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Covered California Eligibility Special Enrollment Facts

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The Qualifying Life Events that are found on the list of Covered California Eligibility Special Enrollment Facts are numerous. Even though Open Enrollment ended in February and the next Open Enrollment Period Starts in November, if you have a Life Event, you will be able to enroll for healthcare and might be eligible for financial assistance/subsidies. Some of the life events eligible for Special Enrollment outside of the Open Enrollment period are as follows: (You have 60 days from the time of these event to enroll for coverage.)

Lost or will soon lose my health insurance

  • You lose Medi-Cal coverage.
  • You lose your employer-sponsored coverage.
  • Your COBRA coverage is ending.
  • You are no longer eligible for student health coverage.
  • You turn 26 years old and are no longer eligible for a family plan.
  • You turn 19 years old and are no longer eligible for a child-only plan.

Moved to or a new residence in California

  • You move to California from out of state.
  • You move within California and gain access to at least one new Covered California health insurance plan.

Had a baby or adopted a child

  • A child is born, adopted or received into foster care. The entire family can use the special enrollment period to enroll in coverage.
  • If you place your child for adoption or foster care, you can use a special enrollment period to enroll in coverage.

Got married or entered into domestic partnership

  • One or both members of the new couple can use the special enrollment period to enroll in coverage.

Returned from active duty military service

  • You have lost coverage after leaving active duty, reserve duty, or the California National Guard.

Gained citizenship/lawful presence

  • You become a citizen, national, or permanent legal resident.

Federally Recognized American Indian/Alaska Native

  • If you are a member of a federally recognized American Indian tribe, you can enroll at any time and change plans once per month.

 

There are other life events that could be considered for special enrollment outside of the Open Enrollment Period, so give us a call if you don’t see yours in the list above. Many life events are taken on a case-by-case basis and may qualify even if they don’t fall within the parameters of the above list. You have 60 days to enroll for healthcare from the time of the event, so enrolling as soon as you learn of the event is important to avoid a lapse in coverage. If you are in between jobs or have seasonal/temporary employment, a short term plan can be purchased anytime of the year! Knowing the Covered California Eligibility Special enrollment facts can help you understand your options and get coverage today! Give us a call and we can help you get healthcare coverage for whatever your situation today.

majeem@healthyhalo.com'

AUTHOR - Majeem M