What Is a Health Insurance Exchange?

Health Insurance Exchange
What Is a Health Insurance Exchange?

As part of the recent health-care reform bill, health insurance exchanges will become available in 2014. Learn what a health insurance exchange is, and how it might benefit you.

Health Care and Education Reconciliation Act
With the Health Care and Education Reconciliation Act of 2010 come many changes to the way health insurance is provided, purchased, and paid for. The Act will touch just about every American in one way or another at some point in time—some provisions of the bill are immediate and others take effect in the coming years. One of the changes that will take place in 2014 is also one of the most controversial: the requirement for citizens to purchase health insurance. To help accomplish this, health insurance exchanges will be established. But what is a health insurance exchange, who runs it, and who benefits from it?

Health Insurance Exchange Explained
The concept of health insurance exchanges isn’t new—two states (Utah and Massachusetts) already have them. But beginning January 1, 2014, all Americans will have access to an exchange. Health insurance exchanges are a place to comparison shop for private health insurance plans. Essentially, they are meant to be cooperatives that enable purchasers to band together, spread their risk pool, and have a choice of a variety of plans.

Exchanges do not offer their own health insurance plans, but instead review policies offered on the exchange to determine if they meet government standards and are “in the interest” of potential buyers. They do not set premiums, but can help keep costs low by removing plans from the exchange due to rate hikes.

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