The top ten consumer Frequently Asked Questions (FAQs) are listed below. If you do not see the answer to your question, click here for a comprehensive list of topics and answers.
How can Georgians enroll in health insurance coverage through Georgia Access for Open Enrollment (OE) 2025?
Starting November 1, 2024, Georgians can enroll in coverage through one of multiple enrollment options on Georgia Access, including: certified agents, web brokers, insurance companies, and the Georgia Access consumer portal. Regardless of how the consumer applies, their information is sent and stored in the Georgia Access Eligibility and Enrollment System and they are enrolled in Georgia Access coverage.
Is Georgia Access the same as Georgia Pathways to CoverageTM?
No, Georgia Access is a separate health insurance program. Georgia Pathways to CoverageTM is a Medicaid program. To learn more about Georgia Pathways, Georgians can visit DCH.Georgia.gov/georgiapathways.
Are plan prices the same for Georgians who enroll with an agent or web broker compared to enrolling directly through GeorgiaAccess.gov?
Regardless of how someone enrolls, all plan prices are the same.
Can Georgia Access help Georgians if they recently lost Medicaid?
Before Open Enrollment (OE) 2025, which starts on November 1, Georgians can visit HealthCare.gov to see if they qualify for health coverage through a Special Enrollment Period (SEP). If they qualify, they must enroll before October 31st, 2024. During OE 2025, Georgians can visit GeorgiaAccess.gov to learn more about their coverage options and see if they qualify for financial assistance.
How can Georgians who are currently uninsured get coverage?
Before Open Enrollment (OE) 2025, which starts on November 1, consumers can visit HealthCare.gov to see if they qualify for health coverage through a Special Enrollment Period (SEP). If they qualify, they must enroll before November 30, 2024, for PY 2024 coverage. During OE 2025, consumers can visit GeorgiaAccess.gov to learn more about their coverage options and see if they qualify for financial assistance.
How will a State-based Exchange (SBE) benefit Georgians?
Transitioning to a State-based Exchange (SBE) will enable the state to bring an innovative approach to reducing the number of uninsured Georgians, empower the state to make better decisions to serve Georgians, and, ultimately, improve the shopping and enrollment experience for consumers.
Where should Georgians be directed to if they have questions related to Georgia Access?
For questions about Georgia Access, consumers should contact the Georgia Access contact center at 888-687-1503 (TTY Line 711). During Open Enrollment, the contact center is available Monday – Friday 8 AM – 8 PM ET, and Saturday – Sunday 10 AM – 2 PM ET.
When Georgia transitions to a State-based Exchange (SBE), what happens to Georgians who were previously enrolled through HealthCare.gov?
When Georgia transitions to a State-based Exchange (SBE) in the fall of 2024, consumers who are enrolled in plans through HealthCare.gov for Plan Year (PY) 2024 will be automatically migrated to Georgia Access and re-enrolled into their same plans ahead of Open Enrollment (OE) 2025. Consumers will be notified of the migration and auto re-enrollment. If their insurance company is not offering the same plan for PY 2025, they will be enrolled in a similar plan. During OE, consumers may choose to keep their plan or enroll in a new plan of their choice.
What other health coverage options are available to Georgians who are not eligible for Georgia Access?
Individuals in Georgia who are not eligible for Georgia Access may be eligible for other state health coverage programs such as Medicaid, PeachCare for Kids®, or Georgia Pathways to Coverage™. Georgians may also be eligible for Medicare and/or COBRA.
If individuals already receive insurance through their employer, can they continue to do that through Georgia Access?
Neither Georgia Access nor HealthCare.gov can assist individuals with employer-provided coverage. For questions about coverage options, individuals should contact their employer.
What are Quality Ratings?
Each rated health plan has an overall “star rating” from 1 – 5 stars (5 is the highest performing health plan). A health plan’s overall rating is based on the quality of health care services and members’ experiences with their health plan. You’ll find this overall rating for the health plan and additional ratings for each of these 3 categories:
- Member experiance
- Medical care
- Plan administration
Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans in 2024. The ratings are being displayed for health plans for the 2025 plan year. Learn more about these ratings.