ACA Question

George K

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)?

Green Mt Boy

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.

Steven

Never heard of a state with no real counties.

GMB is correct.

George K

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".

fishingcomic

Green Mt Boy wrote: »

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.