Special Enrollment Period rules will be changing April 21st for Medical.
A special enrollment period is a time outside the open enrollment period when you can sign up for coverage or shop for a new plan. Certain life changes or special circumstances may qualify you for a special enrollment period. For events that don’t qualify for a special enrollment period, you’ll need to wait for the next open enrollment period to sign up or shop for a new plan.
In Washington Healthplanfinder, if you have experienced a qualifying life event, you have 60 days to sign up for coverage or shop for a new plan from the date of that qualifying life event. Special enrollment periods apply to clients seeking coverage in Qualified health and dental plans. Washington Apple Health (Medicaid) enrollment is year-round, clients do not need a special enrollment period to apply and may change their Managed Care plan year-round.
Applying for a Special Enrollment Period
If you are a new customer:
- Visit www.wahealthplanfinder.org and create an account.
- If you are eligible for a Qualified Health Plan, fill out Special Enrollment Questionnaire.
- Select and confirm you plan.
If you are an existing customer:
- Sign into your account.
- Click the quick link “Report a change in Income or Household”.
- Fill out the Special Enrollment Questionnaire.
- Confirm your plan.
If you are approved for a special enrollment period, your insurance company may ask for records that prove you qualify. Have these papers ready in case you need to show proof.
Qualifying Life Events
Marriage Change in Household Taxes
Birth/Adoption Change in Lawful Presence/Citizenship
Removal of Household Member Change in Eligibility
Losing Minimum Essential Coverage
Reporting Domestic Violence
Permanent Move to and within Washington
Some examples that would not count as qualifying life event are:
Choosing to stop other health coverage
Being terminated for not paying your premiums
Finding our your doctor isn’t covered through your plan
Call us here at Horizon Insurance Agency, LLC and ask for Christa or Ashley for help navigating any of these issues.