HomeWhat To Do When You Lose Your Health Insurance

What To Do When You Lose Your Health Insurance

Get A Quote From Health For California For A Health Insurance Plan

Did You Lose Your Job? (AND Health Insurance?)

At Health for California, we can help you find the health insurance plan thats right for you. With the right plan, you can ensure your medical needs are covered at a rate you can afford. Well help you compare the benefits, rates, coverages and metallic tier of every available plan to ensure you get the best deal at an affordable price.

Our quotes will include the insurance carriers name, the plan type, the plan category, what you can expect to pay and the total cost of the plan. If you are seeking health insurance, request a free quote from Health for California.

Not sure how Obamacare affects your health care plans in California? Learn how the ACA works in California, including benefits, costs and enrollment.

Using The Affordable Care Act

The federal Affordable Care Act allows you to shop for health insurance through a public marketplace. Policies vary in cost and coverage, but all must include benefits such as vaccinations and annual physical exams.

If you want to switch to an ACA policy, you will have to make a decision within 60 days of leaving your job. The two-month window is called a special enrollment period. During that time, you can shop for a plan through the ACA website. Insurers cant deny coverage if you have a pre-existing medical condition. If you fail to act within 60 days, you will have to wait for the annual ACA open enrollment period to gain coverage. The period lasts from the beginning of November to the middle of December.

Though losing employer-sponsored coverage is the most common reason to move to an ACA plan through a special enrollment period, other circumstances qualify special enrollment.

These are called qualifying life events and include:

  • Loss of an individual or ACA marketplace policy because your current plan was discontinued
  • Loss of a student healthcare plan
  • You lose your coverage because you no longer live in a plans service area
  • Your insurance coverage expires during the year, before the ACA open-enrollment period begins
  • A decrease in household income that allows you to qualify for ACA coverage that was unavailable when you were earning more

When You Get Fired When Does Your Insurance Stop

Depending on the policy and premium payment arrangement between your company and the health plan, if fired, your active health insurance will end either the day of your termination or the last day of the month you were fired in. For example, if you were fired on March 10th, you may have coverage through March 31st.

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Get Cobra Health Coverage

The Consolidated Omnibus Budget Reconciliation Act, or COBRA, allows workers, families, and heirs to continue on the employers group health insurance plan for a limited period in the case of job loss, reduction in hours, and other life events. The law applies to group health plans maintained by employers with 20 or more employees. Your health insurance company will notify you about your COBRA rights.

You need to elect COBRA coverage within 60 days of losing insurance, and it can continue for up to 18 months. Premiums are set at 108% of the original coverage, and youll be paying what was formerly the employers share as well as your own. For that reason, youre likely to get a much better price on health insurance on the ACA marketplace. The advantage of COBRA, especially for people in the middle of treatment, is that it will allow you to stay with your current doctors for continuing medical treatment.

The federal government will pay 100% of the costs of COBRA coverage for up to six months for Americans who lost their jobs or had their work hours cut short due to the COVID-19 pandemic. This is part of the American Rescue Act passed in early 2021.

What Other Insurance Options Do I Have After I Lose My Job

What to Do If You Lose Your Health Insurance During the ...

If youre not sure you want to sign up for COBRA or Marketplace health insurance, you can also look into these options:

  • Medicaid: If your income has changed significantly, you may be eligible for Medicaid. This is a government-run program that provides free or low-cost health coverage. Enrollment in Medicaid is income-based and open year-round.

  • Coverage through Your Family or Spouse: If your parents or spouse have their own health insurance, they may be able to use your qualifying event as an opportunity to add you to their plan. This will increase the price of the plan. Remember: you can only stay on your parents health insurance if you are under the age of 26.

  • Short Term Health Plans: Short term plans are a type of health insurance that are not compliant with the Affordable Care Acts regulations. This means they arent required to cover certain benefits, like maternity care or mental health. These plans tend to be cheaper and cover fewer medical services, but they can provide some protection in case of an emergency.

Also Check: How To Be A Health Insurance Agent

I Lost My Health Insurance Now What

Here are three options if your health insurance policy is cancelled by your insurance company:

Appeal your cancellation if you think it was unwarranted. Youll need to contact your insurer. If your appeal is denied and you arent eligible for special enrollment, youll have to wait until the next open enrollment period to obtain .

You may still have some other health insurance options that you can enroll in year-round. These are outlined in the next section.

If the cancellation happens during or prior to the annual open enrollment period you can enroll in another ACA-qualifying major medical plan either from the ACA exchanges, where you can take advantage of subsidies if you qualify, or from the private market .

If the cancellation happens outside of open enrollment, you can . Events like adopting a child, moving, or getting a divorce may qualify you to enroll in a major medical plan outside of the open enrollment period.

Again, you can obtain a policy either from the , or from a private health insurance company that has major medical plans but that dont offer them on the ACA marketplace.

What The Cares Act Provides

Federal and state responses to the coronavirus crisis may have only a limited effect on individual healthcare costs. The Coronavirus Aid, Relief, and Economic Security Act, the $2.2 trillion package signed into law on March 27, 2020, requires health insurers to cover COVID-19 testing and vaccinations without cost-sharing . It also expands insurance coverage for telehealth visits.

Treatment costs for COVID-19 are not covered, however, and if you visit an emergency room or require hospitalization, coronavirus care can be very expensive. An admission for pneumoniaa common complication of coronaviruscosts just under $10,000 without complications, and up to $20,292 with major complications or comorbidity.

Even those with employer-based health insurance face more than $1,300 in out-of-pocket spending. Some insurance companies, such as Aetna, have temporarily waived copayments and other forms of cost-sharing for coronavirus care for some customers.

The American Rescue Plan of 2021 reduces the cost of insurance bought through the healthcare.gov Marketplace, increases the tax credits available to many Americans, and expands eligibility for the tax credits starting April 1, 2021. The average Marketplace user will pay $85 per policy less every month.

The costs of treatment for non-virus-related medical care are, of course, not affected. You still need health insurance to cover doctor, hospital, and prescription drug costs.

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If I Lose My Job Can Cobra Help Me Keep Insurance

Yes. You keep the health plan you had through your job if you’re laid off through COBRA. In most cases you can keep it for up to 18 months.

Insurance through COBRA can be expensive. That’s because while you were working, your employer was most likely paying part of your premium. Now that you’re out of work, you have to pay the whole premium yourself. You will also have to pay an administrative fee that adds to the cost.

What Do I Do If I Lose My Job

What to Do If You Lost Your Health Insurance During COVID | San Diego Health

Editor’s Note:

This analysis is part of the USC-Brookings Schaeffer Initiative for Health Policy, which is a partnership between Economic Studies at Brookings and the University of Southern California Schaeffer Center for Health Policy & Economics. The Initiative aims to inform the national health care debate with rigorous, evidence-based analysis leading to practical recommendations using the collaborative strengths of USC and Brookings. This post was updated to include new information about how Unemployment Insurance and other benefits affect eligibility for health insurance programs.

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Special Enrollment Period For The Marketplace

The ACA marketplace is another option for people whove been laid off. You can qualify outside the annual open enrollment period that typically occurs Nov. 1 through Dec. 15 if you lost your health coverage through your employer or a family members employer in the last 60 days or you expect this to happen in the next 60 days.

If you lose your coverage then youre entitled to a special enrollment period, Pollitz said. The loss of health coverage is a qualifying life event.

You can go to HealthCare.gov and fill out questions to see what kind of coverage youre eligible for and if you qualify for government assistance.

Read more: How to get ACA health insurance if you lose your job

If your income is between 100% and 200% of the poverty level, you may be eligible for cost-sharing reduction, where the federal government will help pay additional costs such as deductibles, copays, and coinsurance.

If you project to make between 100% and 400% of the poverty level, you could qualify for a premium tax credit, where the federal government will pay some of the premium.

That’s going to be not quite as affordable, you always have to pay something for marketplace coverage, Pollitz said. But depending on how low your income is, it may only be like $20 to $30 a month.Denitsa is a writer for Yahoo Finance and Cashay, a new personal finance website. Follow her on Twitter .


Option #: The Exchange

The second option is to go off the exchange. Here in Minnesota you would go to MNsure, and for other states you would go to healthcare.gov or the local state plan.

The good thing about this route is you’ve got more options. You can buy a cheaper plan, and typically the premiums are lower.

The bad thing is you start your benefit year over. So if you’ve already hit your deductible or your out-of-pocket max, you have to start at zero again. That means you might pay two deductibles in one year.

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Should You Skip Health Insurance If Youre In Your 20s

Health insurance is no longer a requirement in most states. The ACA demanded that nearly all Americans get health insurance. However, Congress removed the penalty for that fine. Now, only five states and the District of Columbia require residents to have health insurance.

Americans in 45 states arent required to have health insurance, but its still wise to get coverage — even if youre young and healthy.

Going without health insurance could cause huge out-of-pocket costs when you need care. It may also cause you to delay care and prevent you from receiving necessary preventive care.

Its not advisable to go without insurance because you never know what can happen. While you’re young and healthy today, accidents can happen as well as severe illnesses that are totally unexpected, said Gusner.

If youre young and healthy and want to pay less, you can look into a high-deductible health plan like a Bronze plan in the exchanges. Those plans have lower premiums, but higher out-of-pocket costs if you need health care services.

Know Your Health Coverage Options

What To Do When You Lose Your Health Insurance ...

HIPAA Special Enrollment in another Group Health Plan. If other employment-based, group coverage is available to you , consider special enrollment in that plan.

Special enrollment provides you and your family members an opportunity to enroll in a group health plan for which you are otherwise eligible, regardless of enrollment periods, after you experience a loss of other health coverage . However, to qualify, you must request enrollment within 30 days of losing eligibility for other coverage . After you request special enrollment due to loss of eligibility for other coverage or due to marriage, your coverage will begin on the first day of the next month. With special enrollment as a result of birth, adoption, or placement for adoption, coverage is retroactive to the date of the event.

Individual Health Coverage through the Health Insurance Marketplace. Another option to consider is individual coverage purchased through the Health Insurance Marketplace . The Marketplace offers one-stop shopping to find and compare private health insurance and certain other options. In the Marketplace, you choose between different categories and types of plans and you can see what your premium, deductibles, and out-of-pocket costs will be before you make a decision to enroll. You also may be eligible for a tax credit that will lower your monthly premiums and cost-sharing reductions that will lower your out-of-pocket costs.

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How Can I Stay On My Parents Insurance After 26

You typically lose a parents health insurance when you turn 26. However, check with the employer or health plan to confirm that the plan will end when you turn 26.

Some states and health plans may extend coverage beyond your 26th birthday. For instance, it may keep you on the plan until the end of the month.

If youre on an ACA marketplace plan, you typically can stay on a parents health plan until Dec. 31 of the year you turn 26.

Are Marketplace Plans Affordable

Health insurance prices depend on your zip code, family size, and income level. The good news? The majority of Americans qualify for subsidies, or money that the government pays toward part or all of your health insurance. Based on your eligibility, you could pay as little as $1 a month for a health plan!

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What To Do If You Lost Your Health Insurance Amid Coronavirus Pandemic

What to do if you lost your health insurance

As the nation confronts a , millions of Americans are fighting another crisis at home: joblessness and a loss of health insurance.

It’s a toxic mix that threatens to widen the scope of the crisis, particularly as many Americans don’t even know what their options are.

Here are three things to know:

If you lost health insurance through your job, you have 60 days to enroll in ‘Obamacare’

Open enrollment to buy health insurance through the federally run health care exchanges — created through the Affordable Care Act or “Obamacare,” — has already passed for 2020. And this week, President Donald Trump rebuffed Democratic calls to reopen enrollment because of the ongoing health crisis.

Tune into ABC at 1 p.m. ET and ABC News Live at 4 p.m. ET every weekday for special coverage of the novel coronavirus with the full ABC News team, including the latest news, context and analysis.

But open enrollment of the federal exchanges might not matter. If you’ve lost health insurance because you quit or got fired from a job, you have 60 days to enroll in the federal exchanges by going to www.healthcare.gov.

Other situations that qualify for special enrollment include getting married, having a baby or if a death in the family causes you to lose your insurance.

Another option for insurance after losing a job is referred to as COBRA, which stands for Consolidated Omnibus Reconciliation Act.

Are There Other Government Plans I May Qualify For

Health care options during the pandemic

Yes. Government programs include:

Medicaid. You can get insurance through Medicaid if you have a low income, you’re pregnant or you’re disabled. The rules vary by state.

To find out if you qualify and how to apply for Medicaid in your state, visit the insurance and coverage finder on the federal government’s web site, HealthCare.gov. You can also visit the Medicaid web site at Medicaid.gov.

CHIP. CHIP stands for Children’s Health Insurance Program. Your kids can get insurance through CHIP if your income qualifies. It’s meant for families that can’t afford private health insurance but make too much money to get Medicaid. Whether you’re eligible and how much you pay depends on the state you live in.

To find out about children’s coverage programs in your state, visit the insurance and coverage finder on HealthCare.gov. You can also get more information on the federal government web site called InsureKidsNow.gov.

Medicare. If you’re age 65 or older or are disabled, you may be eligible for coverage from Medicare, the government health program for seniors and people with disabilities.

To find out if you qualify for Medicare, visit Medicare.gov. You can also use the government’s Medicare Plan Finder to get cost estimates and coverage information and get information on private Medicare plans, called Medicare Advantage plans.

Robert Wood Johnson Foundation: “State-Level Trends in Employer-Sponsored Health Insurance: A State-by-State Analysis.”

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Medicare If You Are Eligible

Medicare is federally subsidized insurance that covers tens of millions of Americans, most aged 65 and older. Though the program was designed primarily for retirees, it is open to others with certain disabilities.

Medicare coverage generally is much less expensive than comparable individual plans. For recent retirees who are over the threshold age, it is the best alternative to company-sponsored health insurance. Medicare coverage has numerous options. Some, like insurance-company administered Medicare Advantage plans, offer a wide range of extras, including vision, dental and fitness programs. Visit the Medicare.gov. website to learn if you qualify.

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