Open enrollment is the period during which people can purchase health insurance for the upcoming year. If you don't sign up for health insurance during open enrollment, there’s a possibility that you won’t be able to sign up for health insurance until the next open enrollment period, unless you experience a qualifying event. Need help selecting the best health insurance plan for you and your family? See our article here!
There are 4 basic types of qualifying life events. (The following are examples, not a full list.)
Loss of health coverage
Losing existing health coverage, including job-based, individual, and student plans
Losing eligibility for Medicare, Medicaid, or CHIP
Open enrollment for ACA-compliant 2021 coverage will run from November 1, 2020 to December 15, 2020 in all states that use HealthCare.gov, and in some of the states that run their own exchanges. This enrollment schedule applies both on and off-exchange.
California, Colorado, and DC have permanently extended their open enrollment periods, listed below:
California: November 1 to January 31
Colorado: November 1 to January 15
District of Columbia: November 1 to January 31
For open enrollment 2020, there are 13 fully state-run health insurance exchanges. In fall 2020, Pennsylvania and New Jersey will be joining the list - bringing the total number of fully state-run exchanges to 15.
All fully state-run exchanges (ie, those that use their own enrollment platforms, instead of HealthCare.gov) have the option to extend open enrollment past December 15th. In the past, many state-run exchanges have extended by at least a week.
Pennsylvania has already committed to an extended open enrollment period for 2021 coverage, which will run from November 1, 2020 to January 15, 2021.
Nevada has also committed to an extended open enrollment period for 2021 coverage, which will run from November 1, 2020 to January 15, 2021.
Open enrollment for Medicare part A/B is from January 1 – March 31.
Medicare open enrollment is from October 15, 2020 through December 7, 2020.
What’s Special Enrollment? Are There Exceptions?
Regardless of whether you purchase insurance through the exchange or off-exchange, the annual Obamacare open enrollment window applies, which is why it's very important to pay close attention to the enrollment deadlines.
You cannot enroll outside of open enrollment unless you have a qualifying event. And the rules for special enrollment periods are stricter than they used to be. In most cases, you’re required to have already had coverage prior to the qualifying event in order to sign up for a new plan as a result of the qualifying event (for example, if you move to a new area, it’s only a qualifying event—allowing you to sign up for a plan in your new area—if you already had coverage in your previous location). The restrictions on special enrollment periods make it more important than ever for people to sign up during open enrollment, when those restrictions don’t apply.
Does The Open Enrollment Period Matter If I Already Have Insurance?
Yes, even if you are already insured and happy with your plan, there are a few things to pay attention to during open enrollment season. During open enrollment season, make sure you note how much your premium will change in the coming year and if this is still feasible for you and your family. Additionally, some benefits of your plan or coverage details may change in the coming year. Make sure that you are aware of these changes before open enrollment period ends, as most states will not let you make changes to your plan after mid-December. See our article for more information on why your health insurance premiums may increase in 2021.
What if I Get Coverage From My Employer?
If you are hired as an employee at a new job, you do not need to wait until the open enrollment period to get covered by their health insurance. The open enrollment period employer health insurance may overlap with the regular open enrollment period, or it may be a few weeks earlier. Check with your employer to find out when their open enrollment period will be and if they are making any changes to the plan in the coming year. Read our article to understand whether your employer is required to provide health insurance and benefits.