
The Mississippi Health Insurance Exchange Program is a vital resource for residents seeking affordable health insurance options.
The program is designed to provide a platform for individuals and families to compare and enroll in health insurance plans from various insurance companies.
With the program, you can choose from a range of plans that suit your needs and budget, including Medicaid and the Children's Health Insurance Program (CHIP).
In Mississippi, the health insurance exchange program is administered by the Health Insurance Marketplace, which is a part of the federal government's healthcare reform initiative.
What is the Mississippi Health Insurance Exchange?
The Mississippi Health Insurance Exchange is a federally-run health insurance exchange, also known as the Health Insurance Marketplace. It's a place where Mississippi residents can access information about all the plans available.
Starting in October 2013, you'll be able to browse and compare plans to find the one that suits your needs best. The SHOP Exchange will also be available to Mississippi small businesses with fewer than 100 employees.
A key feature of the Exchange is that eligible individuals and families can access individual premium tax subsidies, capping the cost of their premium between 2% to 9.5% of income. This means you'll only have to pay a portion of your premium.
Eligibility for these subsidies is based on household size and income, up to 400% FPL. The Exchange will also screen for Medicaid and public assistance programs.
Approximately 511,760 or 20% of Mississippi's non-elderly residents are uninsured, according to an estimate by healthcare.gov.
History and Development
Mississippi initially planned to operate a state-based exchange, but the plan was rejected by the HHS.
In November 2012, Commissioner of Insurance Mike Chaney issued a declaration letter stating Mississippi's intent to implement a state-based health insurance exchange.
Governor Phil Bryant opposed the state-based exchange and notified the HHS in December 2012 that the Commissioner's office did not have the authority to implement it.
As a result, Mississippi defaulted to a federally-run exchange.
History

Mississippi initially planned to operate a state-based exchange, with Commissioner of Insurance Mike Chaney issuing a declaration letter in November 2012 stating their intent to implement and operate one.
The blueprint detailing their proposal for a state-based exchange was submitted, but it was rejected by the HHS.
Gov Approval for New Program Confirmed
The governor's approval for the new insurance program was a significant hurdle that Chaney says is now out of the way.
Republican Gov. Tate Reeves let the bill pass by his desk without his signature, which is typically a method used not to endorse legislation but also not totally impede it.
Chaney was given the authority to create and run the state-based exchange program by the Mississippi Legislature earlier this year.
Faces Roadblocks
The Mississippi health insurance exchange program faces significant challenges, with one major barrier being the lack of Medicaid expansion.
Chaney believes that passing Medicaid expansion would take thousands of patients off the exchange, eliminating insurance companies' ability to profit from it.

The idea of Medicaid expansion would make people making up to 138% the federal poverty line eligible for Medicaid, which would not cost them a dime.
Many low-income working people in Mississippi are not currently eligible for Medicaid, so they're on the federal exchange, according to a study by the Urban Institute.
The end result of Medicaid expansion would be a smaller marketplace with less money for insurance companies to make.
Chaney notes that patients would still have to wait a year after disenrolling from the exchange to apply for Medicaid benefits.
Program Structure and Enrollment
The Mississippi Health Insurance Exchange offers a range of program structures to suit different needs.
To enroll in a plan, individuals can choose from four enrollment periods: the annual Open Enrollment Period, Special Enrollment Periods, Medicaid and CHIP enrollment, and the annual COBRA election period.
The annual Open Enrollment Period typically runs from November to December, while Special Enrollment Periods are available throughout the year for individuals who experience qualifying life events.
Available Plans
The Mississippi Health Insurance Exchange will offer plans that meet the ACA definition of a Qualified Health Plan (QHP). These plans will be categorized by level of coverage for essential health benefits.
The plans will be offered at four "metal" levels: Bronze, Silver, Gold, and Platinum. Bronze plans will cover 60% of the costs, while Platinum plans will cover 90%.
Consumers can compare plans on an "apples to apples" basis by looking at the level of coverage. This will help them choose the best plan for their needs.
Professionals & Navigators
Insurance professionals selling policies through the Exchange will be able to register with it and receive commissions directly from carriers.
The Exchange will use their Exchange ID number and NPN for this purpose.
Navigators will assist consumers in making choices about their health care options and accessing their new health care coverage.
They will also help consumers access premium tax credits for eligible consumers.
Further details on the insurance broker and navigator programs are expected this summer.
Enrollment
Enrollment for One, Mississippi will begin in 2014. You can enroll online at www.onemississippi.com, or through a licensed insurance agent or broker.
To get more information, simply call 1-855-9MS-SHOP or 1-855-967-7467.
One, Mississippi enrollment is available online, making it easy to get started.
Medicaid and State Law
Mississippi is taking a unique approach to building its insurance exchange, one that sets it apart from other conservative states in the South.
The state's Insurance Commissioner, Mike Chaney, is using a little-known rule written by Republican Senator Buck Clarke to lay the groundwork for the exchange. This rule was passed into law in 2009.
Chaney wants to ensure that the exchange is designed and operated by Mississippians, tailored to the state's specific needs. He believes a one-size-fits-all approach from the federal government won't work for Mississippi.
A study by the Center for Mississippi Health Policy found that a working exchange could help lower the rate of people in the state without insurance from 20% to 7%. This would result in 275,000 Mississippi residents gaining insurance and $900 million in federal subsidies flowing to the state.
Introduction
The Mississippi Health Insurance Exchange is a crucial platform for individuals and small businesses to access affordable health insurance.
Most importantly, tax credits and subsidies are only available for coverage purchased through a state health insurance exchange.
You have three options to choose from: build a state-based exchange, enter into a state-federal partnership exchange, or default to a federally-facilitated exchange.
Mississippi will default to a federally-facilitated health insurance exchange.
The Mississippi Health Insurance Exchange will open for enrollment on October 1, 2013, with coverage starting January 1, 2014.
Here are your options for the Mississippi Health Insurance Exchange:
- Build a state-based exchange
- Enter into a state-federal partnership exchange
- Default to a federally-facilitated exchange
Frequently Asked Questions
Does Mississippi have marketplace insurance?
Mississippi uses the federally run health insurance Marketplace, Healthcare.gov, for residents to purchase health plans. You can find and enroll in ACA-compliant plans through this website.
How does the health insurance exchange work?
The health insurance exchange is an online platform where consumers can compare and buy individual health insurance plans from various private companies. It also helps consumers access financial assistance based on their income.
Sources
- https://www.peoplekeep.com/blog/bid/298892/mississippi-health-insurance-exchange-guide
- https://www.clarionledger.com/story/news/politics/2024/12/06/ms-health-insurance-exchange-program-not-online-yet-could-save-ms-money/76730946007/
- https://www.sdpb.org/2012-03-15/mississippi-builds-insurance-exchange-even-as-it-fights-health-law
- https://www.mid.ms.gov/mississippi-insurance-department/healthcare/health-care-archives/health-care-reform-archives/affordable-care-act-shop/
- https://magnoliatribune.com/2024/06/03/state-health-exchange-becomes-law-in-shadow-of-medicaid-expansion-fight/
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