Georgia Health Insurance 2026
Your complete guide to health insurance options in Georgia — Medicaid eligibility, ACA Marketplace plans, enrollment deadlines, and key resources.
Georgia at a Glance
What You Need to Know
- →Georgia has a limited Medicaid expansion called 'Pathways to Coverage' with work requirements
- →Full Medicaid expansion has not been implemented — most low-income adults without children don't qualify
- →Georgia uses healthcare.gov for Marketplace enrollment
- →No state individual mandate penalty
How to Enroll
Frequently Asked Questions
Does Georgia have Medicaid expansion?
Georgia has a partial Medicaid expansion called 'Pathways to Coverage,' which launched in 2023. It covers adults earning up to 100% FPL who meet work, education, or community engagement requirements of at least 80 hours per month. Full ACA Medicaid expansion (which would cover all adults up to 138% FPL without work requirements) has not been adopted in Georgia.
What are my options if I don't qualify for Medicaid in Georgia?
If you earn over 100% of the Federal Poverty Level and don't qualify for Pathways to Coverage, you can buy a subsidized ACA Marketplace plan through healthcare.gov. Enhanced federal subsidies mean many low-income Georgians pay very little for Marketplace coverage. Community health centers also provide low-cost care on a sliding-scale fee basis.
Is there a health insurance penalty in Georgia?
No. Georgia does not have a state individual health insurance mandate, and the federal mandate was effectively eliminated in 2019.