With the passage of the Patient Protection and Affordable Care Act (PPACA) in 2010, Americans were introduced to a relatively new way to purchase health insurance, the online exchange. By “exchange,” for the purpose of this article, we mean a virtual shopping area in which individuals or employees of a company can research and then purchase an insurance product online that best suits their individual needs. Exchanges can be either public or private; even though they both offer the ability to choose and purchase insurance, they have a few distinct differences.