Benchmark $615/mo · +34.6% approved · Georgia Access
Prefer to talk? Call (713) 575-9904
Licensed Independent Agent · NPN #22052447 · 23 States
A 40-year-old speech therapist in Georgia faces a benchmark premium of $615/month for 2026, up from $493 in 2025. That is 2% below the national benchmark of $625. Carriers were approved for an average increase of +34.6%.
Georgia runs its own exchange, Georgia Access, rather than healthcare.gov. CMS therefore excludes it from the Qualified Health Plan Landscape file that powers most of this site, so there is no public plan-by-county premium table for Georgia the way there is for Florida or Texas. What you get instead — approved rate changes, carrier concentration and the benchmark series — comes straight from state filings, and in some ways says more, because these are rates a regulator actually approved rather than rates an insurer filed.
Georgia moved off healthcare.gov to its own exchange, Georgia Access, for plan year 2025. It also posted the largest approved rate increase of the six, at 34.6%.
| Georgia — 2026 | Figure |
|---|---|
| Benchmark premium, age 40 (2026) | $615 |
| Benchmark premium, age 40 (2025) | $493 |
| Year-over-year change | +24.7% |
| Approved average rate increase | +34.6% |
| Versus the national benchmark ($625) | -2% |
| Rank among your 21 licensed states | 11 of 21 |
| Counties | 159 |
| Carriers on the exchange | 8 |
| Exchange | Georgia Access (state-run since 2025) |
Ambetter (Peach State), Alliant, Anthem Blue Cross Blue Shield, Aetna, CareSource, Cigna, Kaiser Permanente, Oscar.
Alliant is the state’s only PPO carrier on the exchange. Atlanta-area counties such as Fulton, DeKalb and Gwinnett have five to seven carriers; rural south Georgia counties often have one or two, with Ambetter dominant.
Sources: Georgia Office of Commissioner of Insurance 2026 rate filings; Georgia Access. KFF, “Marketplace Average Benchmark Premiums,” 2026. Benchmark is the second-lowest-cost Silver plan for a 40-year-old, weighted by plan selections.
Steady, predictable utilization means copay design and network breadth drive annual cost more than the sticker premium.
Occupational context: Vocal strain; infectious exposure in clinical settings.
This is background for choosing a plan, not for pricing one. Every Georgia exchange plan is guaranteed issue and community rated: same age, same ZIP, same tobacco status means the same premium whether you are a speech therapist or an accountant.
Ranked on the benchmark premium, the one measure published on the same basis for every state. Cheaper: South Carolina ($564), Oklahoma ($604), Wisconsin ($611). More expensive: North Carolina ($638), Utah ($640), Alabama ($645).
You buy where you live, not where you work, so treat this as context rather than a shopping list. A genuine move does open a special enrollment period.
Expense categories that typically apply to this trade: Licensing, materials, malpractice insurance, CE. Health premiums are generally deductible above the line under IRC §162(l) when no employer plan is available to you or a spouse. The deduction lowers your AGI, and AGI sets your premium tax credit, so the two calculate against each other — worth raising with your CPA before you enroll rather than after.
Open enrollment on Georgia Access runs from 1 November to mid-January for a 1 January start. Outside that window you need a qualifying life event — losing job coverage, moving, marriage, or a birth.
The 2026 benchmark premium in Georgia is $615 per month for a 40-year-old, up from $493 in 2025. That is full price before premium tax credits; most buyers pay less after subsidies.
Carriers in Georgia were approved for an average increase of 34.6%. Filings across the country cited the expiry of the enhanced federal premium tax credits at the end of 2025, rising medical and drug costs, and expectations that healthier people would drop coverage.
No. Exchange plans are guaranteed issue and community rated. Price varies only by age, ZIP code, tobacco use and household size. Occupation is not a rating factor.
No. Georgia runs its own exchange, Georgia Access, state-operated since 2025. You enrolll there rather than on healthcare.gov.
Above the cliff. At this income a single-person household receives no premium tax credit for 2026 and pays the full premium.
This occupation is above the cliff in all 21 states reported.
What this figure is. It is the median annual wage BLS reports for Speech-Language Pathologists (SOC 29-1127) in Georgia. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed speech therapist. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For Georgia specifically — county-level carriers and enrollment help — I publish that on Coverage by County, including a page written for Speech Therapists in Georgia and a blog covering deductibles, subsidies and special enrollment.
Because Georgia operates a state-based exchange, its 2027 data is published separately from the federal landscape files. If you are a speech therapist here, the national summaries are usually either late or simply wrong about this state.
On price the only honest number today is national: the Peterson-KFF read of 2027 filings puts the median proposed rise near 15%, spanning −1% to 54%. Final Georgia rates are not approved, so any precise 2027 figure quoted for this state is guesswork.
Enrollment opens November 1, 2026. Treat December 15 as the deadline: it guarantees January 1 cover on every marketplace, Georgia included. Conflicting end dates get quoted because a 2025 rule shortened the window and a court vacated it in June 2026, appeal pending — enrol by the 15th and the argument is irrelevant to you.
Georgia publishes its 2027 plan data on its own schedule rather than in the federal files, so the earlier you get a read on your options the less you are relying on national summaries that may not apply here.
Give me a ZIP and I will tell you three things:
There is no single Georgia price. Enter your ZIP and I will pull what is filed in your county, then work out what help you qualify for.