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ACA Question

George KGeorge K Super ModeratorPosts: 10,500 Senior Member
Serious question: If the exchanges are by state why is the issue about counties with no coverage (and how would it work in states where there are no counties, or where they are just lines on a historical map with no political or administrative functions, like CT)?
Keep your stinkin' government hands off my Medicare.

Replies

  • Green Mt BoyGreen Mt Boy Senior Member Posts: 1,076 Senior Member
    Apparently insurers participating in the exchanges can elect to offer health plans on a county by county basis. Must be that the risk profile of the population in certain counties scares them away. Just speculating.
  • StevenSteven Senior Member Posts: 4,214 Senior Member
    Never heard of a state with no real counties.

    GMB is correct.
  • George KGeorge K Super Moderator Posts: 10,500 Senior Member
    Steven wrote: »
    Never heard of a state with no real counties.
    GMB is correct.

    Thanks to both for the ACA clarification.

    Connecticut has counties only in the historical sense - you can find them on some maps but they ceased to be political/administrative entities in 1960, replaced by municipalities, mostly "cities" and "towns".
    Keep your stinkin' government hands off my Medicare.
  • fishingcomicfishingcomic Senior Member Posts: 25,524 Senior Member
    Apparently insurers participating in the exchanges can elect to offer health plans on a county by county basis. Must be that the risk profile of the population in certain counties scares them away. Just speculating.

    This sounds suspiciously like redlining.
    'I've spoken of the Shining City all my political life. …In my mind it was a tall, proud city built on rocks stronger than oceans, windswept, God-blessed, and teeming with people of all kinds living in harmony and peace; a city with free ports that hummed with commerce and creativity. And if there had to be city walls, the walls had doors and the doors were open to anyone with the will and the heart to get here. That's how I saw it, and see it still.'" Ronald Reagan

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