Navigating Special Enrollment Periods: What You Need to Know

At Singing River Financial, we understand that life is full of changes, and sometimes those changes can impact your health insurance needs. If you missed the Open Enrollment Period, don’t worry! You may still have the opportunity to enroll in or change your Marketplace health plan through a Special Enrollment Period (SEP). Here’s what you need to know.

What is a Special Enrollment Period?

A Special Enrollment Period allows you to enroll in or modify your health insurance plan outside of the standard Open Enrollment Period. To qualify, you must experience certain life changes or meet specific income criteria.

Life Changes That Qualify You for an SEP

1. Changes in Household:

   • Marriage: If you got married in the past 60 days, you can select a plan by the end of the month, with coverage starting the following month.

   • Birth or Adoption: Welcoming a new child into your family? Your coverage can begin on the day of the event, even if you enroll within 60 days afterward.

   • Divorce or Legal Separation: If you lost health insurance due to a divorce or legal separation, you may qualify for an SEP.

   • Death: If someone on your Marketplace plan has passed away, you may qualify for an SEP.

2. Changes in Residence:

   • Moving to a new ZIP code or county, relocating from abroad, or changing your living situation (like moving for school or work) can qualify you for an SEP. However, moving for medical treatment or vacation does not qualify.

3. Loss of Health Coverage:

   • If you or a household member lost qualifying health coverage in the past 60 days or expects to lose it in the next 60 days, you may qualify for an SEP. This includes job-based coverage, individual health plans, Medicaid, or CHIP.

4. Other Qualifying Changes:

   • Gaining membership in a federally recognized tribe, becoming a U.S. citizen, or being affected by a natural disaster can also qualify you for an SEP.

     
     

How to Enroll

If you believe you qualify for a Special Enrollment Period, it’s essential to act quickly. You’ll need to contact the Marketplace Call Center to complete your enrollment, as this cannot be done online. Be prepared to provide documentation that confirms your qualifying life event.

Final Thoughts

Life changes can be overwhelming, but your health insurance doesn’t have to be. If you think you qualify for a Special Enrollment Period, reach out to us. We’re here to help you navigate your options and ensure you have the coverage you need.

For more information on Special Enrollment Periods and to check your eligibility, visit www.healthcare.gov or contact us directly. Your health is our priority!