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I think your question is: What is a Health Insurance Exchange. If so, it is a government regulated market where individuals and businesses can purchase health insurance. This is a direct result of the Affordable Care Act that was passed by congress and is also referred to as "Obama Care".

Open enrollment will begin through health insurance exchanges on October 1, 2013. The date that OPEN ENROLLMENT WILL CLOSE is March 1, 2014.

Between October 2, and January 1, 2014, those who don't have insurance, or who have insurance through a personal plan, will be able to shop for (possibly) a better more cost effective plan. Under this new law, one cannot be turned away because of pre-existing conditions. If you find an insurance plan that is right for you, through the marketplace, then you insurance will begin January 1, 2014.

If you have questions, the government has set up a web site that is very helpful called healthcare.gov.

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Q: What is a Health Exchange?
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