Download Health Insurance Exchange Background. The largest health insurance exchange, healthcare.gov, is run by the federal government, serving health insurance shoppers in 36 states. States can take action to protect (or harm) their exchanges in the face of changing federal regulations.
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Currently, there are 15 states with their own marketplaces. You can enroll in or change plans if you have certain life changes, or qualify for medicaid or chip. 7500 security boulevard, baltimore, md 21244. The other 14 states and the district of columbia each run their own exchanges (eg, platforms such as nevada health link, pennie, new york state of health.