You May Be Eligible for Health Coverage Through Special Enrollment or Medi-Cal
Even if open enrollment for private health coverage through Covered California has ended Medi-Cal enrollment is year-round. Additionally, individuals who experience a qualifying life event may be eligible to enroll in private coverage through Covered California by applying for special enrollment.
The Marketplace open enrollment period is the regular time each year when people can newly enroll in a qualified health plan or change to a different plan through the Marketplace. But certain events that occur during the year can trigger a special enrollment period (SEP), when a person may be able to newly enroll in a Marketplace plan or change to a different plan.
This SEP Reference Chart is a tool for those who are helping people enroll in health coverage through a special enrollment period. It focuses on the circumstances that trigger a SEP in the Marketplace, who can trigger and use a SEP, and the effective date of coverage once a health plan is selected.
Click here for a reference chart regarding enrolling in health coverage through a special enrollment period.
Consumers who are filing their taxes this year may be paying a penalty for not having health insurance. And the penalty for going without insurance in 2015 will go up significantly: Those who can afford insurance but choose not to buy it will be subject to paying $695 per adult in a household or 2.5 percent of their income, whichever is greater.
To see if you qualify for the special enrollment, for Medi-Cal, or for questions about health insurance coverage in general, call our office at 760-924-1770. We’re happy to help!