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What is a Special Enrollment Period?

by | Oct 22, 2024

Purchasing Health Insurance During a Special Enrollment Period

Enrolling in a health insurance plan can be a daunting task, and if you aren’t aware of deadlines and “Open Enrollment” guidelines you may have missed your chance altogether. Before worrying too much, you may want to see if you could still be eligible for 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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Don’t Go Without Health Insurance

Missing Open Enrollment or finding yourself in need of health insurance outside of the Open Enrollment period does not always mean you have to be uninsured for the entire year. A health insurance agent can help guide you through the process of determining if you are still eligible to apply for health insurance in Nevada. If you’re not, perhaps a short-term health insurance plan may get you by until the next open enrollment period which is yearly starting November 1st through December 15th. (End dates of Open Enrollment can change year to year, please call us for this year’s end date).

How Can Life Changes Affect Your Health Insurance?

To receive a health insurance policy that is affordable and viable for your family, you need to promptly report all life and income changes to your health insurance agent. This allows your agent to continuously match you with an insurance plan that offers the best coverage at the best price for your family. Plus, it helps keeps you out of trouble with the IRS!

If your income decreases or increases, or you welcome a new family member, your health insurance premiums will change. This could affect your eligibility for other cost savings programs. Any time you have a change in family size, or income changes, it’s very important you report these to your agent as soon as possible! There are deadlines and coverage consequences with changes. Therefore, it is SO important to keep your health insurance agent up to date on family, income, and life changes.​

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Life Changes That Make Your Health Insurance Plan SEP Eligible

There are several different life events that will allow you to make changes and/or enroll into a health insurance plan. Loss of health insurance due to a change in jobs, loss of eligibility for Medicaid, ending of your Group Coverage, plus many other changes that result in a loss of health insurance, can be considered a life change. Changes to your family “household” (members on your tax return) may also be qualifying life changes. If you got married, divorced, and lost health insurance, had a child, or lost a family member due to death, you may qualify for a special enrollment period (SEP). Remember though, you only have 60 days to contact your health insurance agent and make a change.

Contact Nevada Insurance Enrollment to Find Out if You Qualify for a SEP

Unsure of whether your life change or income change qualifies you for a special enrollment period? If you need to report a life change or purchase health insurance during an SEP, call Nevada Insurance Enrollment today and speak to one of our health insurance agents. We specialize in getting you the very best rate you are entitled to, creating custom health insurance solutions for individuals and families in Las Vegas, Northern Nevada, or Statewide Nevada.

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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.

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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.

 

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