Health Plans | Silver | $5,000 / $10,000 | $9,200 / $18,400 | Price & Details |
Anthem ICHRA Silver Pathway HMO 6000 $40 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $6,000 / $12,000 | $9,200 / $18,400 | Price & Details |
Clarity Silver HMO $6300 $50 by Ambetter of Peach State Inc. | Silver | $6,300 / $12,600 | $10,600 / $21,200 | Price & Details |
SoloCare Silver Off PPO $6000 30% Chiro by Alliant Health Plans | Silver | $6,000 / $12,000 | $10,150 / $20,300 | Price & Details |
Anthem Silver Pathway Guided Access HMO 5500 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,500 / $11,000 | $10,000 / $20,000 | Price & Details |
Anthem ICHRA Silver Pathway HMO 6000 $40 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $6,000 / $12,000 | $9,200 / $18,400 | Price & Details |
Anthem ICHRA Silver Pathway HMO 3000 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $3,000 / $6,000 | $10,150 / $20,300 | Price & Details |
Anthem ICHRA Silver Pathway HMO 5000 $50 HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,000 / $10,000 | $7,500 / $15,000 | Price & Details |
Anthem ICHRA Silver Pathway HMO 3000 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $3,000 / $6,000 | $10,150 / $20,300 | Price & Details |
Anthem ICHRA Silver Pathway HMO 5000 $50 HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,000 / $10,000 | $7,500 / $15,000 | Price & Details |
SoloCare Vitruvian Plus Silver HMO $6500 40% by Alliant Health Plans | Silver | $6,500 / $13,000 | $9,600 / $19,200 | Price & Details |
SoloCare Standard Off Silver HMO $6000 40% by Alliant Health Plans | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Standard Gwinnett Clinic SELECT Silver HMO $6000 $40 by Ambetter of Peach State Inc. | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
SoloCare Off Silver PPO $6500 40% Chiro by Alliant Health Plans | Silver | $6,500 / $13,000 | $9,600 / $19,200 | Price & Details |
Clarity Gwinnett Clinic SELECT Silver HMO $6300 $50 by Ambetter of Peach State Inc. | Silver | $6,300 / $12,600 | $10,600 / $21,200 | Price & Details |
SoloCare Off Silver PPO $5000 40% Chiro by Alliant Health Plans | Silver | $5,000 / $10,000 | $9,200 / $18,400 | Price & Details |
SoloCare Standard Silver HMO $6000 40% by Alliant Health Plans | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Anthem ICHRA Silver Pathway HMO 6000 $40 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $6,000 / $12,000 | $9,200 / $18,400 | Price & Details |
Anthem ICHRA Silver Pathway HMO 5000 $50 HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,000 / $10,000 | $7,500 / $15,000 | Price & Details |
SoloCare Standard Silver PPO $6000 40% Chiro by Alliant Health Plans | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
SoloCare Silver HMO $5000 40% by Alliant Health Plans | Silver | $5,000 / $10,000 | $9,200 / $18,400 | Price & Details |
Anthem ICHRA Silver Pathway HMO 3000 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $3,000 / $6,000 | $10,150 / $20,300 | Price & Details |
Standard Plus SELECT Silver HMO $6000 $40 by Ambetter of Peach State Inc. | Silver | $6,000 / $12,000 | $8,900 / $17,800 | Price & Details |
Clarity Plus SELECT Silver HMO $6300 $50 by Ambetter of Peach State Inc. | Silver | $6,300 / $12,600 | $10,600 / $21,200 | Price & Details |
Anthem Silver Pathway Guided Access HMO 5000 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,000 / $10,000 | $9,750 / $19,500 | Price & Details |
SoloCare Silver HMO $6500 40% by Alliant Health Plans | Silver | $6,500 / $13,000 | $9,600 / $19,200 | Price & Details |
SoloCare Silver PPO $6500 40% Chiro by Alliant Health Plans | Silver | $6,500 / $13,000 | $9,600 / $19,200 | Price & Details |
SoloCare Silver PPO $5000 40% Chiro by Alliant Health Plans | Silver | $5,000 / $10,000 | $9,200 / $18,400 | Price & Details |
Anthem Silver Pathway HMO 3900 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $3,900 / $7,800 | $10,600 / $21,200 | Price & Details |
Anthem Silver Pathway HMO 5000 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,000 / $10,000 | $9,750 / $19,500 | Price & Details |
Anthem Silver Pathway HMO 5500 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $5,500 / $11,000 | $10,000 / $20,000 | Price & Details |
Anthem Silver Pathway HMO 6000 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $6,000 / $12,000 | $9,000 / $18,000 | Price & Details |
Anthem Silver Pathway HMO 2800 $10 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Silver | $2,800 / $5,600 | $10,150 / $20,300 | Price & Details |
Anthem ICHRA Gold Pathway HMO 1500 $20 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $1,500 / $3,000 | $6,500 / $13,000 | Price & Details |
Ambetter Health Solutions Gold 3500 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Gold | $3,500 / $7,000 | $7,250 / $14,500 | Price & Details |
SoloCare Gold PPO $1000 20% Chiro by Alliant Health Plans | Gold | $1,000 / $2,000 | $7,500 / $15,000 | Price & Details |
SoloCare Gold HMO $500 20% by Alliant Health Plans | Gold | $500 / $1,000 | $6,000 / $12,000 | Price & Details |
SoloCare Gold HMO $1000 20% by Alliant Health Plans | Gold | $1,000 / $2,000 | $7,500 / $15,000 | Price & Details |
Anthem Gold Pathway HMO 1350 $20 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $1,350 / $2,700 | $9,600 / $19,200 | Price & Details |
Anthem ICHRA Gold Pathway HMO 2000 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $2,000 / $4,000 | $6,500 / $13,000 | Price & Details |
Ambetter Health Solutions Gold 0 by Ambetter from Peach State Health Plan | Gold | $0 / $0 | $8,500 / $17,000 | Price & Details |
SoloCare Gold HMO $1500 30% by Alliant Health Plans | Gold | $1,500 / $3,000 | $8,500 / $17,000 | Price & Details |
Standard Plus SELECT Gold HMO $2000 $30 by Ambetter of Peach State Inc. | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Standard Gold HMO $2000 $30 by Ambetter of Peach State Inc. | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Anthem Gold Pathway Guided Access HMO 1350 $20 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $1,350 / $2,700 | $9,600 / $19,200 | Price & Details |
Gold HSA HMO $3750 $0 Off Exchange by Oscar Health Plan of Georgia | Gold | $3,750 / $7,500 | $8,300 / $16,600 | Price & Details |
Elite Gold HMO $0 $5 + Vision + Adult Dental by Ambetter of Peach State Inc. | Gold | $0 / $0 | $6,500 / $13,000 | Price & Details |
Anthem ICHRA Gold Pathway HMO 1500 $20 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $1,500 / $3,000 | $6,500 / $13,000 | Price & Details |
Ambetter Health Solutions Gold 0 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Gold | $0 / $0 | $8,500 / $17,000 | Price & Details |
Standard Gwinnett Clinic SELECT Gold HMO $2000 $30 by Ambetter of Peach State Inc. | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Complete Gold HMO $1450 $15 + Vision + Adult Dental by Ambetter of Peach State Inc. | Gold | $1,450 / $2,900 | $7,500 / $15,000 | Price & Details |
Ambetter Health Solutions Gold 1500 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Gold | $1,500 / $3,000 | $6,500 / $13,000 | Price & Details |
Anthem Gold Pathway PCP Copay Choice HMO 1200 $5 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $1,200 / $2,400 | $10,600 / $21,200 | Price & Details |
Ambetter Health Solutions Gold 1500 by Ambetter from Peach State Health Plan | Gold | $1,500 / $3,000 | $6,500 / $13,000 | Price & Details |
Anthem ICHRA Gold Pathway HMO 2000 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $2,000 / $4,000 | $6,500 / $13,000 | Price & Details |
Anthem Gold Pathway Guided Access HMO 1350 $20 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $1,350 / $2,700 | $9,600 / $19,200 | Price & Details |
Ambetter Health Solutions Gold 2500 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Gold | $2,500 / $5,000 | $6,000 / $12,000 | Price & Details |
Everyday Gold HMO $800 $35 + Vision + Adult Dental by Ambetter of Peach State Inc. | Gold | $800 / $1,600 | $7,250 / $14,500 | Price & Details |
Anthem ICHRA Gold Pathway HMO 3400 0% HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $3,400 / $6,800 | $7,500 / $15,000 | Price & Details |
SoloCare Gold PPO $1500 30% Chiro by Alliant Health Plans | Gold | $1,500 / $3,000 | $8,500 / $17,000 | Price & Details |
Anthem ICHRA Gold Pathway HMO 1500 $20 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $1,500 / $3,000 | $6,500 / $13,000 | Price & Details |
Ambetter Health Solutions Gold 2500 by Ambetter from Peach State Health Plan | Gold | $2,500 / $5,000 | $6,000 / $12,000 | Price & Details |
Anthem ICHRA Gold Pathway HMO 2000 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $2,000 / $4,000 | $6,500 / $13,000 | Price & Details |
Anthem ICHRA Gold Pathway HMO 3400 0% HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $3,400 / $6,800 | $7,500 / $15,000 | Price & Details |
SoloCare Gold PPO $500 20% Chiro by Alliant Health Plans | Gold | $500 / $1,000 | $6,000 / $12,000 | Price & Details |
Anthem ICHRA Gold Pathway HMO 3400 0% HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $3,400 / $6,800 | $7,500 / $15,000 | Price & Details |
Complete Gold HMO $1450 $15 by Ambetter of Peach State Inc. | Gold | $1,450 / $2,900 | $7,500 / $15,000 | Price & Details |
Elite Gold HMO $0 $5 by Ambetter of Peach State Inc. | Gold | $0 / $0 | $6,500 / $13,000 | Price & Details |
Gold Elite Saver Plus HMO $1000 $10 by Oscar Health Plan of Georgia | Gold | $1,000 / $2,000 | $8,500 / $17,000 | Price & Details |
Anthem ICHRA Gold Pathway HMO 1500 $20 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $1,500 / $3,000 | $6,500 / $13,000 | Price & Details |
Anthem ICHRA Gold Pathway HMO 3400 0% HSA by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $3,400 / $6,800 | $7,500 / $15,000 | Price & Details |
Standard Gold HMO $2000 $30 + Vision + Adult Dental by Ambetter of Peach State Inc. | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Anthem Gold Blue Value HMO 2550 $10 $0 Virtual PCP $0 Select Drugs by Anthem Blue Cross and Blue Shield | Gold | $2,550 / $5,100 | $8,400 / $16,800 | Price & Details |
Gold HMO $2000 $30 Off Exchange by Oscar Health Plan of Georgia | Gold | $2,000 / $4,000 | $8,500 / $17,000 | Price & Details |
Ambetter Health Solutions Gold 3000 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Gold | $3,000 / $6,000 | $5,000 / $10,000 | Price & Details |
Ambetter Health Solutions Gold 3500 by Ambetter from Peach State Health Plan | Gold | $3,500 / $7,000 | $7,250 / $14,500 | Price & Details |
Anthem Gold Pathway Guided Access HMO 1350 $20 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $1,350 / $2,700 | $9,600 / $19,200 | Price & Details |
Gold Classic Standard HMO $2000 $30 by Oscar Health Plan of Georgia | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Ambetter Health Solutions Gold 3000 by Ambetter from Peach State Health Plan | Gold | $3,000 / $6,000 | $5,000 / $10,000 | Price & Details |
Connect Gold HMO $2000 $10 by Cigna Healthcare | Gold | $2,000 / $4,000 | $7,000 / $14,000 | Price & Details |
Standard Wellstar SELECT Gold HMO $2000 $30 by Ambetter of Peach State Inc. | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Standard St. Joseph's Candler SELECT Gold HMO $2000 $30 by Ambetter of Peach State Inc. | Gold | $2,000 / $4,000 | $8,200 / $16,400 | Price & Details |
Clear Gold HMO $1200 $25 by Ambetter of Peach State Inc. | Gold | $1,200 / $2,400 | $9,150 / $18,300 | Price & Details |
Clear Gold HMO $1200 $25 + Vision + Adult Dental by Ambetter of Peach State Inc. | Gold | $1,200 / $2,400 | $9,150 / $18,300 | Price & Details |
Everyday Gold HMO $800 $35 by Ambetter of Peach State Inc. | Gold | $800 / $1,600 | $7,250 / $14,500 | Price & Details |
Anthem ICHRA Gold Pathway HMO 2000 $30 $0 Virtual PCP $0 Select Drugs by Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. | Gold | $2,000 / $4,000 | $6,500 / $13,000 | Price & Details |
Ambetter Health Solutions Platinum 300 by Ambetter from Peach State Health Plan | Platinum | $300 / $600 | $4,000 / $8,000 | Price & Details |
Ambetter Health Solutions Platinum 0 by Ambetter from Peach State Health Plan | Platinum | $0 / $0 | $5,000 / $10,000 | Price & Details |
Ambetter Health Solutions Platinum 0 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Platinum | $0 / $0 | $5,000 / $10,000 | Price & Details |
Ambetter Health Solutions Platinum 300 + Vision + Adult Dental by Ambetter from Peach State Health Plan | Platinum | $300 / $600 | $4,000 / $8,000 | Price & Details |
SoloCare Standard Platinum HMO $0 0% by Alliant Health Plans | Platinum | $0 / $0 | $5,200 / $10,400 | Price & Details |
SoloCare Standard Platinum PPO $0 0% Chiro by Alliant Health Plans | Platinum | $0 / $0 | $5,200 / $10,400 | Price & Details |
SoloCare Platinum PPO $1000 20% Chiro by Alliant Health Plans | Platinum | $1,000 / $2,000 | $1,500 / $3,000 | Price & Details |
SoloCare Platinum HMO $1000 20% by Alliant Health Plans | Platinum | $1,000 / $2,000 | $1,500 / $3,000 | Price & Details |
Help with Obamacare & Off-Exchange Plans Sign Up
After using a subsidy tax credit, you may be eligible for Obamacare plans as low as $0.
Licensed insurance agents at our trusted partner help people apply for a subsidy and sign up for Obamacare plans available on healthcare.gov or other State exchange marketplaces.
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Learn More About Obamacare and Off-Exchange Plans in Georgia
What are Obamacare Health Insurance Plans?
Obamacare health insurance plans are plans which are eligible for reduced costs with a subsidy tax credit. Obamacare plans are only offered through the federal government exchange marketplace healthcare.gov or some States have their own exchange marketplace website. Although plans are only offered through the exchange marketplaces, the federal government allows certified brokers, agents, and web brokers to help you enroll in an Obamacare plan and apply for a subsidy.
What are Off-Exchange Health Insurance Plans?
Off-Exchange health insurance plans are plans which are available outside of the federal government exchange marketplaces. Off-Exchange plans existed before Obamacare. For example, if someone did not have access to a health insurance plan through work, they may have purchased an Off-Exchange plan offered on the Individual Market.
You can enroll in an Off-Exchange plan through a broker, agent, web broker, or by contacting the insurance company directly.
What’s the difference between Obamacare plans and Off-Exchange plans?
The main difference between Obamacare plans and Off-Exchange plans is that only Obamacare plans are eligible for a subsidy tax credit to reduce costs.
Otherwise there are not many other differences between Obamacare plans and Off-Exchange plans. Plan design, coverage, and rates are similar and both sets of plans must adhere to federal government regulations. In fact, there are many plans which are available as both Obamacare plans and as Off-Exchange plans.
Can a plan be both an Obamacare and Off-Exchange plan?
Yes, a plan can be available as both an Obamacare and an Off-Exchange plan.
On the other hand, some plans are only offered as Obamacare plans while other plans are only offered as Off-Exchange plans.
Do plans which are both Obamacare and Off-Exchange plans cost the same price?
Yes, by law a plan which is offered as both an Obamacare plan and an Off-Exchange plan must be sold at the same price. In addition, broker, agents, and web brokers are required to sell plans at the same market price. However, keep in mind that only Obamacare plans are eligible for a subsidy to reduce the monthly premium price.
Who is eligible for Obamacare and Off-Exchange plans?
Technically everyone is eligible for Obamacare plans and Off-Exchange plans. The real question is - who is eligible for a subsidy tax credit? - which can only be used to reduce the costs of Obamacare plans. Note that even if you are not eligible for a subsidy tax credit, you are still allowed to purchase an Obamacare plan at the full price.
What is the Obamacare Subsidy (Tax Credit)?
The Obamacare subsidy is really a tax credit, and it is formally known as the Advanced Premium Tax Credit (APTC). Typically people receive a tax credit at the end of the year when filing taxes, but this tax credit can be received “in advance”, during the year, to reduce the monthly premium costs of an Obamacare health insurance plan.
You must complete an official federal government application to learn your subsidy amount. Everyone’s amount will be different. The calculation for the subsidy amount can be quite complicated. It is based on several different factors, but household income is the main factor. We recommend using our tool to estimate your subsidy amount.
Search Obamacare plans and estimate subsidy amount
Who is eligible to receive an Obamacare Subsidy (Tax Credit)
To be eligible for a subsidy to reduce the monthly premium costs of Obamacare plans, you must meet the following requirements.
- Income requirements based on household size and household income. As examples, earn less than $48,240 for an individual and less than $98,400 for a family of four
- Not eligible for other federal government sponsored insurance, such as Medicare or Medicaid
- Do not have access to a health insurance plan from your employer which meet federal government coverage and affordability requirements
- File taxes or be claimed as a spouse or dependent on taxes. Married couples are required to file taxes jointly.
- Not be incarcerated
- Be legally present in the United States
Why should I consider Off-Exchange plans?
Off-Exchange plans may provide you with additional options compared to available Obamacare plans. If you are not eligible for a subsidy, or only eligible for a small subsidy amount, Off-Exchange plans may still be an affordable option for you.
A second reason for considering Off-Exchange plans is that your favorite doctor may only accept a plan which is available as an Off-Exchange plan. We recommend researching provider networks when considering health insurance plans. We provide links to official provider directories, or doctor lookups, on Health Plan Radar.
In addition, some health insurance companies have been leaving the Obamacare plan market, but they may still offer Off-Exchange plans. Your preferred insurance company may still offer plans on the Off-Exchange market.
How do I choose an Obamacare plan or Off-Exchange plan which is best for me and my family?
There are several health insurance concepts you should understand before choosing a plan that’s best for you, including premium price, out-of-pocket costs, deductibles, and plan metal levels. Visit our choosing a plan FAQ page to learn more.
FAQs - Choosing an Obamacare or Off-Exchange Health Insurance Plan