If I remember correctly, Alabama chose to have only one provider, therefore there is no competition. Somehow it related to not accepting Federal money for Medicaid expansion, but I don't know all the details. That left Blue Cross/Blue Shield as the only provider.
I don't know all the details either. But no. http://obamacare-guide.org/alabama
But what ends up happening is all of them have to outbid the others for upfront cost to the customer. Therefore leading to a decrease in the actual benefits provided. I forget the actual numbers, but BC/BS of AL lost a shitload of $$ after Obamacare came out trying to become the least expensive provider. The reason they do this, is because once they can undercut the competition and eventually drive them out, they can become the only provider and then raise the cost. But so far...all have lost. The insurance companies and customers.
https://www.heritage.org/health-car...care-choices-and-premiums-whats-going-alabama
Oh and are we still talking about ass washers? Who knew a bunch of gun-totin' rednecks from the South would be using bidets. WTF is this world coming to?