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How A Divorce Affects Health Insurance Coverage

by | Sep 22, 2024

Page Tags: 2024 | coverage

Does Getting a Divorce Trigger a Special Enrollment Period?

Going through a divorce can be a very stressful time, and it is unlikely that your health insurance coverage is at the forefront of your mind throughout the proceedings. However, if your current health insurance policy is not in your name and health insurance coverage is not included in the settlement, then the health insurance company will drop you from the policy as soon as the divorce is finalized.

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How A Divorce Affects Health InsurancePin

It is the member’s responsibility to inform the insurance company of the divorce. The bad news is, that a divorce by itself is not a “special enrollment period”, but, if you LOSE coverage because of the divorce, you’ll have 60 days to take action. So, act right away.

To avoid being surprised by high medical bills, it is a good idea to consider your health insurance options before losing your coverage. If you are finding yourself without health insurance due to a recent divorce, you will be able to sign up for a new plan without waiting for the Open Enrollment Period provided you did lose the coverage because of the divorce.

Getting Health Insurance After a Divorce

There are several options for obtaining new health insurance after going through a divorce. There are many factors to consider such as you or your ex’s employer’s benefits, your age – if you are under 26 and on your parents’ insurance coverage, your income/financial situation, if you have dependents on your tax return, and many other considerations. A health insurance agent can help you weigh your options to come up with the best solution for you. Make sure you tell your agent you want a “Qualified Health Plan” as this is very important.

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COBRA

If your health insurance is through your former spouse’s employer, COBRA provides you with a way to keep your current coverage. After the divorce, you have 60 days to determine whether you want to keep your coverage, and you are allowed to keep your health insurance plan through COBRA for up to 18 months. It’s really important to speak with an agent before electing Cobra. You may be eligible for a Government “Subsidy” to help you pay your health insurance premiums depending on your income and circumstances, however, if you elect the Cobra, you will not be eligible for a subsidy until it’s “Open Enrollment” (November 1st through January 15th each year).

Cobra coverage is usually very good; however, the downside is that COBRA tends to be the most expensive option. Not only do you pay your monthly premium, but you also pay the employer’s portion of the premium they used to pay, and possibly a small fee too.

Health Insurance Through Your Employer

If your employer provides health insurance, this is typically the most cost-effective option, because if you are offered coverage through your employer, you are most likely NOT eligible for a government subsidy. It is very important you understand this.

Like private health insurance plans, you can sign up for employer-based health insurance during the enrollment period that opens up after the divorce. Talk to your Human Resources department as soon as possible to avoid missing your opportunity to make changes to avoid losing your chance to get insurance through your employer if it’s offered.​

Navigating Health Insurance After Divorce with Nevada Insurance Enrollment

If it has been a long time since you have had to shop for health insurance coverage, the process can feel daunting. At Nevada Insurance Enrollment, our health insurance agents guide you through the entire process, from finding the right health insurance plan for your needs and budget to signing up for coverage and understanding the claims process.

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Is Physical Therapy Covered Under Health Insurance?

Whether you have recently been injured or you are experiencing chronic pain or limited mobility, going to a physical therapist can greatly improve your quality of life. For many people, concerns about how much regular sessions cost is a big roadblock to getting much needed care. Fortunately, if you have an ACA-compliant health insurance plan, rehabilitative services like physical therapy are listed among the essential health benefits.

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What Is a Health Insurance Network?

Whether you’ve had the same health insurance company for years or switched to a new health insurance company, the variance in cost is directly related to whether a healthcare provider is within your health insurance company’s network (if you have a PPO), if you have a deductible to satisfy first, or if you have a co-pay.

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What is a Special Enrollment Period?

The special enrollment period is always within 60 days of a life event. A “Life Event” is an event such as the birth of a baby, losing group coverage through an employer, losing coverage due to a move to Nevada, marriage, any many other scenarios.

 

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What Is An Exclusion In Health Insurance?

In health insurance, an exclusion is a medical procedure or treatment that the health insurance company does not cover. This may include specific medications, surgeries or therapies that are specifically omitted from your policy.

Avoid Health Insurance Coverage Gaps When Moving Out of State

If you move out of state, you’ll need to get coverage in your new state and need to report your move within 30 days and enroll into a plan within 60 days, but each state rules may vary. When you move, if you have insurance now, it would be considered a qualifying life event.

What Is the Best Vision Insurance?

Vision insurance is supplemental health insurance that covers vision-related care. This includes annual visits and emergency care, along with corrective products such as glasses and contacts.

When Does Health Insurance Cover Dental Work?

In most cases, dental insurance pays for routine care such as annual x-rays, cleanings and exams, as well as procedures such as fillings, crowns and bridges. Health insurance pays for damage caused by a trauma to the mouth, such as an injury or accident.

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