Georgia real estate investors

Here's how real estate investors in Georgia are saving money on their health insurance this year

You can still get a nationwide PPO in Georgia, wherever Georgia Access sells none. Here is how investors and property managers are choosing coverage around rents, sales and the county they call home.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber. Georgia landlords, flippers and property managers can handle their health coverage with me by phone; I work from Tampa and hold licenses in 36 states.

For an investor here, your home county matters in a way that has nothing to do with property taxes. It decides whether Georgia Access, the state's exchange, offers you a PPO. Add income built from rent, sales and write-offs, and a Medicaid program that never fully expanded, and the best choice depends on specifics.

You can still get a nationwide PPO in Georgia

Georgia Access carries 211 individual medical plans this year, and 203 are HMOs. The other 8, PPOs from one insurer, cover 71 of Georgia's 159 counties. Augusta's Richmond County, Macon's Bibb and Athens's Clarke have them. Savannah's Chatham, Columbus's Muscogee and the Atlanta core do not.

Where the exchange PPO exists, it's competitively priced: its lowest silver plan sits between 4% and 21% above the lowest silver HMO in those rating areas. An investor in one of those counties with credit-range income may be well served right on the exchange.

For investors anywhere else, or anyone paying full price, you can still get a nationwide PPO in Georgia through me. It's priced on your health after underwriting and keeps you in network at every property and on every trip.

Rents, sales and the number that counts

Net rental income is part of household income for exchange savings, and so are most IRA and 401(k) withdrawals. Rentals generally go on Schedule E, which means repairs, management fees, mortgage interest and depreciation reduce what counts. A sale's gain shows up in the year it closes.

Georgia's bottom rung is narrow. With no full Medicaid expansion, the only route is Georgia Pathways, listed at 100% of the poverty level and tied to a work or activity requirement, and the exchange credit generally doesn't begin until that same point.

Scenario 1 of 4

You're selling this year and the household is healthy

A large closing can carry the year far past the credit range, leaving you with Georgia Access at full price. That's when a healthy household should price a private nationwide PPO.

Medical questions come first, and then the insurer says yes, no, or yes with a listed exclusion. Clean answers often mean a premium below what the exchange would charge in full. Policies differ, so we'll compare benefits first.

Scenario 2 of 4

A buy-and-hold year

Rent alone may keep household income inside the credit range, and then Georgia Access usually wins on cost. If your county has the exchange PPO, give it a real look; otherwise compare HMO networks by doctor.

On timing: Georgia Access accepts 2027 enrollments from November 1, 2026. Sign up by December 15 if you want coverage on January 1; the final day is January 15, 2027.

Scenario 3 of 4

Write-offs left almost nothing taxable

A heavy renovation year can push taxable income close to zero, and in Georgia that can strand you. Under 100% of the poverty level the exchange credit generally ends, and Pathways helps only if you meet its activity rule. Your preparer decides how the year is reported; I explain what that figure means for coverage.

Scenario 4 of 4

Someone in the family needs ongoing care

That person belongs on Georgia Access even at full price, since exchange insurers can't turn anyone away or price by diagnosis. Pick the plan whose network covers the specialists involved.

Where the Georgia figures come from

  • Georgia runs its own state-based marketplace, Georgia Access, instead of using HealthCare.gov Source
  • Of the 211 individual medical plans on Georgia Access for 2026, 203 are HMOs and 8 are PPOs Source
  • The 8 marketplace PPOs come from a single insurer and are sold in 71 of Georgia's 159 counties, including Richmond, Bibb and Clarke but not Chatham or Muscogee Source
  • In the rating areas where the marketplace PPO is sold, its lowest-priced silver plan costs between 4% and 21% more than the lowest-priced silver HMO (age 40, before any subsidy) Source
  • Net rental income and most IRA and 401(k) withdrawals count toward household income for marketplace savings Source
  • Rental income and expenses are generally reported on Schedule E Source
  • Georgia has not adopted the ACA Medicaid expansion Source
  • KFF lists Georgia's Medicaid income limit for adults at 100% of the federal poverty level, through the Georgia Pathways program, which carries a work or activity requirement Source
  • The marketplace premium tax credit generally starts at 100% of the federal poverty level Source
  • Georgia Access open enrollment for 2027 coverage runs from November 1, 2026 to January 15, 2027, and enrolling by December 15 starts coverage January 1 Source

Questions real estate investors ask me

Straight answers, no sales pitch.

Does rental income count for savings on Georgia Access?

It does. What your rentals net counts, along with gains from a sale and most retirement-account withdrawals.

Can a Savannah or Atlanta investor buy a PPO on Georgia Access?

No. The exchange PPO isn't offered in Chatham or the core Atlanta counties. A healthy investor anywhere in Georgia can get a nationwide PPO privately with my help.

Is the Georgia Access PPO expensive?

Not much more, where it's sold: its lowest silver plan runs 4% to 21% above the lowest silver HMO in those rating areas.

Can I deduct premiums against rental income?

That's your tax preparer's call. The self-employed deduction ties to business profit, while rentals are usually reported on Schedule E.

Tell me what your portfolio is doing this year

Your home county, what rents and any sale look like, and who needs a plan. From that I'll tell you whether Georgia Access or a private nationwide PPO wins and quote it.

More for real estate investors

The guide for every state, and other work I help with