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Can I get health insurance outside open enrollment?

The short answer

Yes. A qualifying life event, such as losing other coverage, moving, getting married or having a baby, opens a special enrollment period. You usually have 60 days to pick a marketplace plan. Medicaid and the Children's Health Insurance Program accept applications at any time of year.

Updated

Reviewed by the licensed agents at Health Insurance Solutions in Orlando, Florida.

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Which life events qualify?

Life eventOpens a special enrollment period?
Losing health coverage, for example through a job loss or aging off a parent's plan at 26Yes
Moving to a new area where different plans are availableYes
Getting married, or losing coverage because of a divorceYes
Having a baby or adopting a childYes
Quitting a job voluntarilyNot by itself. Losing the job's health coverage can qualify.
Missing open enrollmentNo

Quitting a job voluntarily does not qualify by itself, but losing the job's health coverage can. Missing open enrollment is not a qualifying event.

How long do I have to act?

In most cases you have 60 days from the event. For loss of coverage you can often start the application up to 60 days before the coverage ends, which helps avoid a gap. When coverage starts depends on the event and the date you choose a plan.

You may be asked to show proof of the event, such as a letter from your former insurer or a lease.

What if nothing qualifies?

Your main options are to wait for the next open enrollment, check whether you qualify for Medicaid, or look at short-term and other non-ACA plans. Those plans can have important limits, such as not covering pre-existing conditions, so a licensed agent should explain them before you decide.

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Common questions

How long is a special enrollment period?

Usually 60 days from the qualifying event.

Does losing a job qualify me?

Losing job-based health coverage does. Quitting your job by itself does not, but if the job's coverage ends as a result, that loss counts.

Can I apply for Medicaid at any time?

Yes. Medicaid and the Children's Health Insurance Program accept applications all year.

Sources

Rules change. Confirm dates and eligibility with your marketplace, your state Medicaid agency or Medicare before you enroll.

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