Since the Open Enrollment Period for this year is over, you can only enroll in or change a Marketplace health plan if you qualify for a Special Enrollment Period. You may qualify based on estimated household income, or if you experience any of the life events on this page. Show
Life changes that can qualify you for a Special Enrollment PeriodChanges in householdYou may qualify for a Special Enrollment Period if in the past 60 days you or anyone in your household:
Changes in residenceYou may qualify you for a Special Enrollment Period if you move to:
Or, move to or from:
Moving only for medical treatment or staying somewhere for vacation doesn’t qualify you for a Special Enrollment Period. You must prove you had qualifying health coverage for one or more days during the 60 days before your move. You don't need to provide proof if you’re moving from a foreign country or United States territory. Loss of health insuranceYou may qualify for a Special Enrollment Period if you or anyone in your household lost qualifying health coverage in the past 60 days (or more than 60 days ago but since January 1, 2020) OR expects to lose coverage in the next 60 days. You may qualify for a Special Enrollment Period if you lost: Job-based coverage You may qualify for a Special Enrollment Period if you lose health coverage through your employer or the employer of a family member, including if you lose health coverage through a parent or guardian because you're no longer a dependent. Individual health coverage You may qualify for a Special Enrollment Period if you lose individual health coverage, including if:
Medicaid or the Children’s Health Insurance Program (CHIP) coverage (or were denied Medicaid/CHIP) You may qualify for a Special Enrollment Period if you lose or were denied Medicaid or CHIP coverage because:
Eligibility for Medicare You may qualify for a Special Enrollment Period if you lose premium-free Medicare Part A. You don’t qualify for a Special Enrollment Period if you lose:
Coverage through a family member You may qualify for a Special Enrollment Period if you lose qualifying health coverage you had through a parent, spouse, or other family member. This might happen if you lose health coverage because:
You won’t qualify for a Special Enrollment Period if you chose to drop the coverage you have as a dependent, unless you also had a decrease in household income or a change in your previous coverage that made you eligible for savings on a Marketplace plan. An employer offer to help with the cost of coverageYou may qualify for a Special Enrollment Period if you (or anyone in your household) were offered an individual coverage HRA or a Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) in the past 60 days OR expects to in the next 60 days. Note: Your employer may refer to an individual coverage HRA by a different name, like the acronym “ICHRA.” If you qualify to enroll in Marketplace coverage through this Special Enrollment Period, contact the Marketplace Call Center to complete your enrollment. You can’t do this online. More qualifying changesOther situations that may qualify you for a Special Enrollment Period:
Learn about Special Enrollment Periods for complex issues. More answersWhat if something outside my control prevented me from getting coverage during the Open Enrollment Period? In a few very limited situations, you may qualify for a Special Enrollment Period. Get details about these limited situations. How long does it take for a Medicare Part B application to be approved?Medicare applications generally take between 30-60 days to obtain approval.
Can I submit my Medicare Part B application online?Apply online (at Social Security) – This is the easiest and fastest way to sign up and get any financial help you may need. You'll need to create your secure my Social Security account to sign up for Medicare or apply for Social Security benefits online. Call 1-800-772-1213. TTY users can call 1-800-325-0778.
Can you add Medicare Part B at any time?If you did not enroll for Part B during your initial enrollment period, you may qualify for a Special Enrollment Period (SEP) to sign up for Part B (and/or Part A) anytime as long as you or a spouse is working and you're covered by a group health plan through that employment.
Can I submit Form CMS L564 online?You can complete the Part B SEP online or you can mail your completed CMS 40B, Application for Enrollment in Medicare - Part B (Medical Insurance) and CMS L564 - Request for Employment Information to your local Social Security office.
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