Health insurance in Georgia, 2027
Georgia left HealthCare.gov for its own marketplace, and its Medicaid for adults comes with work rules. Here is how both work.
Last checked October 16, 2026 · Written by licensed advisors · Sources are numbered and listed under Notes and sources
Georgia has its own marketplace
Since the 2025 plan year, Georgians buy Marketplace plans through Georgia Access instead of HealthCare.gov. You can apply there yourself, and we can walk you through your options and the application. The federal tax credit and the plan rules are the same.
For 2026 coverage, 1,301,254 Georgians picked a Marketplace plan, the second-largest state-run marketplace after California.12
- Marketplace
- Georgia Access
- 2026 plan selections
- 1,301,254
- Medicaid for adults
- Georgia Pathways, up to 100% of the poverty level, with work rules
The dates for 2027
Open enrollment for 2027 starts November 1, 2026. Georgia Access has not published its 2027 deadlines yet, including the last day to choose a plan that starts January 1. We will post them here as soon as it does.2
- November 1, 2026Open enrollment for 2027 starts (key step)
- January 1, 20272027 coverage starts for plans chosen by the Georgia Access deadline
Georgia Pathways: Medicaid with work rules
Who it affects: Adults with income up to the poverty level.
Georgia did not expand Medicaid in the usual way. Instead, Georgia Pathways covers adults with income up to 100% of the poverty level who meet a work, school, job-training or volunteering requirement, or an exemption.
The program runs under federal approval through December 31, 2026, and has to align with the new federal Medicaid work rules after that. If you are on Pathways or applying, expect changes in 2027.34
Who can get help paying
Between 1 and 4 times the poverty level you can usually get a tax credit, $27,320 to $109,280 a year for a family of three. Children qualify at much higher incomes, through Medicaid or PeachCare for Kids.56
Which insurers sell plans
Georgia’s 2027 plans appear on Georgia Access when open enrollment opens on November 1. Which insurers you can choose depends on your county.2
Help from a licensed agency
Our agency is licensed in Georgia, and we work with Georgians by phone and video, from our Chicago office. We compare the plans in your county and show you what to keep in mind on each one, at no cost to you.7
Related guides
Obamacare Hotline and/or Medicare Po Polsku are private companies not affiliated with any local, state, or federal government agency. This guide is general information, not tax or legal advice.