What Happens If I Don’t Do Anything During The Open Enrollment Period?

The ACA Open Enrollment Period only comes around once a year, usually lasting from November 1- December 15, although this year the deadline has been extended to January 15. During this period, you can enroll in a new health insurance plan, or make changes to your current  plan. If you’re happy with your current plan, though, you might opt to not do anything at all during the Open Enrollment Period – but not doing anything can have certain consequences, depending on your situation.

You Could Get Stuck With Your Current Plan

This might not necessarily be a bad thing if you are happy with your current plan, but if your plan isn’t quite right for you, you will unfortunately be stuck with it until the next Open Enrollment Period opens up again.

You’ll Miss The Opportunity To Change Your Plan

If you don’t take the opportunity to review your current plan and do nothing during the Open Enrollment Period, you won’t be able to change your plan. What this really means is that your health insurance might:man looking at laptop frustrated while on the phone

  • Not provide enough coverage for the following year, which will cost you money.
  • Have too much coverage that you don’t need, essentially leaving you to pay for insurance that you don’t need.
  • Be too expensive. If you don’t change your plan during the OEP, you’ll be stuck with the rise in rates and costs for the following year. 

Options Are Limited Afterwards

If you don’t have health insurance and are looking to enroll in a plan, but you do nothing during the Open Enrollment Period, you won’t be able to get a Marketplace or exchange health insurance plan – in other words, you won’t be able to get an ACA-compliant health plan. With that being said, you do have other options even if you miss the OEP, but you should be aware that they are very limited. For example, you can opt to get a short-term health insurance plan that covers the essentials and nothing more; this type of insurance is temporary and not ideal for those who require more comprehensive coverage, or have health conditions. Short term plans are not guaranteed issue, meaning they do not cover pre-existing conditions.

You Will Need To Qualify For an SEP

The only way to get an affordable health insurance plan that is ACA-compliant outside of the OEP is to qualify for a Special Enrollment Period, or SEP. A Special Enrollment Period is only available to those who have a qualifying life event, including: movers with boxes and a truck and houses in the background

  • Change in residence (moving to a different zip code or county)
  • Change in household size (having a baby or adopting a child, getting married, or getting divorced)
  • Loss of health insurance (losing employment, turning 26 and getting kicked off of a parent’s plan, or a death in the family)
  • Changes in income

Don’t Do Nothing…

Compare plans! There’s no harm in comparing plans and seeing your options before the Open Enrollment Period ends. But we get that it can be a headache to try and research all the different plans around, so we’re here to help! Our highly trained agents will take the time to talk with you and thoroughly explain all of your options. Once you are ready to enroll, they will search through all the plans in your area and find the right plan for you, making sure the plan fits your needs and budget. EZ always provides you with your own personal agent, so there’s never any need to worry about bouncing around from agent to agent or getting hassled by endless sales calls. To get started, enter your zip code in the bar above, or to speak to an agent directly, call 888-350-1890.

The 6 Medicare Enrollment Periods You NEED To Know

You probably mark all of the important dates in your life, such as your family’s birthdays and doctor appointments, in your calendar. But how about all of the Medicare enrollment period dates? If you’re 65 or older (or about to turn 65), these dates should be in your calendar, as well! For starters, the Medicare Annual Enrollment Period begins on October 15, so right now you should be reviewing your coverage and considering any changes you want to make – but there are other enrollment periods that you should be aware of. For example, if you missed the opportunity to sign up during your Initial Enrollment Period, you can still sign up during the General Enrollment Period. Don’t miss the following Medicare enrollment periods, because doing so could end up costing you money!

1. Initial Enrollment Period

the numbers 65 in gold floating in the air with balloons tied to it
Your Medicare Initial Enrollment Period begins 3 months before turning 65, the month you turn 65 and 3 months following.

If you’re about to turn 65, the time to enroll in Medicare is now! You have a 7-month window during which you can enroll: the 3 months before you turn 65, the month you turn 65, and the 3 months after you turn 65. During your Initial Enrollment Period, you can:

  • Enroll in Medicare Parts A and B
  • Enroll in a Medicare Part D Plan
  • Enroll in a Medicare Advantage Plan, also known as Part C

Unless you are exempt because you are still working, you will face a penalty fee if you don’t sign up during your Initial Enrollment Period: your monthly Part B premiums will be around 10% higher for each 12-month period you could’ve had Part B but weren’t enrolled.

2. Medicare Supplement Open Enrollment Period

Once you’ve enrolled in Medicare during your Initial Enrollment Period, the next thing you should look into is a Medicare Supplement Plan – these plans can help you save hundreds of dollars each year on the medical expenses that Original Medicare does not cover. While you can purchase a Medicare Supplement Plan at any time, the best time to buy one is during your Open Enrollment Period, which begins the month you turn 65 and extends for the next 5 months. Buying during this Open Enrollment Period will ensure that you have guaranteed issue, meaning you will not have to answer any medical questions to qualify for a plan.

There are 10 different plans to choose from, all with different levels of coverage and pricing, so you are sure to find one that meets your specific needs.  

3. General Enrollment Period

calendar with march 31 as the date and a pen clipped on it
If you missed the IEP, you can enroll in Medicare during the GEP, which runs from January 1 to March 31.

Did you miss the chance to enroll in Medicare when you turned 65? No worries, you have the opportunity to sign up for Parts A and/or B during the General Enrollment Period. This period begins January 1st and ends March 31st each year, with coverage beginning July 1st. Be aware that you still might have to pay the fees mentioned above if you enroll during General Enrollment, since you did not sign up during your Initial Enrollment Period. 

4. Annual Enrollment Period

The Medicare Annual Enrollment Period, which runs from  October 15 to December 7, is the time when you can make changes to your plan so that it better suits your needs. For example, if your income has changed, or if you need more coverage, this is the perfect time to change plans so you can get what’s best for you. During this time you can:

  • Switch to a Medicare Advantage Plan from Original Medicare, or vice versa.
  • Switch from a Medicare Advantage Plan with prescription drug coverage to one without, or vice versa. 
  • Join or drop a Medicare prescription (Part D) drug plan.
  • Switch to a new plan from your current insurer, or switch to a new insurer.

When you switch to Original Medicare during the AEP, you can also purchase a Medicare Supplement Plan. If you change plans during the Annual Enrollment Period, your new coverage will begin January 1st.

5. Special Enrollment Period

There are specific events that will open up a Special Enrollment Period for you, allowing you to enroll in Medicare or change plans outside of the typical enrollment periods. You can join, switch, or drop plans if:moving boxes on a red hand truck

  • You have moved outside of your plan’s service area
  • You lost your healthcare or prescription drug coverage because you left your job, or because your insurer went out of business or committed fraud

You will have 60 days to sign up for a new plan after the above instances occur; after 60 days, you will no longer be given guaranteed issue, and you will be subject to medical questions. 

6. Medicare Advantage Open Enrollment

The Medicare Advantage Open Enrollment Period occurs annually from January 1st through March 31st. During this time, you can switch from one Medicare Advantage Plan to another plan, or opt to drop your plan and enroll in Original Medicare. 

If you are looking to enroll in Medicare, purchase a Medicare Supplement Plan, or are just weighing your options before the AEP is over, EZ can help. Our agents work with the top-rated insurance companies in the country, and can compare all available plans in your area, at no cost to you. We will go over your medical and financial needs, and help you find a plan that checks all of the boxes. To get free instant quotes on plans that cover your current doctors, simply enter your zip code on the side, or to speak to a local licensed agent, call 888-753-7207.

2021 Special Enrollment Period Is Almost Over! Look Into A Plan Now!

The Open Enrollment Period for purchasing health insurance on the Affordable Care Act (ACA) Marketplace is usually only from November 1 – December 15, unless you experience a qualifying life event. But this year, in the midst of the Covid-19 pandemic, the Biden Administration opened up a Special Enrollment Period so Americans would have the opportunity to purchase a health insurance plan without a qualifying life event. This Special Enrollment Period began on February 15, 2021, and has been extended until August 15, 2021, allowing millions of Americans to sign up for health insurance coverage. In fact, according to a report released by the Centers for Medicare and Medicaid Services (CMS), as of July 14, more than 2 million Americans have signed up for an insurance plan! But the deadline to get a plan is coming up, so now is the time to look at your options, with the help of an EZ agent. 

Get More Savings

hundred dollar bills spread out
The American Rescue Plan has helped millions of Americans save more money by expanding premium subsidies to everyone.

Not only did the Biden Administration create this Special Enrollment Period, but they have also passed the American Rescue Plan (ARP), which has expanded subsidies for health insurance premiums, making them available to millions of Americans, and making plans far more affordable. Premium subsidies have been expanded for people at every income level, including those with incomes more than 4 times the federal poverty level. 

Before the ARP was passed, individuals and families with incomes above 400% of the federal poverty line were not eligible for premium subsidies, but the new law has made premium tax credits available to them. It also caps premium payments at 8.5% of household income, based on the cost of a benchmark plan – this means that, as long as the cost of a benchmark plan is equal to or more than the 8.5% of your household income, you will receive tax credits. 

These expanded subsidies also mean that people making up to 150% of the federal poverty level can now get Silver plans on the Marketplace for $0 a month, with reduced deductibles. The report released by the CMS also showed that, of the new and returning consumers who have selected a plan since April 1, 1.2 million consumers (34%) have selected a plan that costs $10 or less per month after the American Rescue Plan’s (ARP) premium reductions.

red alarm clock ringing with lightning bolts on each side of it
The Special Enrollment Period will be ending August 15!

Find A Plan Before It’s Over

“The American Rescue Plan has made health coverage more affordable and accessible than ever – and people are signing up. Health coverage provides the peace of mind that every American deserves,” said CMS Administrator Chiquita Brooks-LaSure. “Through August 15, the American people have an opportunity to select a quality health care plan that works for them, with costs that are at an all-time low. CMS is dedicated to ensuring people in our communities have the coverage they need.”

The opening of the Special Enrollment Period and the expansion of premium subsidies has been a lifesaver for many people, especially for the millions of Americans who have been struggling financially during the pandemic. But this Special Enrollment Period is coming to an end, which means that, while you can still qualify for the subsidies until the end of the year, you will have to wait until the Open Enrollment Period begins November 1 to enroll, unless you experience a qualifying event. 

You only have fewer than 3 weeks to find a plan – don’t wait until it’s too late to get insured and have the peace of mind that comes with being covered. EZ.Insure’s agents work with the top-rated insurance companies in the country, and we can compare plans in your area in minutes, helping you find a plan that meets your medical needs, while saving you as much money as possible. No obligation, just free quotes! To get free instant quotes, simply enter your zip code in the bar above, or to speak to a license agent, call 888-350-1890.

Covid-Related Health Insurance Special Enrollment Extended!

President Biden, in his first weeks in office, implemented some major policies meant to offer relief during the coronavirus pandemic. One of the things he did was open a COVID-related Special Enrollment Period that is allowing Americans to enroll in Marketplace health insurance plans or change their plans without experiencing a qualifying life event. The Special Enrollment Period began February 15 of this year, and was initially set to end May 15, but the Biden administration announced at the end of March that the Special Enrollment Period is being extended until August 15.  hands holding a bubble with different colored silhouettes of family members in the bubble

Hoping To Get More People Insured

The American Rescue Plan Act, which President Biden signed into law in March, made ACA health insurance plans more affordable to millions of Americans. The plan lowered monthly premiums, and even eliminated premiums for many by offering more federal subsidies. “With the American Rescue Plan and the Affordable Care Act, millions of families will be able to sleep a little bit more soundly at night because they don’t have to worry about losing everything if they get sick,” Biden said.

Thanks to the subsidies provided by the American Rescue Plan Act, millions of Americans will  save an average of $50 per person a month and $85 per policy a month. In order to allow more people to take advantage of these new subsidies, the White House is extending the Special Enrollment Period, giving people 3 additional months to find a new plan, or upgrade their current plan to one that will save them more money and get them more coverage.ten dollar bill on top of a stack of different money bills.“Through this Special Enrollment Period, the Biden Administration is giving the American people the chance they need to find an affordable health care plan that works for them. The American Rescue Plan will bring costs down for millions of Americans,” said newly appointed HHS Secretary Xavier Becerra in a statement.

Finding A Plan

With the extension of the Special Enrollment Period, you have the opportunity right now to upgrade your Marketplace plan (or get a new plan) with lower out-of-pocket costs and premiums. The best way to do this is by working with an insurance agent. EZ’s licensed agents work with the top-rated insurance companies in the nation and can compare plans in your area in minutes. There is no obligation or hassle, just free quotes. To get free instant quotes, simply enter your zip code in the bar above or to speak to an agent, call 888-350-1890.

COVID Special Health Insurance Enrollment Period Now Open Through May

Many Americans have lost their jobs, have had to change jobs, and are simply struggling financially because of the coronavirus pandemic. Some have lost their health insurance or are now underinsured. In an effort to help, President Biden issued an Executive Order on January 28 that will provide a COVID-related Special Enrollment Period (SEP) beginning on February 15. 

calendar with May 15 as the date
The Special Enrollment Period will begin February 15 and end May 15.

The Special Enrollment Period

The Special Enrollment Period will be open for 90 days, running from February 15 until May 15. The U.S. Centers for Medicare and Medicaid Services (CMS) has said that this enrollment period will be open for individuals and families who wish to enroll in or change health insurance plans through the Affordable Care Act (ACA) Marketplace. In an effort to increase awareness of the Special Enrollment Period, CMS plans to spend $50 million on advertising campaigns. 

What Applicants Can Do

In order to take advantage of this Special Enrollment Period, and enroll in a new plan or change your current plan, you will have to submit a new application or update existing applications. Once you submit your application, you will have 30 days to choose a plan. Coverage will begin the first of the month following the date of plan enrollment. 

Because this is a Special Enrollment Period issued by the government, there will be none of the restrictions that typically come with a Special Enrollment Period; this SEP will more resemble an Open Enrollment Period than a normal Special Enrollment Period. During this SEP, you will be able to switch to any plan offered in your area. In addition, you will not have to choose the same level of coverage as your current plan, and you will not have to provide documentation of a qualifying event (for example, losing your job or getting married).

application form on a tablet with hands holding the tablet.
During this Special Enrollment Period, you can submit a new application or update an existing one without  needing to provide proof of a qualifying event.

 If you miss the May 15 deadline of this Special Enrollment Period, you will no longer be able to get health insurance unless you experience a qualifying life event, and will have to wait until the Health Insurance Open Enrollment Period begins November 1st.

Finding A Plan

This 3 month period will come and go quickly, so don’t wait to look for a plan if you need one! In order to better understand this Special Enrollment Period and your options, contact one of EZ.Insure’s local, licensed insurance agents. EZ has highly trained agents in your area and can compare plans in minutes for free. We will find a plan that provides the right amount of coverage and that fits your budget. To get free instant quotes, simply enter your zip code in the bar above, or to speak directly to one of our local agents, call 888-350-1890.

Protect Those You Love! Let EZ Find You A New Plan If You’ve Added A Family Member

Adding a new member to the family is exciting! Whether you are getting married, adopting children, or having a baby, a lot will change in your life, including your health insurance needs. To make sure that your loved one is protected, you’ll have to add them to your health insurance plan, but you’ll only have 60 days after the marriage, adoption, or birth to either add them to your current plan, or find a new plan that meets your new needs and budget. This might seem overwhelming, but EZ will make the process easy. 

Getting Marriedtwo hands holding each other, one of a man in a suit and the other a woman's in a wedding gown

Getting married is a joyous occasion, and once you are settled in with your loved one, one of the things you need to consider is health insurance. You can only add your spouse to your health insurance plan within 60 days of getting married, so don’t put it off for too long! 

Because getting married is considered a “qualifying life event,” you also have the option to enroll in a new plan if your current plan does not meet both of your needs. If you decide to go this route, EZ will compare all available plans in your area in minutes and provide you with the quotes without any obligation. We understand how frustrating it can be researching and comparing, which is why we provide you with a licensed agent who will do it all for you.

Having A Baby

Having a baby is also considered a qualifying life event. Newborns are covered under your plan for their first 31 days. After 31 days, whether you have employer-based or individual insurance, you will have to fill out an enrollment application to continue coverage.

adoption application with another paper with a drawing of a house and parents holding a kids hand
Adopting children counts as a qualifying life event for a Special Enrollment Period.

Adding Children

Any children who become part of your household can be added to your coverage, including:

  • Stepchildren 
  • Foster children
  • Adopted children
  • Relatives who have lived in your home for at least a year and who you are financially responsible for. This means you must provide more than half of the financial support they rely on.

To qualify to be added to your coverage, the child must:

  • Be under the age of 26
  • Have lived with you for at least 6 months
  • Have an income of less than half the cost of their support expenses to qualify as your dependent
  • Not be claimed as a dependent by any other household

If you have a Marketplace plan, you’ll need to add the child to your plan within 60 days of the qualifying event. If you have an employer-based group plan, you will be given at least 30 days to enroll the new dependent in your plan. 

Have The Proper Paperwork Ready

a green piece of paper in a blue circle
Before you add a new family member, make sure you have the proper paperwork necessary first.

When you are adding a new family member to your plan, you need to make sure that you have the necessary paperwork ready to show proof of your qualifying life event. If you just got married, you will need your marriage certificate. If you are adopting a child, you will need to provide the finalized adoption papers. And if you have a baby, be ready to provide the birth certificate as proof. 

If you have an employer-based plan, you’ll need to show your employer the necessary paperwork, and make sure that your tax withholdings are changed.

Make Sure You Have Enough Coverage

Adding a new member to your family is exciting, but making sure that your health insurance plan is right for the new addition is, well, not so exciting. It takes a lot of research and comparing to make sure that you get the right plan that meets everyone’s needs, and your budget. Adding a family member to your household can also be a very hectic time, so you could end up missing your opportunity to change your plan. But if you come to EZ.Insure, we can compare plans instantly so you don’t have to worry about doing it at the last minute. We will find you the best plan so you don’t have to. No hassles, just free quotes and guidance to help you find a great plan. To get free quotes, simply enter your zip code in the bar above, or to speak to an agent, call 888-350-1890.

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