Why is Georgia different from Florida and Texas?
Florida and Texas use HealthCare.gov. Georgia moved to its own state marketplace, Georgia Access, for the 2025 coverage year. If you used HealthCare.gov in the past, or a friend in another state gives you advice based on HealthCare.gov, the steps and the website are different here.
Georgia Access sets its own cutoffs. On HealthCare.gov a plan chosen by December 15 starts January 1, so confirm the cutoff for a January 1 start on georgiaaccess.gov before you wait. People with a qualifying life event can enroll outside open enrollment through a Special Enrollment Period.
Is Medicaid available in Atlanta?
Georgia has not expanded Medicaid. Georgia Pathways to Coverage offers Medicaid to adults with income up to the poverty line who log 80 hours a month of work, school, job training or volunteering. Federal law changes the Pathways rules on January 1, 2027, and current members are affected at their 2027 renewal.
If your income is below the poverty line and you do not qualify for Medicaid, marketplace tax credits generally are not available either. If your income is at least the poverty line you may qualify for credits on Georgia Access.
What changes for 2027?
- Cigna is leaving the Georgia marketplace. Cigna offers marketplace plans in 11 states in 2026 and none in 2027.
- Insurers proposed a median increase of about 15% nationwide for 2027, according to KFF. Georgia's own filings can differ, so compare actual prices.
- The enhanced premium tax credits expired after 2025, so many people pay more than in earlier years. Update your income and household on your application.
- Check that your doctors and hospitals are in the network of the specific 2027 plan you choose.
What do the numbers look like for Atlanta and Fulton County?
| Measure | Atlanta city | Fulton County |
|---|---|---|
| Population | 529,110 | 1,098,791 |
| Age 65 or older | 12.3% | 13.9% |
| Language other than English at home | 12.2% | 17.7% |
| People under 65 without health insurance | 11.3% | 11.0% |
About one in eight Atlanta residents speaks a language other than English at home, so most Atlanta applicants can use the English application.
What should people with Medicare in Atlanta know?
Medicare dates are the same in every state: the annual enrollment period is October 15 to December 7, 2026. Georgia requires insurers to offer Medigap plans to people under 65 who have Medicare because of a disability. GeorgiaCares, the state's free Medicare counseling program, can answer questions without a sales pitch.
Health Insurance Solutions agents are licensed in 22 states and help by phone and online. Marketplace plans cost the same with or without an agent, so the comparison does not add to your premium.
See our Individual & Family plans
Major medical coverage for you and your household, with subsidies applied where you qualify.2027 health insurance subsidy calculator
Enter your state, household size and income to see your 2027 expected premium, your savings and whether Medicaid may apply.Health insurance in Georgia
Marketplace, Medicaid and Medicare rules for the whole state.We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
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