How Does A Health Insurance Exchange Work? 
Under the Affordable Care Act , Exchanges or the new term Marketplaces will be set up online by either the State or Federal Government . You will be able to select one of the plans within the exchange . There will be four plans to choose from . If you qualify you may select from one of these plans and receive a subsidy . You may also go to a private Exchange or take out a plan from an individual Health Insurance provider if you choose to purchase outside of the exchange . 