By Shantanu Agrawal, M.D. Deputy Administrator and Director, Center for Program Integrity Today, CMS released a report showing that investments made in program integrity activities – which include stamping out fraud and deterring and reducing other improper payments – pay off for taxpayers and beneficiaries. From October 1, 2012 through September 30, 2014 (Fiscal Year […]
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If you recently lost health insurance coverage, you may be able to enroll in Marketplace coverage with a Special Enrollment Period .
Health insurance losses that may qualify for a Special Enrollment Period
Loss of job-based insurance: You may qualify if your employer stopped offering health insurance, or you left a job where you had health coverage (even if you left by choice or were fired).
Loss of individual health plan: You may qualify if you’re no longer eligible for a student health plan, or your Marketplace plan is discontinued
Loss of eligibility for Medicaid or the Children’s Health Insurance Program (CHIP): You may qualify if you lose your eligibility because your income changed, making you ineligible for Medicaid, or if your child ages off CHIP.
Loss of eligibility for Medicare: You may qualify if you become ineligible for premium-free Medicare Part A.
Loss of coverage through a family member’s plan: You may qualify if you turn 26 and can no longer be on a parent’s plan, or lose health coverage through a spouse due to a divorce, legal separation, or through the death of a family member.
See if you qualify for Special Enrollment Period
Answer a few questions to find out if you qualify for a Special Enrollment Period. We’ll also tell you if you may qualify for Medicaid or CHIP, which you can enroll in any time.
SEE IF YOU QUALIFY
Learn more about applying with a Special Enrollment Period.
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Have you recently lost other health coverage, moved to a new home in a new ZIP code or county, gotten married, or had a baby? When big changes happen in life, you may be able to enroll in Marketplace health insurance right away with a Special Enrollment Period .
Click the button below, and answer a few questions about your major life change to find out if you qualify for a Special Enrollment Period:
SEE IF YOU QUALIFY
If you qualify for a Special Enrollment Period, you’ll have 60 days from the life event to enroll. When you apply, you’ll also find out if you qualify for Medicaid or the Children’s Health Insurance Program (CHIP) . If you do, coverage can start the day you apply or earlier.
IMPORTANT
When you apply, you must attest that the information you provide on the application is true, including the facts that qualify you for a Special Enrollment Period. You may be asked to submit documents that prove your eligibility to enroll.
If you already think you qualify
Start an application for Marketplace health insurance by visiting the screener landing page and selecting the third button.
Learn more about applying with a Special Enrollment Period.
