Individual Plan Coverage

Premiums, co-pays and OOP MAX are based on your income, age and household size. 

To qualify for a Healthcare Marketplace Plan, you must be Employed or Self-Employed, Be A U.S citizen, and file your Tax returns Annually. Your Application must match your TAX RETURN FILINGS 

For Example, if you and your spouse need an Affordable Healthcare Plan, both of your names, SS#, DOB, and INCOME AMOUNT and Source of income must be included on the application. If you and your Spouse claim Dependents under age 18 on your Tax return, your Dependent names and dob must also be included on the Application, even if they already have affordable coverage through GA Medicaid or Peachcare form Kids, which helps because it increases your HH size and lowers your health insurance premium. 

However, if your dependent/child/children are between the ages of 18-27 they can receive health coverage through the Marketplace on you and your spouse's plan. 

HEALTH INSURANCE CARRIER LIST FOR GEORGIA 2026:

Alliant Health, Ambetter, Kaiser Permanente, Anthem Blue Cross Blue Shield, Cigna (in select counties) 

ENROLLMENT PERIOD FOR INDIVIDUAL HEALTH PLAN

OPEN ENROLLMENT ACA PLANS GA ACCESS and HEALTHCARE MARKETPLACE FOR 2026 IS OVER and 2027 Open Enrollment Starts November 1, 2026

Only those who have a Life Qualifying Event Can Enroll in a Plan Effective OCT 2026

  We offer Employer Group Health Plans Year -Round. 

To Qualify for Group Coverage, the Employer must have at least 3 /W-2 employees, contribute 50% of the total employee health premium. Premium rates for Group Employer Plans are based on Age and Zip code

GA Group Carriers: 

Humana, Aetna, United Healthcare, Kaiser & Anthem BCBS.

Employer plan enrollments are initiated by the employers on behalf of the employees of the company by submitting a Spreadsheet that includes the Employee Name, Email, DOB, Address, Monthly Income.

 The employers are responsible for choosing the carrier and the plan for employees. 

The employer is also responsible for paying a minimum of 50% of the employees' health insurance premium. 

These plans are ideal for companies that have 20 or more employees.

THE SPECIAL ENROLLMENT PERIOD FOR MEDICARE RECIPIENTS IS FOR THOSE WHO BECOME ELIGIBLE FOR MEDICARE PART A AND B THROUGH SPECIFIC MEDICAL CONDITIONS, A QUALIFIED DISABILITY OR AT THE TIME THEY TURN AGE 65 (CENTERS FOR MEDICARE & MEDICAID SERVICES "CMS" SENDS OUT THE INITIAL MEDICARE CARDIN A WELCOME PACKAGE 3-MONTHS BEFORE 65TH BIRTHDAY OR 25TH MONTH OF DISABILITY

YOU CAN VIEW SAVE AND PRINT OFFICIAL COPY OF MEDICARE CARDBY LOGGING IN TO YOUR HTTPS://WWW.MEDICARE.GOV

OPEN ENROLLMENT FOR MEDICARE RECIPIENTS THAT ARE ELIGIBLE FOR MEDICARE PART A & B IS OCT 15, 2026-DECEMBER 7, 2026. DURING THIS TIME, YOU CAN SWITCH YOUR PLAN FROM ORIGINAL MEDICARE TO A MEDICARE ADVANTAGE PLAN OR VICE VERSA, JOIN/DROP/ OR SWITCH MEDICARE ADVANTAGE NPLAN (PARTC) 0R A NSTAND NALONE PRESCIPTION DRUG PLAN (PART D)

AND COMPARE CURRENT PLANS COST, COVERAGE AND PROVIDER NETWORK 

2026 MEDICARE ADVANTAGE PLAN CARRIERS FOR GA 

KAISER PERMANENTE * HEALTH SPRING * UNITED HEALTHCARE * HUMANA * AETNA * WELLCARE 

To Become Dually Eligible for both Medicare & Medicaid you must either be :

1, You receive SSI Cash Assistance from SSA & you are under the SSI Income & Asset Threshold

2. You are Age 65 or older or legally blind, disabled & need help with medical bills or long-term care and must meet State income/asset limits set by GA DFCS

3. Your Eligible for the Medicare Savings program that pays Medicare Premiums, deductibles, and coinsurance they are either QMB (Qualified Medicare Beneficiary, pays Part A/B premium & Cost-Sharing or SLMB (Specified low-income Medicare beneficiary) Pays Part B Premiums, QI (Qualifying Individual) Pays Part B premiums

Apply through 

https://medicaid.georgia.gov

Call 1-877-423-4746