Exchange shoppers in several states will have plenty of plans to choose from – but consumers in 16 states won't have much choice at all.

Analysts at Avalere Health have created a map illustrating individual public exchange plan competition levels in a report based on HealthCare.gov Patient Protection and Affordable Care Act exchange plan data.

  • In 15 states, the exchanges will offer seven or more issuers.
  • In 16 states, the exchanges will offer three or fewer issuers.
  • In 19 states and the District of Columbia — the market with the exchange program that will cover members of Congress — the exchanges have attracted four to six issuers.

The coverage deserts include some low-population states, such as Alaska, the Dakotas and Wyoming.

They also include some states with notoriously tough regulatory climates, such as New Jersey, and all New England states but Massachusetts.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.