Healthcare

Change in circumstances questions

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You may be asked these optional questions about your life changes to see if you (and anyone else on your application) may be eligible for a Special Enrollment Period.

Did any of these people lose qualifying health coverage, like one of these types?

Select the name of each person who lost qualifying health coverage:

  • In the past 60 days for coverage, like an individual plan, plan through an employer, or coverage through another source. 
  • In the past 90 days for Medicaid or the Children’s Health Insurance Program (CHIP). 

A person may have lost coverage for many reasons, like losing or leaving a job that offered health coverage, turning 26 and no longer being covered under a parent’s plan, or the end of COBRA or Medicaid coverage, including the loss of Medicaid coverage for a person who’s required to meet a new “spend down.”

Don’t select the name of a person if they lost coverage because they didn’t pay their premiums.

If you select a name, you’ll be asked for the name of this person’s prior health coverage. Enter the name of their coverage, like “Medicaid” or the name of their insurance company, in the box.

You’re asked these questions to see if you’re eligible for a Special Enrollment Period. If you are, you may need to submit documents to confirm that you recently lost coverage before your new coverage can start. Learn more.

In the next 60 days, will any of these people lose qualifying health coverage, like one of these types?

Select the name of each person who’s going to lose qualifying health coverage in the next 60 days. A person may lose health coverage for many reasons, including leaving a job that offers health coverage or the end of COBRA, school coverage, or Medicaid, including the loss of Medicaid coverage for a person who’s required to meet a new “spend down.”

If you select a name, you’ll be asked for the name of this person’s health coverage. Enter the name of their coverage, like “Medicaid” or the name of their insurance company, in the box.

You’re asked these questions to see if you’re eligible for a Special Enrollment Period. If you are, you may need to submit documents to confirm that you’ll lose coverage before your new coverage can start. Learn more.

Did any of these people recently get married?

Select the name of each person who got married within the past 60 days. If a person was married, you may also be asked if he or she had qualifying health coverage at any time in the 60 days before they got married and if he or she lived in a foreign country or a U.S. territory for at least one of the 60 days before the marriage.

You’re asked these questions to see if you’re eligible for a Special Enrollment Period. If you are, you may need to submit documents to confirm your recent marriage, and show that you had coverage at some point during the 60 days before your marriage. Learn more.

In the past 60 days, did any of these people get adopted, get placed for foster care, or became a dependent through a child support or other court order?

Select the name of each person who’s been adopted, placed for foster care, or became a dependent through a court order in the past 60 days. A person is “placed for adoption” if they’re a child who’s living with a family and is in the process of being adopted.

You’re asked this question to see if you’re eligible for a Special Enrollment Period. If you are, you may need to submit documents to confirm the recent adoption, foster care placement, or court order before your new coverage can start. Learn more.

Did any of these people recently gain eligible immigration status?

Select the name of each person who’s recently gained eligible immigration status. Learn more.

Did any of these people move in the past 60 days?

Select the name of each person who’s moved in the past 60 days. If a person moved, you’ll be asked to enter the ZIP code for his or her previous address and whether he or she moved from a foreign country.

You’re asked these questions to see if you’re eligible for a Special Enrollment Period. If you are, you may need to submit documents to confirm your recent move, and show that you had coverage at some point during the 60 days before your move. Learn more.

Learn more about actions you’ll need to take if you move to a new state.


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