Marketplace Enrollment Basics

Unless you have a special event that qualifies for Special Enrollment, you must enroll during the annual Open Enrollment period that starts on November 1st and runs through December 15th. Coverage starts on Jaunary 1st.

In order to be eligible to enroll in Marketplace health coverage, you must line in the Unites States and be a U.S. citizen or national. Outside of Open Enrollment, you can change plans if you have qualifying life event.

Once you enroll in a plan, you will pay premiums directly to the insurance company. Coverage will not start until you pay your first premium. Continuing to pay on time will ensure that there are no lapses in your coverage.

How Do To Confirm You Are Enrolled

Once you have been successfully enrolled with a healthcare provider, you will receive a membership package, with enrollment materials and a health insurance card. Make sure to keep the card in a safe and accessible place.

If you have not received a card, call your insurer to see if you should have received one. You insurer’s phone number will be available on their website.

Paying Premiums, Terms and Grace Periods

Health insurance companies can end your coverage if you fall behind on you monthly premium. Before ending your coverage, most healthcare provider have a short period of time to catch up on your payments, which is commonly referred to as a grace period.

This grace period is usually 90 days, if you have a Marketplace plan and have already paid at least one full months of premium during the benefit year. However, grace periods may vary from state-to-state and plan-to-plan, so please contact your healthcare provider for information on your specific plan.

Non-Payment and Termination of Coverage

If your coverage has been terminated, you have the right to appeal your health insurance companies decision. If you are not successfully in your appeal, you must wait for the next Open Enrollment to re-enroll in coverage. However, you may be required to pay past-due premiums to re-enroll.

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Review the basics of enrolling in a healthcare plan through the Health Insurance Marketplace

Individuals may qualify to enroll in a Marketplace plan outside of Open Enrollment due to specific circumstances