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Is My Health Insurance Affected If I Miss Open Enrollment?

by | Dec 17, 2024

Health Insurance Open Enrollment

November 1st through December 15th

Changes to your health insurance coverage are usually made during the “Open Enrollment” period. During this time, you can sign up for new health insurance or make changes to your existing coverage. You may wonder what happens to your insurance if you miss the open enrollment period.

Because health insurance issues are complex and can be difficult to navigate, you would benefit from the advice of a licensed health insurance agent. Licensed agents who are experts in health insurance plans in Nevada, are paid by the insurance company (so you’ll pay nothing for their expert advice), and you’ll benefit by having someone to count on and reach out to during the year with questions and/or problems.

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Is My Health Insurance Affected If I Miss Open Enrollment?

The Closest Thing to ‘REAL’ Health Insurance

If You Missed Open Enrollment

If you’ve missed the open enrollment period and don’t have a qualifying life event that would allow you to enroll during a special enrollment period, you still have options. Although available plans outside the open enrollment period are meant to serve as supplemental coverage, they can provide a bridge to give you some health insurance protection until you can obtain traditional health insurance. It is best to discuss your options with an experienced health insurance agent in Nevada so you can make an informed decision.

If you’re a healthy individual, your options are increased. You may be able to take advantage of health insurance plans that are available year-round. These are stand-alone plans that can give you the needed health insurance coverage when you’re in a bind and need immediate coverage. You should seek the advice from a knowledgeable health insurance agent to guide you through the confusing world of health insurance to ensure you obtain the coverage that fits your needs. An experienced health insurance agent will explain your options, which may include health care sharing ministry plans, indemnity plans, and short-term health plans.

Short-Term Health Insurance Applications

You’ll find that short-term health insurance can be effective the very next day. You won’t see any income-related questions on the application and the medical history section is quite short. You should keep in mind that although you won’t need to provide an extensive medical history, the application will only address the most serious illnesses to determine your eligibility. Generally, short-term health insurance plans will have a disclaimer that says the plan will not cover any pre-existing conditions. Your Nevada Insurance Enrollment health insurance agent can provide valuable advice on how the plan works and what your needs are, thereby helping you to receive the best coverage.

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Not a Qualifying Life Event:

Losing Short-Term Health Insurance Coverage

Unfortunately, losing your short-term health insurance coverage is not considered a qualifying life event that cannot trigger a special enrollment period. You could look at additional options such as indemnity policies, or health care sharing ministry options. However, your eligibility would depend on your current medical history. Even though you won’t get the level of coverage and consumer protections that you would get with a traditional health insurance plan, obtaining a non-ACA (Obamacare) plan is better than having no health coverage at all.

Nevada Insurance Enrollment Is Here To Help

If you’re at risk for losing your short-term health insurance coverage, your best bet is to speak to one of our licensed health insurance agents to determine the options available to you. Give us a call today to discuss your health insurance needs to find the right plan for you and your family.

What is Co-Insurance?

What is Co-Insurance?

Co-insurance means two parties will be paying for the bill. “Co” means joint, mutual, two, or more. The health insurance company will usually pay the larger amount (example 70%) and you as the member will usually pay the lesser amount (example 30%). This would be considered co-insurance 70/30. This (co-insurance) usually happens AFTER the deductible is met.

Health Insurance Coverage Effective Dates

Health Insurance Coverage Effective Dates

Once you have picked a health insurance policy and paid your first month’s premium, you probably expect your coverage to begin immediately. However, depending on when you enrolled and under what circumstances, you may have several weeks before your health insurance coverage takes effect.

Health Insurance ‘Metal’ Plans Explained

Health Insurance ‘Metal’ Plans Explained

Health insurance companies that sell plans on the Health Insurance Marketplace can offer four types of qualified health insurance plans, including Bronze, Silver, Gold, and Platinum. The plan you choose determines not only the premium you pay but also what portion of your health costs you pay.

 

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Are Fertility Services Covered by Health Insurance?

Even if you live in a state that requires health insurance coverage for fertility treatments, there may be certain requirements that you have to meet to have services covered. For example, if you have unexplained infertility, you might only qualify for in vitro fertilization after a period of time or a specified number of in-vitro cycles.

What is Covered By Obamacare?

Preventive services are covered under the Affordable Care Act at no cost to the insured. This means there is no co-payment or deductible. There are specific services provided for all adults and specific benefits provided to women and children.

What Happens If You Forget To Pay Your Premium By The Due Date?

Life happens, and while you should make every effort to pay your health insurance premium on time, health insurance plans generally will have grace periods. You may have a grace period of 30 days, or if your insurance plan is through Nevada Health Link (on-exchange), it may be up to 90 days.

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