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Optum State Insurance Exchanges

Simplify access to care with a state-based exchange that meets all your marketplace needs.

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A success story in multiple states and healthcare.gov

Individuals and businesses can shop and compare health plans and apply for subsidies for qualified health plans with our exchange in a box.

Lower costs

Running your own state-based exchange could mean cost savings compared to user fees for the federally facilitated marketplace.

Control and ownership of data

Better access to on-demand and periodic data gives you the flexibility to design marketing and outreach programs tailored to your residents.

Flexibility to implement state policies

A state can enact policies to serve the needs of its residents, customize user experience, extend open enrollment dates and more.

Full accessibility compliance

Our state-based health exchanges can support accessibility compliance, including 508 compliance for end-user portals, WCAG 2.0 and Tier AA.

A shared commitment

Your trusted partner in building your state-based exchange

We’ve helped many states address challenges. We bring extensive market knowledge and resources in IT, business operations, program management and more.

Comprehensive and flexible to meet all your needs

Our user-friendly marketplaces provide eligibility determination, plan shopping, robust consumer and administrative portals, and more.

Improve the consumer experience

Simplify access to the health care services your residents need

Support for “no wrong door” and “single door” marketplaces helps simplify the process of moving people between the exchange and Medicaid.

Small Business Health Options Program module

Support small businesses and their employees

The Small Business Health Options Program (SHOP) module is a pre-integrated platform that serves as your one-stop shop for a complete SHOP marketplace.

Learn how we can partner to help meet your state's unique needs

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Complementary solutions

Optum Maintenance and Operations Services

Reduce costs and system instability by outsourcing M&O.

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Optum Integrated Eligibility Services

Simplify eligibility and enrollment for all Health and Human Services programs with a pre-built, modular platform.

Learn more